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.
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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.
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.
£22,720
Examples of roles at band 1 – domestic support worker, housekeeping assistant, driver and nursery assistant.
< 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.
<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.
< 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.
<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
<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.
<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.
< 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).
< 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.
<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.
<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.
<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.
| 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% |
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.
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.
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