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 2022. 

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 point annually 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). 

£20,270

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

Band 2

< 2 years' experience £20,270

2+ years                     £21,318

Examples of roles at band 2 - domestic support workerhousekeeping assistant, drivernursery assistantdomestic team leadersecurity officersecretary/typist and healthcare assistant.

Band 3

<2 years' experience  £21,730
2+ years                     £23,177

Examples of roles at band 3-  emergency care assistantclinical coding officerestates officer and occupational therapy worker.

Band 4

< 3 years' experience  £23,949
3+ years                      £26,282

Examples of roles at band 4 - assistant practitioneraudio visual technicianpharmacy techniciandental nurse and theatre support worker.

Band 5 

<2 years' experience    £27,055
2-4 years                      £29,180
4+ years                       £32,934

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

Band 6

<2 years' experience    £33,706
2-5 years                      £35,572
5+ years                       £40,588

Examples of roles at band 6 - school nurse, experienced paramedichealth records managerclinical psychology trainee and biomedical scientist.

Band 7

<2 years' experience     £41,659
2-5 years                       £43,806
5+ years                        £47,672

Examples of roles at band 7 - communications managerestates managerhigh intensity therapist and advanced speech and language therapist.

Band 8a

< 5 years' experience     £48,526
5+ years                         £54,619

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

Band 8b

< 5 years' experience      £56,164
5+ years                          £65,262

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       £67,064
5+ years                          £77,274

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

Band 8d

<5 years' experience       £79,592
5+ years                          £91,787

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

Band 9

<5 years' experience      £95,135
5+ years                         £109,475

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 2022)
Inner London 20% of basic salary, subject to a minimum payment of £4,888 and a maximum payment of £7,377
Outer London 15% of basic salary, subject to a minimum payment of £4,108 and a maximum payment of £5,177
Fringe

5% of basic salary, subject to a minimum payment of £1,136 and a maximum payment of £1,915

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