NHS Pay Scale

The NHS Pay Scale uses a banded pay system. NHS Band 1 has a starting salary of £20,270 and the highest NHS salary is at Band 9 with an annual salary of £109,475.

The NHS Pay Scale also has a high cost area supplement in;

  • Inner London (20% of basic salary, subject to a minimum payment of £4,888 and a maximum payment of £7,377)
  • Outer London 15% of basic salary (subject to a minimum payment of £4,108 and a maximum payment of £5,177)
  • Greater London Fringe, 5% of basic salary (subject to a minimum payment of £1,136 and a maximum payment of £1,915)

The NHS pay rise in 2022, referred to as “Agenda for Change” pay rates, were introduced in April 2022.

The Agenda for Change pay system covers all staff except doctors, dentists and very senior managers.

Each of the nine NHS pay bands (except for Band 1) is split into a number of pay points. Staff will normally progress to the next pay point annually until they reach the top of the pay band. 

2022 NHS Pay Scales

NHS Pay ScalesSalary
Band 1£20,270
Band 2Band 2
<2 years' experience£20,270
2+ years£21,318
Band 3Band 3
<2 years' experience£21,730
2+ years£23,177
Band 4Band 4
<3 years' experience£23,949
3+ years£26,282
Band 5Band 5
<2 years' experience£27,055
2-4 years£29,180
4+ years£32,934
Band 6Band 6
<2 years' experience£33,706
2-5 years£35,572
5+ years£40,588
Band 7Band 7
<2 years' experience£41,659
2-5 years£43,806
5+ years£47,672
Band 8aBand 8a
< 5 years' experience£48,526
5+ years£54,619
Band 8bBand 8b
< 5 years' experience£56,164
5+ years£65,262
Band 8cBand 8c
< 5 years' experience£67,064
5+ years£77,274
Band 8d
< 5 years' experience£79,592
5+ years£91,787
Band 9
< 5 years' experience£95,135
5+ years£109,475

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