​Outlining the NHS Nurse Grades and Bands (2024)

​Outlining the NHS Nurse Grades and Bands (1)

According to Full Fact there are roughly 1.5 million people employed by the NHS across the UK. That’s a hell a lot of people all working for the same organisation. With 159,000 of those being temporary staff such as agency nurses, understanding the NHS nurse grades and who is capable and responsible for what is key.

That’s why some bright spark had the idea of introducing the Agenda for Change in 2004. This was designed to evaluate the job rather than the person in it, and to ensure equity between similar posts in different areas.

Simply put, the NHS staff structure operates on a banding system. Each role within the NHS will be allocated to a band within the structure. The band will determine the level of pay for a job role, with a range of salaries within each band. And there are a number of nursing grades in the NHS. Pretty simple stuff, right?

So what are the key specifications and responsibilities for each NHS nurse grades?

​• Band 1 - Nursery Assistant

These roles require routine procedures that are gained through simple induction or training. These roles are unskilled and require limited qualifications.

Examples of roles at band 1 - domestic support worker, housekeeping assistant, driver and nursery assistant.

• Band 2 - Healthcare Assistant

Roles in this band would require a period of induction. The employee would be required to understand a range of procedures, that although are routine, may be performed outside of their immediate work area.

Examples of roles at band 2 - domestic support worker, domestic team leader, security officer and healthcare assistant.

• Band 3 - Emergency Care Assistant

Employees would be expected to use their knowledge to apply to new situations within a range of work procedures. Roles would require a level of formal training or relevant experience.

Examples of roles at band 3- emergency care assistant, clinical coding officer, estates officer and occupational therapy worker.

• Band 4 - Theatre Support Worker

In more detail than band 3, these positions would require further application of theory to a job role. Band 4 roles would require a candidate to have relevant experience or complete detailed training programme.

Examples of roles at band 4 - assistant practitioner, audio visual technician, pharmacy technician, dental nurse and theatre support worker.

• Band 5 – Newly Qualified Nurse

Employees would be expected to understand a wide range of procedures and practices. Candidates likely have expertise within a specialist area, which will have been gained through qualifications or relevant experience.

Examples of roles at band 5 (includes many newly qualified clinical professionals) - operating department practitioner (ODP), learning disability nurse and practice manager.

• Band 6 – Nursing specialist or Senior Nurse

Specialist roles gained through study or extensive practical experience.

Examples of roles at band 6 - school nurse, experienced paramedic, clinical psychology trainee and biomedical scientist.

• Band 7 – Advanced Nurse / Nurse Practitioner

Highly developed specialist knowledge across the range situations. Employees will have gained skills through extensive study and relevant practical experience.

Examples of roles at band 7 - communications manager, high intensity therapist and advanced speech and language therapist.

• Band 8 – Modern Matron or Chief Nurse

Now we're at the top end of the NHS nurse grades. For nurses, this banding reflects heads of teams. You'll still carry out many nursing duties, in addition to looking after a large team of staff.

(a)Advanced knowledge through study and practical experience over a range of work procedures and practices

Examples of roles at band 8a - consultant prosthetist/orthotist, project and programme management, modern matron (nursing) and nurse consultant (mental health nursing).

(b) Specialist knowledge covering more than one discipline acquired through extensive experience.

Examples of roles at band 8b - strategic management, head of education and training, clinical physiology service manager and head orthoptist.

Whether you’re a Healthcare Assistant, Registered General Nurse or an Emergency Nurse Practitioner if you’re interested in working through the UK’s premium nursing agency as an agency nurse register today.

​Outlining the NHS Nurse Grades and Bands (2024)

FAQs

​Outlining the NHS Nurse Grades and Bands? ›

Nurse placement on the scales

What do the NHS nurse bands mean? ›

Each Band represents a different level of experience, education and responsibilities, with Band 5 being the “entry-level” position and Band 9 being the most senior position. Almost every nurse will start out at Band 5 and can move up the bands by furthering their skills and experiences in the workplace.

What is the best band for NHS nurses? ›

Nursing Bands in the NHS – A Simple Guide
  • Band 5 – Newly Qualified Nurse. Band 5 nursing roles apply to newly qualified nurses in their first few years after completing training. ...
  • Band 6 – Nursing Specialist/Senior Nurse. ...
  • Band 7 – Advanced Nurse/Nurse Practitioner. ...
  • Band 8 – Chief Nurse. ...
  • Band 9 – Consultant Level Nurse.
Jun 26, 2023

What is banding in NHS? ›

Positions within the NHS have been assigned a band which indicates their basic salary. Majority of bands have a starting salary and a capped increasing salary that is based on experience. There are nine bands in total, with band 8 being sub divided into 4 separate bands (8a, 8b, 8c, 8d).

How many bands are there in the NHS? ›

Each of the nine pay bands has a number of pay points. Staff will normally progress to the next pay band after the required number of years until they reach the top of the pay band.

What does band 7 mean in NHS? ›

Band 7 encompasses managerial, professional and clinical specialist roles. For example: advanced nurse practitioners, advanced speech and language therapists, clinical psychologists, occupational therapy team managers and radiographer team managers…the list goes on!

What does band 1 mean in NHS? ›

Band 1 is rarely seen nowadays but includes positions such as domestic support workers, housekeeping assistants, drivers and nursery assistants. <1 year experience – £18.005. 1+ years – £18,005. Band 2.

Can you jump from band 5 to band 7? ›

Usually, Band 5 nurse is the one you'll be going into as a Newly Qualified Nurse. You start off at a Band 5, and then it's up to you whether you want to progress up the banding, so from 5 to 6 to 7 to 8, it just depends on where you want your career to take you.

What is a band 8 nurse NHS? ›

Band 8 is the highest level of NHS nurse qualification. This band represents team leaders for nurses. You'll still carry out many nursing duties in addition to managing a large team of nursing staff.

What is the highest pay band in the NHS? ›

Agenda for Change is split into 8 bands (although Band 1 is no longer used), with Band 9 being the highest of these bands. Based on 2022/23 rates of pay, Band 9 staff receive a basic salary of between £99,891 and £114,949. Staff in Band 9 move to the higher salary after 5 years of experience.

What is a Band 5 NHS salary? ›

Pay scales for 2023/24
Band 1*£22,383
Band 4£25,147£27,596
Entry step pointIntermediate step point
Band 5£28,407£30,639
Band 6£35,392£37,350
13 more rows

How long does it take to go up a band in NHS? ›

Staff are appointed to the bottom of their pay band. Staff move to the next pay step point on their pay step date if they have met all of the requirements. Staff will have yearly appraisals but pay-step dates take place after two, three or five years, depending on band.

What is band 2 vs 3 NHS? ›

The band 2 profile is concerned with personal care and the band 3 profile is concerned with a limited range of clinical tasks carried out under supervision.

What does a band 7 nurse do? ›

Band 7 nurses prioritise and manage patient care activities, ensuring the timely and appropriate administration of treatments, medications and therapies. They also facilitate effective communication amongst team members to promote seamless transitions in patient care during shifts and transfers.

What is a band 5 nurse? ›

Band 5 – Newly Qualified Nurse or Staff Nurse

Newly Qualified Nurses often start in a hospital setting and then progress within a ward – gaining more experience as they move up within the NHS nursing banding system.

How to move up bands in NHS? ›

What are the standards to qualify for pay step progression?
  1. You have had a successful appraisal in the last 12 months.
  2. You are not in a formal capability process.
  3. There is no formal disciplinary sanction live on your employment record.
  4. You have completed all required statutory and/or mandatory training.

What is the difference between a Band 5 and Band 6 NHS nurse? ›

So the more you train, the more education you have, the more knowledge, the more skills you get as you develop your Band 5 role, when you go into that Band 6 role, you're taking on a bit more responsibility. So you might be, for example, a Charge Nurse on the ward.

What does band 8 mean in NHS? ›

In the UK, Band 8 nurses are considered to be highly specialised and experienced, having a high level of autonomy, clinical judgement, and decision-making skills. They typically earn a pay scale of around £48,526 to £91,787 per year in the UK.

What is Band 7 nurse in the UK? ›

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.

What is the difference between band 2 and band 3 NHS? ›

The band 2 profile is concerned with personal care and the band 3 profile is concerned with a limited range of clinical tasks carried out under supervision.

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