Guidance


NHS nurses, managers and directors pay scales 2014/2015

By Francesca Robinson - 31st July 2013 7:45 pm

Nurses and midwives in England will not receive a cost of living salary increase this year after the government overturned the Pay Review Body’s (PRB) recommendation of a 1% pay rise.

This means that for 2014-15 only nurses and midwives at the top of their Agenda for Change (AfC) pay band will receive a one off non-consolidated 1% pay rise (paid monthly). Nurses and midwives still working their way up their pay band will move on to their next increment providing that they meet the local criteria for incremental progression. The non-consolidated payment is not pensionable.

The Scottish government has agreed to pay the 1% PRB recommendation in full.

The Welsh government has not yet made an announcement on a pay award. Last year an unfunded pay rise of 1% was awarded to NHS staff, but since the award was made NHS Wales management and the Welsh government have been seeking to cover in part the cost of the award by making detrimental changes to the terms and conditions of AfC Staff in Wales. For the past several months the health unions in Wales have been engaged in talks with health managers and Welsh government officials to decide whether the changes are acceptable to their members.

The Royal College of Nursing claims that nursing and midwifery staff are facing falling real terms pay, with earnings between 6% and 9% lower than if they had kept in line with inflation since 2009. This equates to between £1,048 and £2,824 in lost earnings. The union warns that work intensification and job related stress, made worse by reduced staffing levels are becoming common features of the NHS.

Health Secretary Jeremy Hunt argues that the recommended pay rise is unaffordable.

Nurses and other health care professionals on Agenda for Change pay rates were awarded a 1% rise for 2013/14. That followed a two year pay freeze from 2011 to 2013 for all NHS staff earning more than £21,000. Those earning up to £21,000 received an award of only £250 in both years.

Agenda for Change pay bands for NHS nurses and managers effective from 1 April 2014:

Band 1: £14,294 - £15,013

Band 2: £14,294 - £17,425

Typical job roles for this band: Clinical support worker nursing

Band 3: £16,271 - £19,268

Clinical support worker nursing (higher level), porter team leader.

Band 4: £18,838 - £22,016

Nurse associate practitioner acute, finance team leader, general office manager, admin team leader.

Band 5: £21,388 - £27,901

Nurse, midwife (entry level), theatre nurse, business administrative manager, catering manager, clinical coding officer/team leader, finance team manager, health records section manager.

Band 6: £25,783 - £34,530

Midwife, nurse specialist, nurse team leader, theatre nurse specialist, catering manager, clinical coding team manager, finance section manager, health records multi section manager, IM&T (information management and technology) analyst/technical engineer/team leader

Band 7: £30,764 - £40,558

Midwife higher level, midwife team manager, advanced nurse, nurse team manager, biomedical scientist team manager, clinical coding service manager, commissioning manager, estates manager operations/projects, finance department manager, health records department manager, healthcare scientist team manager, hotel services manager, HR team manager, IM&T section manager, improvement and development manager, information analyst advanced team manager, occupational therapist team manager, pharmacy technician team manager, physiological measurement/clinical physiology team manager, medical engineering team manager, medical physics technician section manager, procurement team manager, radiography team manager, theatre practitioner team manager

Band 8:

Range A: £39,239 - £47,088

Range B: £45,707 - £56,504

Range C: £54,998 - £67,805

Range D: £65,922 - £81,618

Midwife consultant, modern matron, nurse consultant, communications service manager, estates manager higher level operations/projects, head of procurement and supply, health records service manager, healthcare science service manager, HR manager principal, IM&T service manager, principal finance manager, professional manager (clinical, clinical technical service), professional manager improvement and development, programme manager, chief finance manager, head of estates/assistant head of estates, HR head of service, pharmacist team manager

Band 9:  £77,850 - £98,453

NHS board directors

Pay for non-medical senior board directors in the NHS has remained frozen for the third year running, according to the NHS Boardroom Pay report for 2014 from Incomes Data Services.

NHS remuneration committees are continuing to follow the government’s lead in restraining pay levels for public sector officials.

However the average basic pay for a chief executive was slightly higher at £162,500 last year compared to the previous year (£157,500).

Steve Tatton, editor of the report, published by Income Data Services, explains: “There have been a recent wave of mergers in a lot of trusts and when this happens a board director may gain extra responsibilities and get more money and this feeds through into a higher salary. Also the odd post may have been upgraded and this pay increase for a small minority can push the average salary up slightly. However generally the pay rates of chief executives and other board directors has remained at zero.”

The average salary for medical directors is now £87,500, bringing their average total remuneration £178,750, making them the highest paid board directors.

The turnover of trust board directors has remained high mainly due to trust mergers resulting in some chief executives and board directors being made redundant and moving from one trust to another.

CCG executives

A first snapshot of the median earnings of CCG board directors based on Freedom of Information Requests show that last year:

Chief accountable officers earned £117,500

Finance directors £102,500

Operations directors £102,500

Nursing directors £84,713

More detailed information will be available when CCG annual accounts are published.

Read more on doctors’ pay scales.

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28 responses to “NHS nurses, managers and directors pay scales 2014/2015”

  1. kat says:

    Any pay cuts should not be made from the front line workers pay. The over paid and unnecessary pen pushers and desk sitters who have no contact with patients and whom would not have a job in the nhs if it was not for first line workers, it is they who should have pay cuts .It’s time these people were sifted out. The real workers are those who have contact with patients who make the existence of the Health service.

  2. joshek says:

    well said kat! the problem are the jobs for paper-shufflers and meeting-loungers that have been created between 1997 and 2010. if only these would be eliminated, there would be no problem whatsoever…

  3. Gdm says:

    Sorry I find both of your posts rather insulting, as a ’so called’ paper-shuffler for the NHS. It takes all departments and support services working together for the NHS to work effectively otherwise it would be chaos

    You will have no argument from me, that NHS front line staff are the bedrock of the NHS however you must see there been a degradation of empathy, respect and care from some front line staff. If the justification for this is lack of pay, then find a different job.

  4. jono says:

    Gdm, maybe you should go back on the front line so you see what we have to deal with on a daily basis not from seeing patients, but having to deal with the continual emails to deliver safer handling and infection control that you ‘pen pushers’ want yesterday, that only serve as a tick box exercise. We could have more time spent helping who needs it, and less time completeing what you send through. I still do not understand how a pen pusher can get payed double over front line staff at the top increment of the bands.

  5. Terry Hallworth says:

    One area that is not mentioned is the so called Not For Profit Social Enterprise or Community Interest companies that have been formed as Limited Companies from parts of the NHS. Locala CIC has seen its managing director receive a 20% pay rise whilst the nurses receive nothing. Who not profiting, the directors certainly are.

  6. Jojo says:

    It’s a team effort kat. Without those so called pen pushers your salary would not be processed and paid each month…… bet you might soon realise then that pen pushers also play an important role!!

  7. Chris says:

    Interesting to see the rift between front line staff and support staff. They are both needed. However there are in my humble opinion far too many ‘Managers’ who seem to get an awful amount of money for what !! Building there own little empires. On the flip side there are many that are front line who are work shy…who don’t know the meaning of the word ‘WORK’ They also should be weeded out, more use of the discipline code should be used in order to get the message across. I really do think that there should be a radical shake up of the entire work force…starting from the top, to see who is really needed. Instead of cutting nursing jobs and lower paid jobs…get rid of some high paid managers and make the other highly paid managers work for a living.

  8. dave says:

    Good grief. “Front line staff”- I.e. nurses, harp on as if they are working in a diamond mine in Africa.

    Its the UK - its bureaucracy layered on bureaucracy, consequently “pen pushers” are needed to run it without which then vast majority of thou would be out on your ear on fixed term contracts.

    Or do you deluded keybpoard warriors honestly think you are the equivalent of a striker for man utd, or trader in an investment bank “on the front line” so you should be paid more?

    Ego of consultants, qualifications of the cleaners…nothing stopping you doing the 14 exams and 3 years training to get a senior finance post in the NHS or how about do a 5 medicine degree and qualify as a doctor? Trick is of course those exams aren’t set at a level for chimpanzees, with the entry requirements of a pulse and a work visa.

  9. Posh says:

    Being a frontline worker for many years, the issue regarding money is meniscule, the issue is standards, safety,delivery.
    With cut backs on staffing, this is imposing a huge problem, hence the above comments on pen pushers!
    This is about creating more staff on the frontline, to continue, a reputation the NHS once had.
    Even frontline staff have Bsc’s, it’s not we are less educated, it’s reducing numbers above, to divert workload.
    Increase numbers of staff to deliver the safe, care that we choose such career.
    We did not choose such role, to become a “2 minutes” I’ll be back! Have a list of jobs, as long as my arm job, then due to priority’s go back to patients, 1 hour later, as no staff available to help, or staff become available too late.
    I think I speak for 80% of nurses, working frontline.
    We tell patients to drink, we do 12 hour shifts, we have minimal time to distribute our chores, between patients.
    Therefore, money is not the issue here, it’s staffing, no money from above, then no staffing for front liners….

  10. Becky says:

    Interesting comments from all.

    I have been nursing within the NHS for 22 years, over half my life. During this time I have seen care, staffing and morale decreasing at an alarming rate. It really makes me both sad and angry. I am sick to the back teeth of the ridiculous ammount of paperwork I have to complete, when I should be spending the time with patients/care users.
    It seems that some management have no idea what goes on at the’front line’ at all, they need to have more ‘out of the office’ days and come and see for themselves what the staff have to deal with on a daily basis.
    As for qualifications, as far as I’m concerned, you don’t need a degree in nursing to be a good nurse. What you need is compassion, common sense and the ability to work hard. I can assure you, the patient doesn’t give a damn what degree you achieved, all they need to know is that you care and will do everything in your power to be their advocate.

    As for ‘pen pushers’, we need these office staff to help run things. It’s a team effort as far as I’m concerned.

  11. Catty says:

    I’m front-line worker who also does half the work back office and I have full contact with both sides, and yes they are both critical. One cannot exist without the other.

    You cant have the whole hospital just chatting to patients and not recording incidents or processing funds, might sound nice for customer care but from what I’ve seen unless all nurses and doctor’ can manage their own admin (which they mysteriously never seem to be good at despite all the great degrees and education they have achieved), then they obviously have to rely on others to do that part of the work.

  12. TJC says:

    There are so many unnecessary targets and tick box exercises that actual clinical work is massively affected. It is not the ‘pen pushers’ who create these it is the Government. The measurements used to assess effectiveness are often completely meaningless to the patient and timescales place Nurses under unnecessry stress and pressure that is completely unrelated to their ability to do their job. If I had wanted to be an administrator I wouldn’t have bothered going to University for 3 years.

  13. a consumer says:

    as a recent user of nhs services i know who i want to pick me up off the pavement, and that’s not a clipboard carrier or an investment banker.

  14. Penpushingnurse says:

    Hello. Thirty four years nhs this summer. Rgn and Rmn training in the late 70’s and early 80’s. front. Front line clinician through the 80’s an 90’s. Management role now - quite near the top of the structure. Got there partly as a result of experience, partly as a result of self funded degree and MBA qualifications. Partly because I am very good at my job - all my jobs. Has anyone noticed the change in culture in the uk over the last thirty years ? Can you imagine just what would happen if every detail was not documented ? It would be a legal minefield. Staff have changed to. As a nurse my answer was yes, not to ring the RCN because I had to move ward. My answer was yes, not “your not one of my patients today”. My answer was yes, not can I have a band 7. A great deal of my paperwork is cleaning up after things like this. Teamwork please, and respect. All levels

  15. Bob says:

    To all of the front-line miracle-workers, the auxiliaries, the clerks, doctors and cleaners…. I feel your pain. The unprecedented demand for greater accountability in everything you do must make you wonder why you joined / qualified / stay in the job. But in your hearts you must know that the frustration of form-filling isn’t going to go away. Central government want to know how every pound is spent, as does your Trust. Litigation-protection is now an essential part of any medical practitioner’s thinking, so there is a form for everything. If it wasn’t written down it never happened will be on the affidavit. Persevere and understand that it’s not the same world as when we joined…
    Regards Bob ( Police Sergeant, retired this afternoon after 32 years of being spat at on the front line)….

  16. alisha says:

    this is not fair, footballers get paid millions while we dont get decent pay. i am a nurse working with the nhs, us nursers should be getting paid much more - when the footballer gets injured we’re the ones that look after them so … our salarys should be rising instead of real terms cuts. :) .

  17. john says:

    try working in suffolk all being re-interviewed in mental health aim to decrease salarys / bands and increase /change job specs/ contracts.

  18. NikaG says:

    I find it sad to see this kind of mud slinging between NHS staff. I would like to say two things. Misconception from ‘pen pushers’ that if nurses want to be valued go get an education. All nurse education is University based, Diploma or Degree. Many go on to specialist Degrees or Masters. Further, most find a fair percentage of their day taken up with paperwork, audits and staff management. I feel therefore, the average nurse might be in a better place to comment on administration than the other way around.

    My current perception of being a ‘front line’ nurse is that it is me getting all the demands for equipment and services that have been withdrawn or cut to the bone. it is me seeing the hardship this creates for both patients and carers. It is me who is asked what we are going to do about it. We are the face of the NHS and those in management would do well to bear in mind that when you cut nurses, patients notice!

    I do however, know that we are all invaluable and all essential and this unhealthy perspective on each discipline does nothing to improve services or install faith in our patients, who are at the end of the day our paymasters.

  19. jodie says:

    frontline and admin work well together attempting to provide an excellent service, it is the drive from commissioners to reduce costs and not really consider this implies current roles are not effective. we are being reorganised, pay cuts, job profiles changed, without any thought of the expertise we provide, just how much we currently cost. Patients want high quality experienced practioners, who are committed to having a culture of working outside the box, but l will not feel inclined to do this, once my banding has lowered. In 25 years of nursing l have never taken this stance, but why do extensive research and lead clinical audits if its not going to be recognised.

  20. rodsster says:

    As I understand it there are approx 530 NHS trusts. Each has an NHS director earn+/- 150,000(median salary), or £80 million pounds minum per annum from the NHS budget. Quick bit of division take 80million divide by £25000 and you have 3180 more front line staff., which would be a good thing, for sure. Hold on, why attack the NHS directors? Well, what exactly do they contribute. Push up sales and increase profites ? No.? Keep up standards ? Not really. Make critical decisions about what should be done in the hospital? - there are rafts of managers already doing this, and with broad guidelines from the centre why have top heavy directors?

  21. Crash says:

    All paperwork is repetitive whether you’re a nurse or administrator. The point is learn the p/work and move through it quickly and efficiently. Nurses have the best jobs because they’re meaningful. I wouldnt trade my job for Sisyphus: condemned to rolling the boulder uphill but always falling back on him when he reaches the top. In other words: the quest for power, money, status is meaningless and it will not motivate you to get throigh life successfully/happily.

  22. HCA2 says:

    Is it possible that what I am reading here is exactly what the patients pick up on the wards. Why is it that so many people working in the NHS are so arrogant,unhappy, not apathetic, anti social. Dont you think is time we looked inthe mirror at ourselves or are we so out of touch with Patient Care.

    I couldn’t give a damn whether your a Pen Pusher, Care Assistant, Nurse etc If you don’t come to work to make a difference to patients lives ndthe only health service int UK well……..

    Resign tomorrow and change your career. Staff feel this negativity, Patients feel this negativity and you are the cause of the dissatisfaction in the NHS today.

  23. Britbabe says:

    I became a registered nurse in 1965 and a registered midwife 18/12 later. Practiced both in the UK, and Africa. Trained for one further year to become a Theatre Nurse. Returned to Africa, Hong Kong, using all three qualifications. Went on to Canada, Ireland and ended up in the USA where I have worked in the operating room for the past 20 years. I see reflected in all of your comments exactly what is occurring in the USA. Maybe it is the same everywhere. Nevertheless I look at the growth in the NHS and I am proud of it. The population in the UK has a life span longer by 1 1/2 years than the US where universal healthcare does not exist. You must be doing something right. So despite the problems, and I do believe that you have an axe to grind, you have the privilege of working in one of the best systems in the world. Just keep doing your best.

  24. Suzie says:

    I think the answer lies away back in 1948. The NHS was a great idea, however, they did not think ahead, about the increase in population, people living longer due to better medicines and research into diseases. We need to educate children from a young age on better health, keeping active and common sense. I see patients every day coming into the surgery with minor illnesses that could be dealt with by a visit to the Pharmacy. I feel health education and encouraging healthy lifestyles from a young age is the answer.

  25. Beckie says:

    Of course it’s a team effort guys, but does anyone really deserve £200000 a year in a public sector job!! I mean what in gods name do they do with it? And don’t forget the expenses some people seem to take fore granted. I’ve become a nurse as I actually want to help people, I’d feel dreadful telling people I earns that kind of money in the NHS I have trouble getting gloves that fit!

  26. TheGoodDoc says:

    GDM this is a load of bull. Mid Staffs? One of the problems was the MANAGERS…PEN PUSHERS…were too target focussed. Some front line staff were and are not as good as they should be, but managers are no better.

    Gdm says:

    September 19, 2012 at 10:02 pm

    Sorry I find both of your posts rather insulting, as a ’so called’ paper-shuffler for the NHS. It takes all departments and support services working together for the NHS to work effectively otherwise it would be chaos

    You will have no argument from me, that NHS front line staff are the bedrock of the NHS however you must see there been a degradation of empathy, respect and care from some front line staff. If the justification for this is lack of pay, then find a different job.

  27. Reality says:

    How do the “frontline” keyboard warriors respond to the fact that nurses and consultants alike regularly refuse to do overtime via NHS means yet push the managers to pay them as “premium” (pay!!) agency staff? The latest enemy from within appears to be surgeons / consultants getting together to form surgical groups to charge high levels for performing extra lists to keep waiting times down at rates just below what they know the private health companies would charge. The of course know these rates due to their sacred private work they already do. Of course if they don’t get their way the local MSP may hear about it!! You have all been listening to the politicians for too long. The whole country is feeling it at the moment….we just have to dig deep and stick together.

  28. disillusioned says:

    Qualified SRN/RGN 1976 - retired as a CNS in 2001 after a career in T&O. Training hospital 1000 bedded DGH. Medical records run by one person for whole hospital… in an age where there were no computers. Recently visited training hospital and was surprised to discover medical records was now staffed with 70 people who each used a computer while patient bed numbers had been reduced to 350.

    If the work output of the one person responsible for medical records in 1976 is anything to go by, there are now 69 people overstaffing the medical records department. Efficiency is the word we hear a great deal these days. I wonder how efficient the current medical records depart is when comparisons are made with the system that existed when I trained as a nurse.

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