Agenda for change - pay rates

The following is a guide only to NHS Terms and Conditions of Service (Agenda for Change) pay rates from April 2023.

This pay system covers all staff except doctors, dentists and very senior managers. Each of the nine pay bands has a number of pay points. Staff will normally progress to the next pay band after the required number of years until they reach the top of the pay band. In addition to basic pay, there is also extra pay for staff who work in high cost areas such as around London.

Band 1 (Please note that following the 2018 pay deal, band 1 closed to new entrants from 1 December 2018).

£22,383

Examples of roles at band 1 - domestic support worker, housekeeping assistant , driver and nursery assistant.

Band 2

< 2 years' experience £22,383

2+ years £22,383

Examples of roles at band 2 - domestic support worker, housekeeping assistant , driver, nursery assistant, domestic team leader, security officer, secretary/typist and healthcare assistant.

Band 3

<2 years' experience £22,816
2+ years £24,336

Examples of roles at band 3- emergency care assistant, trainee clinical coder, estates officer and occupational therapy support worker.

Band 4

< 3 years' experience £25,147
3+ years £27,596

Examples of roles at band 4 - assistant practitioner, audio visual technician, pharmacy technician, dental nurse and theatre support worker.

Band 5

<2 years' experience £28,407
2-4 years £30,639
4+ years £34,581

Examples of roles at band 5 (includes many newly qualified clinical professionals) - operating department practitioner (ODP), podiatrist, learning disability nurse, therapeutic radiographer and ICT test analyst

Band 6

<2 years' experience £35,392
2-5 years £37,350
5+ years £42,618

Examples of roles at band 6 - school nurse, experienced paramedic, health records manager and clinical psychology trainee.

Band 7

<2 years' experience £43,742
2-5 years £45,996
5+ years £50,056

Examples of roles at band 7 - communications manager, estates manager, high intensity therapist and advanced speech and language therapist.

Band 8a

< 5 years' experience £50,952
5+ years £57,349

Examples of roles at band 8a - consultant prosthetist/orthotist, dental laboratory manager , project and programme management, modern matron (nursing) and nurse consultant (mental health nursing).

Band 8b

< 5 years' experience £58,972
5+ years £68,525

Examples of roles at band 8b - strategic management, head of education and training, clinical physiology service manager and head orthoptist .

Band 8c

<5 years' experience £70,417
5+ years £81,138

Examples of roles at band 8c - head of human resources, consultant clinical scientist (molecular genetics/cytogenetics) and consultant paramedic.

Band 8d

<5 years' experience £83,571
5+ years £96,376

Examples of roles at band 8d include consultant psychologist (8c-8d), estates manager, chief nurse and chief finance manager.

Band 9

<5 years' experience £99,891
5+ years £114,949

Examples of roles at band 9 include podiatric consultant (surgery), chief finance manager and director of estates and facilities.

High cost area supplements

Area	Level (1 April 2023)
Inner London	20% of basic salary, subject to a minimum payment of £5,132 and a maximum payment of £7,746
Outer London	15% of basic salary, subject to a minimum payment of £4,314 and a maximum payment of £5,436
Fringe	5% of basic salary, subject to a minimum payment of £1,192 and a maximum payment of £2,011

Band 1 (Please note that following the 2018 pay deal, band 1 closed to new entrants from 1 December 2018).

£22,383

Examples of roles at band 1 - domestic support worker, housekeeping assistant , driver and nursery assistant.

Area	Level (1 April 2023)
Inner London	20% of basic salary, subject to a minimum payment of £5,132 and a maximum payment of £7,746
Outer London	15% of basic salary, subject to a minimum payment of £4,314 and a maximum payment of £5,436
Fringe	5% of basic salary, subject to a minimum payment of £1,192 and a maximum payment of £2,011

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