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NHS Scotland Nursing & Midwifery Wages
Nursing & midwifery pay — current rates, penalties & allowances
Award / Agreement
NHS Agenda for Change — Scotland
Current
AnnualHourly
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Roles & Wages
| Role | Pay Point | Apr 2025 | Apr 2026 |
|---|---|---|---|
Band 1 Entry support role (closed to new entrants) | Point 1 | £13.07 £25,560 / yr | £13.56 £26,519 / yr |
Band 2 Healthcare / nursing assistant | Point 1 | £13.13 £25,694 / yr | £13.63 £26,658 / yr |
| Point 2 | £14.26 £27,900 / yr | £14.80 £28,947 / yr | |
Band 3 Senior healthcare assistant / nursing associate (trainee) | Point 1 | £14.32 £28,011 / yr | £14.86 £29,061 / yr |
| Point 2 | £15.45 £30,230 / yr | £16.03 £31,364 / yr | |
Band 4 Nursing associate / assistant practitioner | Point 1 | £15.52 £30,353 / yr | £16.10 £31,492 / yr |
| Point 2 | £16.88 £33,016 / yr | £17.51 £34,254 / yr | |
Band 5 Registered Nurse / Midwife (newly registered → experienced) | Point 1 | £17.00 £33,247 / yr | £17.63 £34,494 / yr |
| Point 2 | £18.16 £35,525 / yr | £18.84 £36,857 / yr | |
| Point 3 | £21.18 £41,424 / yr | £21.97 £42,977 / yr | |
Band 6 Senior / Charge Nurse, specialist practitioner | Point 1 | £21.27 £41,608 / yr | £22.07 £43,169 / yr |
| Point 2 | £22.21 £43,441 / yr | £23.04 £45,070 / yr | |
| Point 3 | £25.92 £50,702 / yr | £26.89 £52,603 / yr | |
Band 7 Advanced Nurse / Ward Manager / team leader | Point 1 | £26.00 £50,861 / yr | £26.97 £52,769 / yr |
| Point 2 | £26.99 £52,804 / yr | £28.00 £54,784 / yr | |
| Point 3 | £30.24 £59,159 / yr | £31.37 £61,377 / yr | |
Band 8A Advanced clinical / matron / nurse consultant (entry) | Point 1 | £32.04 £62,681 / yr | £33.24 £65,032 / yr |
| Point 2 | £34.59 £67,665 / yr | £35.89 £70,202 / yr | |
Band 8B Matron / head of nursing | Point 1 | £37.83 £74,003 / yr | £39.25 £76,778 / yr |
| Point 2 | £40.47 £79,164 / yr | £41.98 £82,133 / yr | |
Band 8C Senior nurse manager | Point 1 | £44.68 £87,400 / yr | £46.35 £90,678 / yr |
| Point 2 | £47.89 £93,685 / yr | £49.69 £97,199 / yr | |
Band 8D Deputy director of nursing | Point 1 | £53.04 £103,764 / yr | £55.03 £107,655 / yr |
| Point 2 | £55.31 £108,206 / yr | £57.39 £112,264 / yr | |
Band 9 Director of nursing / very senior manager | Point 1 | £62.74 £122,736 / yr | £65.09 £127,338 / yr |
| Point 2 | £65.46 £128,051 / yr | £67.91 £132,853 / yr |
Hourly rates calculated as: Annual ÷ 52.167 weeks ÷ 37.5 hours. Annual equivalent shown beneath each rate.
Allowances
| Allowance | Unit | Apr 2025 | Apr 2026 |
|---|---|---|---|
On-call availability allowance £26.47 (2025/26) → £27.47 (2026/27) per on-call session. | per session | £26.47 | £27.47 |
Meals allowance Recommended national subsistence rate. Annex 14. | per 24h | — | £20.00 |
Penalty Rates
Saturday & weekday nights (Bands 4–9)+30%
Enhancement on basic pay for Saturdays and weekday nights 20:00–06:00.
Sundays & public holidays (Bands 4–9)+60%
Enhancement on basic pay for Sundays and public holidays.
Unsocial hours (Bands 1–3)+37% to +100%
Band 1 attracts double time on Sun/PH; Bands 2–3 sit between the standard and Band-1 rates.
Overtime (Bands 1–7)150%
Time and a half for overtime above contracted hours; double time on public holidays.
Notes
- •NHS Scotland rates come from Scottish Government circular PCS(AFC)2025/5 — a confirmed two-year deal: +4.25% (2025/26) and +3.75% (2026/27).
- •From 1 April 2026 Scotland moved to a 36-hour standard week, so actual 2026/27 hourly rates are a little higher than the annual ÷ 37.5 hrs shown by the toggle.
- •Scotland uses a two-point structure from Band 8A upward. Lowest hourly rate £13.25 (Living Wage employer).
- •An inflation guarantee applies: if average CPI (Jan–Dec 2026) exceeds 2.75%, 2026/27 rates are topped up to 1 percentage point above CPI. All figures in GBP.
- •Source: NHS Circular PCS(AFC)2026/1 — pay and conditions for NHS staff covered by Agenda for Change, Scottish Government — publications.scot.nhs.uk
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