NHS Agenda for Change pay scales, nursing pay bands and official professional information.
NHS nurses and other directly employed staff in England are generally paid under the national Agenda for Change framework. Pay is determined by the band assigned to the post and progression through the published pay points.
| Band | Annual salary | Typical nursing level |
|---|---|---|
| Band 5 | £32,073 – £39,043 | Registered Nurse |
| Band 6 | £39,959 – £48,117 | Specialist / Senior Nurse |
| Band 7 | £49,387 – £56,515 | Advanced / Ward Manager |
| Band 8a | £57,528 – £64,750 | Senior Specialist / Management |
| Band 8b | £66,582 – £77,368 | Senior Management / Specialist |
| Band 8c | £79,504 – £91,609 | Senior Leadership |
| Band 8d | £94,356 – £108,814 | Senior Leadership |
| Band 9 | £112,782 – £129,783 | Very Senior Leadership |
Progression within a band occurs through the published pay steps and is linked to the NHS Agenda for Change progression arrangements.
Additional payments may apply for unsocial hours, overtime, high-cost areas and other locally applicable arrangements.
Nurses practising in England must be registered with the Nursing and Midwifery Council (NMC).
Salary figures shown are basic full-time annual pay rates effective from 1 April 2026.
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