NHS Pay Bands for Wales 2023/24

Agenda for Change is the current NHS grading and pay system for NHS staff across Wales, 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 Wales alongside tax, pension and national insurance information for the April 2023/24 financial year to estimate take-home pay.











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 (AfC) Pay Scale for England broken down by each individual band, answers to some frequently asked questions and provides links to useful resources.

Each of the nine NHS pay bands has a number of pay points. Staff will progress to the next pay point after the required number of years until they reach the top of the pay band.

Band 1 - No longer used.


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 – £22,720

2+ years – £22,720

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 – £23,159

2+ years – £24,701

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 £25,524

3+ years £28,010

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 £28,834

2-4 years £31,099

4+ years £35,099

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 – £36,922

2-5 years – £37,911

5+ years – £43,257

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 – £44,398

2-5 years – £46,686

5+ years – £50,807

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 – £51,706

5+ years – £58,210

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 – £59,857

5+ years £69,553

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 – £71,473

5+ years – £82,355

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 £84,825

5+ years £97,822

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 £101,390

5+ years £116,673

Examples of roles at band 9 include podiatric consultant (surgery), chief finance manager and director of estates and facilities.

NHS Pension Scheme Contributions

Pensionable salary range from 1 April 2023:  Current contribution rates from 1 April 2023:  Future planned contribution rates (based on actual annual pensionable pay): 
Up to £13,246 5.1% 5.2%
£13,247 to £17,673 5.7% 6.5%
£17,674 to £24,022 6.1% 6.5%
£24,023 to £25,146 6.8% 6.5%
£25,147 to £29,635 7.7% 8.3%
£29,636 to £30,638 8.8% 8.3%
£30,639 to £45,996 9.8% 9.8%
£45,997 to £51,708 10% 10.7%
£51,709 to £58,972 11.6% 10.7%
£58,973 to £75,632 12.5% 12.5%
£75,636 and above 13.5% 12.5%

Frequently Asked Questions

We will try to answer some of your frequently asked questions about the Agenda for Change pay scales.

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. 

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.