Breaking news: on 29 July 2024 the Labour government announced that it would be accepting a recommendation to increase NHS pay by 5.5% for all staff on the Agenda for Change payscale, as well as making some small additional changes to the scale such as new intermediate spine points for bands 8a, 8b, 8c, 8d and 9. The new spine points are awaiting formal approval by the NHS Staff Council, but we understand it is very unlikely that the Staff Council would object to their introduction.
This page details how it is expected NHS pay will change for staff following these recommendations. Although should be treated as a guide until full and final documentation is released by the government, which is expected in August 2024. In the tables below, we have indicated which figures have been formally confirmed (as of 4 August) and which are still awaiting confirmation. We will update this page as more information becomes available.
It has now been confirmed by NHS Employers that for most NHS staff the 2024/25 pay rise will not be reflected in monthly pay until October 2024, although the pay rise will be backdated to April. Find out more about why our initial pay prediction was a 2.5-3% pay rise and why most NHS staff will have noticed a slight pay rise in their April 2024 pay packets.
The figures below also include breakdowns showing the High Cost Area Supplement (HCAS) for staff in London and the surrounding areas. Although 24/25 changes have not yet been formally confirmed, we expect the HCAS (and minimum/maximum payments) to increase in line with overall changes in rates of pay (i.e. rise by 5.5%), which would mean the following additional supplements:
| HCAS area | Rate of HCAS supplement | Predicted Minimum Payment 2024/25 | Predicted Maximum Payment 2024/25 |
| Inner London | 20% | £5,604 | £8,171 |
| Outer London | 15% | £4,550 | £5,735 |
| Fringes | 5% | £1,258 | £2,121 |
Agenda for Change pay increases 2024/25
Band 1
Band 1 is no longer used as a point on the Agenda for Change contracts. Any remaining staff on Band 1 contracts are paid as if they are on Band 2. Find out more about the history of Band 1 and the remaining NHS staff on this band.
Band 2
Staff in Band 2 (such as healthcare assistants, administrative assistants and catering staff) currently start on a salary of £22,383. This would increase to £23,614 following the pay rise.
| Years of experience | National pay 2023/24 | Confirmed National pay 2024/25 | Predicted Inner London pay 2024/25 | Predicted Outer London pay 2024/25 | Predicted Fringe pay 2024/25 |
| 0+ | £22,383 | £23,614 | £29,218 | £28,164 | £24,872 |
There is currently no pay progression within Band 2.
Band 3
Staff in Band 3 (such as healthcare assistants) currently start on a salary of £22,817. This would increase to £24,071 following the pay rise.
After two years of experience at this band, most staff will receive a pay increase to £24,336. This would increase to £25,674.
| Years of experience | National pay 2023/24 | Confirmed National pay 2024/25 | Predicted Inner London pay 2024/25 | Predicted Outer London pay 2024/25 | Predicted Fringe pay 2024/25 |
| 0-2 | £22,817 | £24,071 | £29,676 | £28,622 | £25,329 |
| 2+ | £24,336 | £25,674 | £31,279 | £30,225 | £26,958 |
Band 4
Staff in Band 4 (such as office co-ordinators or HR assistants) currently start on a salary of £25,146. This would increase to £26,530 following the pay rise.
After three years of experience at this band, most staff will receive a pay increase to £27,596. This would increase to £29,114.
| Years of experience | National pay 2023/24 | Confirmed National pay 2024/25 | Predicted Inner London pay 2024/25 | Predicted Outer London pay 2024/25 | Predicted Fringe pay 2024/25 |
| 0-3 | £25,146 | £26,530 | £32,133 | £31,079 | £27,855 |
| 3+ | £27,596 | £29,114 | £34,937 | £33,664 | £30,569 |
Band 5
Staff in Band 5 (such as newly qualified nurses) start on a salary of £28,408. This would increase to £29,969 following the pay rise.
After two years of experience at this band, most staff will receive a pay increase to £30,639. This would increase to £32,324.
Staff will receive a further pay rise after two more years of experience, to £34,581. This would increase to £36,483. This pay point represents the average salary for an NHS nurse.
| Years of experience | National pay 2023/24 | Confirmed National pay 2024/25 | Predicted Inner London pay 2024/25 | Predicted Outer London pay 2024/25 | Predicted Fringe pay 2024/25 |
| 0-2 | £28,408 | £29,969 | £35,965 | £34,521 | £31,469 |
| 2-4 | £30,639 | £32,324 | £38,789 | £37,173 | £33,940 |
| 4+ | £34,581 | £36,483 | £43,780 | £41,955 | £38,307 |
Band 6
Staff in Band 6 (such as occupational therapists or some more experienced nurses) start on a salary of £35,391. This would increase to £37,339 following the pay rise.
After two years of experience at this band, most staff will receive a pay increase to £37,351. Following the pay rise this would increase to £39,404.
Staff will receive a further pay rise after three more years of experience, to £42,617. This would increase to £44,962.
| Years of experience | National pay 2023/24 | Confirmed National pay 2024/25 | Predicted Inner London pay 2024/25 | Predicted Outer London pay 2024/25 | Predicted Fringe pay 2024/25 |
| 0-2 | £35,391 | £37,339 | £44,805 | £42,938 | £39,204 |
| 2-5 | £37,351 | £39,404 | £47,286 | £45,140 | £41,376 |
| 5+ | £42,617 | £44,962 | £53,132 | £50,696 | £47,083 |
Band 7
Staff in Band 7 (such as clinical pharmacists, communications managers, or service managers) start on a salary of £43,737. Following the pay rise, this would increase to £46,148.
After two years of experience at this band, most staff will receive a pay increase to £45,996. This would increase to £48,526.
Staff will receive a further pay rise after three more years at this level, to £50,055. This would increase to £52,809.
| Years of experience | National pay 2023/24 | Predicted National pay 2024/25 | Predicted Inner London pay 2024/25 | Predicted Outer London pay 2024/25 | Predicted Fringe pay 2024/25 |
| 0-2 | £43,737 | £46,148 | £54,314 | £51,878 | £48,264 |
| 2-5 | £45,996 | £48,526 | £56,697 | £54,261 | £50,647 |
| 5+ | £50,055 | £52,809 | £60,979 | £58,543 | £54,930 |
Band 8a
Staff in Band 8a (such as HR business partners, advanced nurse practitioners, or senior physician associates) start on a salary of £50,952. This would increase to £53,754 after the pay rise.
The 2024/25 pay deal adds a new intermediate step after 2 years. Pay for those with two years of experience will now increase to £56,454.
After five total years of experience at this level, most staff will receive a pay increase to £57,350. This would increase to £60,504.
| Years of experience | National pay 2023/24 | Confirmed National pay 2024/25 | Predicted Inner London pay 2024/25 | Predicted Outer London pay 2024/25 | Predicted Fringe pay 2024/25 |
| 0-2 | £50,952 | £53,754 | £61,925 | £59,489 | £55,876 |
| 2-5 | £50,952 | £56,247 | £64,625 | £62,189 | £58.576 |
| 5+ | £57,350 | £60,503 | £68,675 | £66,239 | £62,626 |
Also note that there is no automatic advancement from band 8a to 8b. Find out more about pay progression here.
Band 8b
Staff in Band 8b (such as heads of departments, consultant pharmacists, or senior general managers) start on a salary of £58,972. This would increase to £62,215 following the pay rise.
The 2024/25 pay deal adds a new intermediate step after 2 years. Pay for those with two years of experience will now increase to £66,247.
After five total years, most staff will receive a pay increase to £68,530. This would increase to £70,586.
| Years of experience | National pay 2023/24 | Confirmed National pay 2024/25 | Predicted Inner London pay 2024/25 | Predicted Outer London pay 2024/25 | Predicted Fringe pay 2024/25 |
| 0-2 | £59,972 | £62,215 | £70,386 | £67,950 | £64,337 |
| 2-5 | £59,972 | £66,247 | £74,418 | £71,982 | £68,369 |
| 5+ | £68,530 | £72,299 | £80,470 | £78,034 | £74,421 |
Also note that there is no automatic advancement from band 8b to 8c. Find out more about pay progression here.
Band 8c
Staff in Band 8c (such as associate directors, consultant clinical scientists or nurse consultants) start on a salary of £70,417. This would increase to £74,290 following the pay rise.
The 2024/25 pay deal adds a new intermediate step after 2 years. Pay for those with two years of experience will now increase to £78,814.
After five total years at this band, most staff will receive a pay increase to £81,138. This would increase to £85,601 after the pay rise.
| Years of experience | National pay 2023/24 | Confirmed National pay 2024/25 | Predicted Inner London pay 2024/25 | Predicted Outer London pay 2024/25 | Predicted Fringe pay 2024/25 |
| 0-2 | £70,417 | £74,290 | £82,461 | £80,025 | £76,412 |
| 2-5 | £70,417 | £78,814 | £86,985 | £84,549 | £80,936 |
| 5+ | £81,138 | £85,601 | £93,772 | £91,336 | £87,722 |
Also note that there is no automatic advancement from band 8c to 8d. Find out more about pay progression here.
Band 8d
Staff in Band 8d (such as service directors, programme leads, or deputy directors) start on a salary of £83,571. This would increase to £88,167 following the pay rise.
The 2024/25 pay deal adds a new intermediate step after 2 years. Pay for those with two years of experience will now increase to £93,571.
After five years, most staff will receive a pay increase to £96,376. This would increase to £101,677 after the pay rise.
| Years of experience | National pay 2023/24 | Confirmed National pay 2024/25 | Predicted Inner London pay 2024/25 | Predicted Outer London pay 2024/25 | Predicted Fringe pay 2024/25 |
| 0-2 | £83,571 | £88,167 | £96,338 | £93,902 | £90,289 |
| 2-5 | £83,571 | £93,571 | £101,742 | £99,306 | £95,693 |
| 5+ | £96,376 | £101,677 | £109,848 | £107,412 | £103,798 |
Band 9
Staff in Band 9 (such as clinical directors or programme directors) start on a salary of £99,891. This would increase to £105,385 following the pay rise.
The 2024/25 pay deal adds a new intermediate step after 2 years. Pay for those with two years of experience will now increase to £111,739.
After five total years, most staff will receive a pay increase to £114,948. This would increase to £121,271.
| Years of experience | National pay 2023/24 | Confirmed National pay 2024/25 | Predicted Inner London pay 2024/25 | Predicted Outer London pay 2024/25 | Predicted Fringe pay 2024/25 |
| 0-2 | £99,981 | £105,385 | £113,651 | £111,215 | £107,602 |
| 2-5 | £99,981 | £111,739 | £119,910 | £117,474 | £113,861 |
| 5+ | £114,948 | £121,271 | £129,441 | £127,005 | £123,392 |
Some senior staff are on the Very Senior Manager payscale (effectively above Band 9). The pay deal for these managers is negotiated separately. This year the pay rise for VSMs will be 5%.
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