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NHS Agenda for Change Pay Scales 2017-2018

Nursing Notes

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The following is a guide to Agenda for Change (AfC) pay scales for NHS England from April 2017 to April 2018.

The NHS Pay Review Body (NHSPRB) has recommended that the 1% cap be applied to the 2017-2018 financial year.

You can find links to the NHS Scotland, NHS Wales and HSCNI Agenda for Change Payscales at the bottom of this page. 

You should check with your employer to confirm the pay rate for any post for which you are applying as some organisations are now deviating from the Agenda for Change scale.

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. Staff who works in or around London will receive a supplement on top of these rates which can be seen below.

AfC Band 1 - domestics, housekeeping.

Point 2       £15,404
Point 3       £15,671

AfC Band 2 - care support workers, secretaries.

Point 2       £15,404
Point 3       £15,671
Point 4       £16,103
Point 5       £16,536
Point 6       £16,968
Point 7       £17,525
Point 8       £18,158

AfC Band 3 - therapy assistants, senior support workers.

Point 6      £16,968
Point 7      £17,525
Point 8      £18,158
Point 9      £18,334
Point 10    £18,840
Point 11    £19,409
Point 12    £19,852

AfC Band 4 - nursing associate, assistant practitioner.

Point 11    £19,409
Point 12    £19,852
Point 13    £20,551
Point 14    £21,263
Point 15    £21,909
Point 16    £22,128
Point 17    £22,683

AfC Band 5 - registered nurse, ODP, midwife.

Point 16    £22,128
Point 17    £22,683
Point 18    £23,597
Point 19    £24,547
Point 20    £25,551
Point 21    £26,565
Point 22    £27,635
Point 23    £28,747

AfC Band 6 - senior nurse or midwife, specialist nurses.

Point 21    £26,565
Point 22    £27,635
Point 23    £28,747
Point 24    £29,626
Point 25    £30,661
Point 26    £31,697
Point 27    £32,731
Point 28    £33,896
Point 29    £35,577

AfC Band 7 - ward sisters, clinical managers.

Point 26    £31,697
Point 27    £32,731
Point 28    £33,896
Point 29    £35,577
Point 30    £36,613
Point 31    £37,777
Point 32    £39,070
Point 33    £40,428
Point 34    £41,787

AfC Band 8a - matron, nurse consultant.

Point 33    £40,428
Point 34    £41,787
Point 35    £43,468
Point 36    £45,150
Point 37    £47,091
Point 38    £48,514

AfC Band 8b - service managers, clinical leads.

Point 37    £47,091
Point 38    £48,514
Point 39    £50,972
Point 40    £53,818
Point 41    £56,665
Point 42    £58,216

AfC Band 8c - heads of departments, consultant paramedic.

Point 41    £56,665
Point 42    £58,216
Point 43    £60,202
Point 44    £63,021
Point 45    £67,248
Point 46    £69,169

AfC Band 8d - estates manager, deputy or chief nurse.

Point 45    £67,248
Point 46    £69,169
Point 47    £72,051
Point 48    £75,573
Point 49    £79,415
Point 50    £83,258

AfC Band 9 - non-medical consultants, heads of service.

Point 49    £79,415
Point 50    £83,258
Point 51    £87,254
Point 52    £91,442
Point 53    £95,832
Point 54    £100,431

You can view the 2016-2017 figures here.

Working in London?

Those living in inner London receive an extra 20% of basic salary, subject to a minimum payment of £4,158 and a maximum payment of £6,405. 

Those living in outer London receive an extra 15% of basic salary, subject to a minimum payment of £3,518 and a maximum payment of £4,483.

Finally, those living on the fringe of London receive an extra 5% of basic salary, subject to a minimum payment of £961 and a maximum payment of £1,665

Working in Scotland, Wales or Northern Ireland?

Working in wales? You can view the NHS Wales Agenda for Change payscales.

Working in Scotland? You can view the NHS Scotland Agenda for Change payscales.

Working in Northern Ireland? You can view the HSCNI Agenda for Change payscales.

When should I receive an increment?

You should take a look at our article on how often you should be receiving an increment. Generally speaking this happens on a yearly basis until you are at the top of your band and is usually subject to performance reviews.

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Patients are being mislead by unregistered staff using the “Nurse” title

Ian Snug

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Leading nurses warn that organisations are employing unregistered care staff with job titles describing them as “nurses”.

A study has that found hundreds of roles which do not require Nursing and Midwifery Council registration used the term “Nurse” in the job title.  This, understandably, has caused concern that patients are being misled and staff could be working beyond their competence.

According to the Health Service Journal, Jane Cummings, Englands’ Chief Nursing Officer, has written to NHS leaders calling for them to ensure staff who use the nurse title are in fact registered nurses.

We found several examples, on the NHS jobs website, of positions which utilise the “Nurse” title but do not require an NMC Registration to apply;

  • Assistant Nurse Practitioner.
  • Enhanced Supervision Nurse.
  • Clinical Support Nurse.
  • Associate Nurse.
  • Complex Support Nurse.
  • Assistant Nurse.
  • Auxilliary Nurse.
  • Nurse Support Worker.

Jackie Smith, the NMC’s Chief Executive and Registrar, has previously said;

“If individuals are calling themselves nurses and they are not on our register, then from a patient perspective that is quite worrying. Employers should not mislead patients into thinking the person in front of them is a registered nurse when they are not. They have a duty to make that clear to patients”.

Janet Davies, Chief Executive and General Secretary, said:

“Support workers play an extremely important role but there must always be a clear distinction between them and trained nurses.

“As the shortage of nurses begins to bite, the NHS is increasingly filling shifts with more unregistered care staff. They do not have the qualifications and training of registered nurses and it is unfair on the all sides, not least patients, when they replace more qualified staff.

“The Government must not allow nursing on the cheap. When the number of registered nurses on shift falls, it is patient outcomes and mortality rates that are adversely affected.”

Presently, only the title “Registered Nurse” is protected but staff are calling for the title “Nurse” to also be protected.

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MP insists nurses are already well paid compared to hairdressers, plumbers or carpenters

James M

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An MP has come under fire for saying that nurses are already well paid when compared to hairdressers, plumbers and carpenters in his constituency.

During last weeks debate on scrapping the NHS pay cap, Conservative MP Eddie Hughes said he wanted to ‘bring some context’ to the argument and went on to say that NHS staff already have a good deal when compared to hairdressers, plumbers and carpenters in his Walsall constituency.

But, Hughes has come under fire from NHS staff with nurses reiterating the issue not just about pay. The significant real-terms has also caused many nurses to turn to food banks and caused further issues with staff recruitment and retention as student nurse numbers significantly are affected.

Valerie Vaz, the Labour MP for Walsall South, said his comments ‘echoed the government’s contempt for our NHS workers’ and went on to reiterate that nurses are being forced to use food banks to make ends meet and NHS.

Speaking in Parliament, Eddie Hughes, said;

“I completely welcome the hard work that is done by NHS staff up and down the country, but please let me bring some context to the debate.

“The average income in my constituency is £440 a week, which is approximately £23,000 a year. I intend to advocate on behalf of all my constituents, not just those who work in the public sector. The average salary in my constituency is £23,000, which is about the same as a qualified nurse starts on.

“Many workers in my constituency are employed as hairdressers, plumbers or carpenters, and what pay rise do they get? They have had to work hard every year for their pay, and when we make the comparison using other factors, such as pension schemes, we see that in order to earn the same sort of pension a plumber would need to be putting away 43 per cent of their salary. Yes, we value the public sector in this country, but the Conservatives value all the workers in this country.”

You can view Eddie Hughe’s speech here.

Mike Adams, regional director of the Royal College of Nursing in the West Midlands, said; “They deserve nothing less than fair pay. As it is, we know many nurses work over their hours without pay as a result of staying on after the scheduled end of their shift or working through their breaks to ensure patients are well cared-for”.

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