NHS Pay Bands for Northern Ireland 2022/23

Agenda for Change is the current NHS grading and pay system for NHS staff across England, Wales, Scotland and Northern Ireland, with the exception of doctors, dentists, apprentices and some very senior managers.


Pay Calculator

Our NHS pay calculator uses Agenda for Change pay rates for Northern Ireland alongside tax, pension and national insurance information for the April 2023/24 financial year to estimate take-home pay.


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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. 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.

NHS Pay Bands

The table below displays the NHS Pay Bands and Agenda for Change Pay Scale for England broken down by each individual band, answers to some frequently asked questions and provides links to useful resources.

Band 1 - No longer used.

£20,375

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

Band 2 - Nursing assistants, domestic support staff etc.

< 2 years’ experience – £20,375

2+ years – £21,318

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 - Trainee nurse associates, clinical support workers etc.

<2 years’ experience – £21,730

2+ years – £23,177

Examples of roles at band 3 – emergency care assistant, clinical coding officer, estates officer and occupational therapy worker.

Band 4 - Registered nursing associates, dental nurses etc

< 3 years’ experience £23,949

3+ years £26,282

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

Band 5 - Staff nurse, newly qualified AHPs etc.

<2 years’ experience – £27,055

2-5 years – £29,180

5+ years – £32,934

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

Band 6 - Senior staff nurses, specialist nurse etc.

<2 years’ experience – £33,706

2-5 years – £35,572

5+ years – £40,588

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

Band 7 - Ward sister, junior matron, specialist AHP etc.

<2 years’ experience – £41,659

2-5 years – £43,806

5+ years – £47,672

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

Band 8a - Speciality matron, general manager etc

< 5 years’ experience – £48,526

5+ years – £54,619

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 - Senior matron, service manager, lead nurse etc.

< 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 - Head of departments, consultant paramedic etc

<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 - Nurse consultant, consultant psychologist etc

<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 - Chief nurse, deputy chief nurse etc.

<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.

Frequently Asked Questions

We will try to answer some of your frequently asked questions about the NHS pay bands.

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 NHS pay 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.

Why is there a difference between pay in each country? The pay of NHS workers is decided by the devolved governments in each of the four countries.

What annual leave do I get? You can use our NHS Annual Leave Calculator to work out your entitlement. 


NHS Pay Rise

This page has been updated to include the most recent NHS pay settlement.

You can use our NHS Lump Sum Calculator to estimate your non-consolidated pay rise.

You can find the latest news on NHS pay below.