NHS Wales Nursing & Midwifery Wages
Nursing & midwifery pay — current rates, penalties & allowances
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Roles & Wages
| Role | Pay Point | Apr 2026 |
|---|---|---|
Band 1 Entry support role (closed to new entrants) | Entry | £13.44 £26,300 / yr |
Band 2 Healthcare / nursing assistant | Entry | £13.44 £26,300 / yr |
Band 3 Senior healthcare assistant / nursing associate (trainee) | Entry | £13.44 £26,300 / yr |
| Top | £14.26 £27,890 / yr | |
Band 4 Nursing associate / assistant practitioner | Entry | £14.73 £28,819 / yr |
| Top | £16.17 £31,626 / yr | |
Band 5 Registered Nurse / Midwife (newly registered → experienced) | Entry | £16.64 £32,557 / yr |
| Intermediate | £17.95 £35,114 / yr | |
| Top | £20.26 £39,631 / yr | |
Band 6 Senior / Charge Nurse, specialist practitioner | Entry | £20.73 £40,559 / yr |
| Intermediate | £21.88 £42,805 / yr | |
| Top | £24.97 £48,841 / yr | |
Band 7 Advanced Nurse / Ward Manager / team leader | Entry | £25.63 £50,129 / yr |
| Intermediate | £26.95 £52,712 / yr | |
| Top | £29.32 £57,365 / yr | |
Band 8a Advanced clinical / matron (entry) | Entry | £29.84 £58,379 / yr |
| Intermediate | £31.34 £61,317 / yr | |
| Top | £33.60 £65,723 / yr | |
Band 8b Matron / head of nursing | Entry | £34.55 £67,583 / yr |
| Intermediate | £36.78 £71,952 / yr | |
| Top | £40.14 £78,530 / yr | |
Band 8c Senior nurse manager | Entry | £41.25 £80,698 / yr |
| Intermediate | £43.76 £85,611 / yr | |
| Top | £47.53 £92,984 / yr | |
Band 8d Deputy director of nursing | Entry | £48.96 £95,773 / yr |
| Intermediate | £51.96 £101,643 / yr | |
| Top | £56.46 £110,448 / yr | |
Band 9 Director of nursing / very senior manager | Entry | £58.52 £114,475 / yr |
| Intermediate | £62.05 £121,377 / yr | |
| Top | £67.34 £131,732 / yr |
Allowances
| Allowance | Unit | Amount |
|---|---|---|
On-call — weekday / weekend Wales-specific on-call allowance (from 1 Apr 2026). | per session | £26.05 |
On-call — public holiday Wales-specific on-call allowance on public holidays. | per session | £52.08 |
Sleeping-in allowance Wales-specific sleeping-in allowance. | per session | £44.82 |
Meals allowance Recommended national subsistence rate. Annex 14. | per 24h | £20.00 |
Penalty Rates
Enhancement on basic pay for Saturdays (00:00–24:00) and weekday nights 20:00–06:00.
Enhancement on basic pay for Sundays and public holidays (00:00–24:00).
Lower bands attract higher enhancements, matching the England structure.
Time and a half above 37.5 hrs/week; double time on public holidays.
Notes
- •NHS Wales rates come from circular AfC(W) 02/2026 — effective 1 April 2026 (+3.3%).
- •There is no High Cost Area (London weighting) supplement in Wales. NHS staff in Wales also receive one extra day of annual leave on appointment.
- •Standard full-time week = 37.5 hours; hourly = annual ÷ 52.143 ÷ 37.5. All figures in GBP.
- •Source: Welsh Government NHS circular AfC(W) 02/2026 — Agenda for Change pay scales 2026/27 — nhs.wales
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