NHS Agenda for Change Pay Scales
This section will break down the individual NHS Agenda for Change pay bands by pay point (formally known as spine or progression points).
Our Agenda for Change NHS Pay Calculator shows the Agenda for Change NHS Pay Scales and Bands for England, Wales and Northern Ireland for the 2022/23 financial year.
The calculator tool provides an estimate based on a set of assumed values - it will be inaccurate for anyone with specific tax, pension or national insurance arrangements.
The figures used in the calculator are based upon the Agenda for Change 2021/22 pay scales - a pay rise for the 2022/23 financial year is yet to be announced. Figures are rounded to provide you with an approximation of take-home pay - you should not base financial decision on this calculator and should seek professional advice.
Examples of roles at band 1 – domestic support worker, housekeeping assistant, driver and nursery assistant.
< 2 years’ experience – £18,546
2+ years – £19,918
Examples of roles at band 2 – domestic support worker, housekeeping assistant, driver, nursery assistant, domestic team leader, security officer, secretary/typist and healthcare assistant.
<2 years’ experience – £20,330
2+ years – £21,777
Examples of roles at band 3 – emergency care assistant, clinical coding officer, estates officer and occupational therapy worker.
< 3 years’ experience £22,549
3+ years £24,882
Examples of roles at band 4 – assistant practitioner, audio visual technician, pharmacy technician, dental nurse and theatre support worker.
<2 years’ experience £25,655
2-4 years £27,780
4+ years £31,534
Examples of roles at band 5 (includes many newly qualified clinical professionals) – operating department practitioner (ODP), podiatrist, learning disability nurse, therapeutic radiographer, practice manager and ICT test analyst
<2 years’ experience – £32,306
2-5 years – £34,172
5+ years – £39,027
Examples of roles at band 6 – school nurse, experienced paramedic, health records manager, clinical psychology trainee and biomedical scientist.
<2 years’ experience – £40,057
2-5 years – £42,121
5+ years – £45,839
Examples of roles at band 7 – communications manager, estates manager, high intensity therapist and advanced speech and language therapist.
< 5 years’ experience – £47,126
5+ years – £53,219
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).
<5 years’ experience – £65,664
5+ years – £75,874
Examples of roles at band 8c – head of human resources, consultant clinical scientist (molecular genetics/cytogenetics) and consultant paramedic.
<5 years’ experience £78,192
5+ years £90,387
Examples of roles at band 8d include consultant psychologist (8c-8d), estates manager, chief nurse and chief finance manager.
<5 years’ experience £93,735
5+ years £108,075
Examples of roles at band 9 include podiatric consultant (surgery), chief finance manager and director of estates and facilities.
We will try to answer some of your frequently asked questions about the Agenda for Change pay scales; if the topic isn’t covered here, you can head over to the NursingNotes Community.
What are NHS staff next getting a pay rise? You can see our article NHS Pay Rise – What’s going on? for more information on the status of any current NHS pay round.
What happened to yearly pay progression? Following the implementation of the 2018 NHS pay deal, pay progression for those under Agenda for Change terms has changed from the historic yearly incrementation, previously known as spine points, to a system based on years of experience at that band.
Why is there no overlap between Agenda for Change bands? The 2018 NHS pay deal removed the overlap between bands to prevent someone with a lower level of responsibility from being paid more than someone with a higher level of responsibility.
What annual leave do I get? You can use our NHS Annual Leave Calculator to work out your entitlement.