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A Nurse’s Guide to NHS Pay Bands in 2023



Understanding the Landscape of Nurses' Salaries in the UK's NHS

In early 2023, the NHS faced a crossroads as administrators and unions pushed for better salary agreements to prevent potential strikes. At the same time, the UK's leading nursing union warned of a growing "exodus" of young nurses leaving the profession.


Over the past five years, more than 43,000 recently graduated nurses have left their positions in the UK, coincidentally mirroring the 47,000 open nursing roles in NHS England, as reported by the Royal College of Nursing (RCN). While nursing is widely recognized as a rewarding profession in the UK, the financial compensation didn't always align with the demands of the job. A fixed 1% pay increase, known as the "pay cap," was implemented between 2015 and 2017, causing concern among nursing professionals.


However, the introduction of the "New Pay Deal" in 2018 marked a three-year period of increasing compensation for all employees. In 2022, nearly one million NHS employees, including nurses, paramedics, and midwives, received wage increases, with some seeing raises of at least £1,400. Nevertheless, the picture of nurses' compensation in the UK isn't complete without considering private sector pay, NHS pensions, and additional benefits.


A nurse's earnings can vary significantly depending on factors such as their education and experience. According to various job boards and recruitment sites, the average wage for a UK nurse falls between £33,000 and £35,000 annually. These figures imply that the typical nurse has at least five years of experience. It's important to note that NHS and private sector pay can differ substantially. While the NHS offers consistency and dependability in terms of pay scales, the private sector offers more flexibility, as salaries may be negotiated. The choice between NHS and private sector nursing roles depends on your preferences and individual circumstances.


When it comes to understanding NHS pay bands, it's essential to know that nurses are paid according to several bandings. Band 5 serves as the starting wage band for newly trained NMC registered nurses, whereas Band 9 represents the highest pay band for skilled and experienced nursing consultants. Each banding contains different levels of pay, which can vary based on experience, education, and additional training. Nurses may progress across bandings with more experience and education, and each banding typically corresponds to specific job titles.


  • Band 5: Newly qualified nurses start at Band 5 with a salary of £28,407, which can increase to £30,639 with 2-4 years of experience, and up to £32,934 for the highest paying positions in this band.



  • Band 6: Band 6 is home to senior nurses, deputy ward managers, health visitors, and other specialty nurses. Those with over five years of experience can earn up to £42,618 in Band 6 roles, starting at £35,392.


  • Band 7: Ward managers, emergency nurse practitioners, and clinical experts typically belong to Band 7 nursing roles. Salaries start at £43,742 for those with over five years of experience, rising to £50,056. Band 7 positions often require specialized knowledge, typically from a Master's degree, due to the high level of responsibility involved.


  • Bands 8 and 9: Band 8 and 9 are reserved for select categories, including modern matrons, chief nurses, and consultants. Band 8a positions start at £50,952, while Band 8d positions can earn up to £96,376 annually. Band 9 positions, on the other hand, begin at £99,891 and rise to more than £114,949 a year with 5 years of experience or more. Jobs in these bands typically entail more consultative and educational roles.


If you're curious about your potential earnings in the NHS, you can use the NHS pay calculator to determine your exact salary and take-home pay after deductions for taxes and pensions. Whether you're considering a career as a nurse or exploring new positions, understanding the NHS pay bands will help you navigate the world of nursing salaries in the UK.

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