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NHS Wales Nursing & Midwifery Wages

Nursing & midwifery pay — current rates, penalties & allowances

Award / Agreement
NHS Agenda for Change — Wales
Current
AnnualHourly
Pay Day summary with total pay, tax deductions and estimated net pay.A shift wage of $396.00.
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Roles & Wages

RolePay PointApr 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
Hourly rates calculated as: Annual ÷ 52.167 weeks ÷ 37.5 hours. Annual equivalent shown beneath each rate.

Allowances

AllowanceUnitAmount
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

Saturday & weekday nights (Bands 4–9)+30%

Enhancement on basic pay for Saturdays (00:00–24:00) and weekday nights 20:00–06:00.

Sundays & public holidays (Bands 4–9)+60%

Enhancement on basic pay for Sundays and public holidays (00:00–24:00).

Unsocial hours (Bands 1–3)+35% to +94%

Lower bands attract higher enhancements, matching the England structure.

Overtime (Bands 1–7)150%

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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