NHS Agenda for Change Pay Scales 2017-2018

Agenda for Change (AfC) is the current National Health Service (NHS) grading and pay system for NHS staff, with the exception of doctors, dentists, apprentices and some senior managers.

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.