Nursing Salary, Pay Scale and Bands 2024 (2024)

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About Nursing Pay In The UK

To say nursing pay is a hot topic is something of an understatement. And while it’s widely understood that nursing is a rewarding career, do the financial rewards match the demands of the job?

Between 2010 and 2015, average NHS nursing salaries increased by just over 2%.

Then between 2015 and 2017, a fixed 1% pay rise was implemented – the well-known ‘pay cap’. From 2018 to end of March 2021 The New Pay Deal was implemented where salaries across the board increased over a 3 year period. In July 2021, a 3% pay rise was announced for NHS nurses,followed by a similar increase in 2022. Most recently, in May 2024, a 5% increase was announced, in addition to a one-off payment. This payment ranged from around £1900 for a Band 5 nurse, to more than £3000 for Band 8 or 9 specialists.

However, these headlines don’t tell the full story of nursing pay. Does the private sector, for example, offer higher wages, as is often assumed? Do bank and agency nurses, often working side-by-side with permanent staff, enjoy vastly superior pay packets? And just how good is the NHS pension and other salary-supplementing benefits?

Few jobs carry such a broad range of salary ‘banding’, and few present such intricate differences in terms of private and public sector pay and benefits.

Nursing offers great career flexibility, and that applies to pay too – bank and agency nurses often have the freedom to increase their earnings as and when they need to. For nursing students and aspiring nurses, understanding these factors is vital when considering your future.

Our comprehensive guide to nursing salaries, bandings and pay tackles this complex and often controversial subject with simple facts and insider tips, offering straightforward guidance on all the key factors affecting what nurses earn.

What Is The Average Wage For A UK Nurse?

A question we’re often asked is: what is the average wage of a UK Nurse?

It’s something everyone from aspiring nurses to qualified nurses in other countries are eager to understand.

Finding an ‘average’ is tricky, for a number of reasons.

UK nurses can work in the NHS or the private sector and pay can vary greatly between the sectors. And within the NHS, pay alters according to experience and professional development.

Various job boards and recruitment sites that track the salaries of jobs they post suggest the average wage of a UK nurse is somewhere around the £35,000 to £38,000 a year mark.

Interestingly, more than 50% of Adult nurses are between the age of 41 and 60. And while some people do become nurses in their 40s and beyond, we also know that the vast majority of newly qualified nurses are under the age of 30.

That suggests the average nurse has at least 5 years’ experience, which corresponds withthe £35,000 to £38,000 range.

It doesn’t necessarily reflect private sector pay but given that the vast majority of nurses work in the NHS, this figure seems the most reliable available.

An Analysis Of Private And Public Sector Nursing Pay

While NHS pay for nurses is very clearly structured, private sector pay can vary wildly.

For starters, many private sector nurses who might work for private healthcare organisations, schools or charities typically negotiate their salaries. As is the case in most other industries, jobs can be advertised without clearly defined salaries or will be caveated with ‘salary dependent on experience’.

As a result, the private vs NHS pay debate is an impossible one to solve. Put simply, some private sector nurses will earn more than in the NHS, and some less.

It’s best instead to consider the other factors surrounding this debate – and what kind of person you are. The NHS offers stability and reliability. The salary bandings and benefits are clear and unwavering. You know where you are with an NHS job.

But a private nursing job will operate differently altogether. While you might hit a banding ceiling at the NHS, the same constraints won’t necessarily apply privately. Just like the rest of the UK’s private sector workers, if you think you’re worth more, you can walk into your boss’ office and ask. But nothing is guaranteed – so there are no incremental or government rises.

However, to understand the benefits of being an NHS nurse, you really need to consider the benefits package too…

What Are The Pros And Cons Of Bank And Agency Nursing In Terms Of Pay?

Another common misconception surrounds agency work.

Permanent nurses often work alongside agency nurses on particular shifts, and quickly catch on that their hourly rate far exceeds their own. From this, a conclusion is quickly jumped to: I’d earn more as an agency nurse. And this isn’t necessarily the case.

While an agency rate is typically higher, agency nurses don’t get any sick pay or annual leave. Furthermore, there is no guarantee of work, and if you want to work consistently you might be forced to work in locations or disciplines you’d prefer not to. Plus, ‘agency caps’ are being applied to trusts across the country – which is threatening the amount of agency nurses each trust can actually use.

So pay in this instance really is about more than money. For the right person though, being an agency nurse really can pay off. The most successful agency nurses cast their nets widely. They might register for bank work at two neighbouring trusts, and then with a nursing agency too. As a result, they have to be open to a wide variety of opportunities, working in hospitals, medical centres, prisons or schools from one day to the next. But if you’re a nurse looking to build experience and try out other disciplines, this can all work in your favour – all whilst boosting your pay packet.

The bottom line is to understand the kind of person you are, and the kind of nurse you want to be. Both ways of working can be financially rewarding if you approach them in the right way. And you can of course switch whenever necessary – as a qualified nurse, permanent, NHS, private, agency and bank work is all at your disposal.

What Was 'The New Pay Deal'?

From 1st April 2018 a restructuring of NHS Pay was set in place. It was called the New Pay Deal and it started a three year process where nurses' minimum salaries would increase by at least 6.5%.

Pay points were retired during this process, and a new banding system was introduced – the pay bands you can view at the top of this guide.

This deal featured a number of changes to existing bandings and pay scales:

• Over the three years between March 2018 and April 1st 2021, nurses saw a minimum salary increase of 6.5%
• That increase was structured in the following way for most bandings:
  • 3 % in 2018/19
  • 1.7% in 2019/20 plus a lump sum worth 1.1% paid in April 2019
  • 1.7% in 2020/21
• These rates refer to top-of-band nurses – nurses at the bottom of their bandings saw increases of over 10% over the three years
• In some Band 8 and Band 9 positions, pay increases were structured differently
• Band overlaps were removed to ensure that promotions come with meaningful pay increases
• Importantly, the New Pay Deal was funded by new government money – not by removing funding from patient care
• Unsocial hours payments were not affected

The New Pay Deal has been followed by one-off, yearly increases – all of which have been hotly contested.

What Band Do Newly Qualified Nurses Start At?

All qualified nurses start at Band 5.

Nursing bandings are essentially the different levels of pay on offer to nurses according to their experience and qualifications. Newly qualified nurses automatically start at the bottom of Band 5 – regardless of whether you qualify as an adult, children’s, Mental Health or Learning Disability Nurse.

As you can see, annual incremental pay increases are granted within each banding – provided you keep up with your relevant training.

However, once you hit the top of your banding, you’ll only receive annual government increases. In a sense, this is similar to any other job; you hit the ceiling of earning potential within your role, and so to progress you have to look for a promotion or a new job. As a nurse, you’ll be looking therefore for a role that sits within the band above you, for which you will need suitable qualifications and experience.

Which NHS band are overseas Nurses placed into?

Guidance from the NHS suggests that qualified overseas nurses, once fully registered with the NMC, are placed into Band 5.

Beyond this, NHS advice suggests that overseas nurses can move immediately into higher bandings if they successfully apply for roles attached to those bandings.

However, there is a lot of anecdotal evidence that in many cases, even very experienced overseas nurses are placed into Band 5 on arrival.

Band 5 is a newly qualified level, so many deem this to be unfair.

It’s an issue that is regularly debated, but not without complexity. Different international qualifications and training programmes mean that the journey a nurse takes at different points in their career differs greatly from one country to the next.

What Level Of Responsibility And Duties Can You Expect Within Each Nursing Band?

Band 5 – Newly Qualified Nurse

As a newly qualified nurse, you’ll start at the bottom of Band 5. Typically, you’ll start in a hospital setting and then progress within your ward – gaining experience as you move up within your banding.

Many wards have a fairly clear career progression path in place from the very beginning, which helps you to plan ahead. Training opportunities will be vital not only to moving up within your banding, but to giving yourself the necessary skills to apply for Band 6 positions.

Band 6 – Senior Nurse, Health Visitor and Specialist Nurses

Band 6 roles will often involve similar tasks and responsibilities to Band 5 – but the vital difference is that they will be more specialised. A good example of a Band 6 job would be a health visitor, which would require some further qualifications. Equally, you might want to specialise in intensive care or long-term care, with these roles often coming with a Band 6 salary.

Ultimately, to progress to Band 6, you will need to pursue some further training within a specialist area – but the trust you’re working for will often provide funding or support for this.

Band 7 – Ward Manager, Advanced Nurse Practitioner

Band 7 roles typically require a Master’s level degree or equivalent – but again, trusts are often very keen to support their nursing staff in attaining these qualifications. And importantly, tasks and responsibilities really step up a notch. Common examples include Advanced Nurse Practitioners (ANPs), whose advanced training allows them to conduct detailed assessments, make diagnoses and prescribe medicine. In fact, at this level, a nurse’s role begins to include responsibilities you might normally associate with a doctor.

You can also progress to this level within a more detailed specialism. An operating department practitioner, for example, might prepare a patient for surgery and assist the surgical team. These advanced skills require a lot of extra study and many years’ experience, but it’s a career route that often begins with a standard Band 5 nursing post.

Furthermore, as a general point, some more managerial nursing roles (like a Ward Manager) may well fit into Band 7.

Band 8 – Modern Matron or Chief Nurse

For nurses, this banding reflects heads of nursing teams. You will still carry out many nursing duties, but you’ll also look after a large team of staff. At this level, proven management skills are essential, so it’s about experience and not just qualifications. Salaries can jump hugely in this banding, but that’s because of the extra responsibility and the inevitably long hours.

Band 9 – Consultant

Band 9 is exclusively for consultant level nurses. Here, you need to be an expert in your field – proven through experience and study. Like consultants or advisors in any other industry, you’ll be tasked with helping to shape high-level decision-making. Reaching this level will require a career-long pursuit of specialist skills and qualifications to supplement your vocational experience.

A final note on bandings and roles

While a newly qualified nurse will always be placed into a Band 5 role, from band 6 onwards the question of which roles fit which bandings becomes more complex.

A good example might be an Advanced Nurse Practitoner.

In most cases this is classed as a Band 7 role. However, where it’s slightly more specialised, it is occasionally offered as a Band 8a role (for example, something like an Advanced Neonatal Nurse Practitioner).

So any classifications of bandings and roles have to be seen as a guide only. Wherever you are in your career, the roles you aspire towards and which banding they are on could vary depending on the specialisation, and even the NHS Trust itself.