NHS Terms and Conditions (AfC) pay scales - including High Cost Area Supplement

Pay steps

The table below shows the annual values for the NHS terms and conditions (Agenda for Change) pay points including High Cost Area Supplements (HCAS), for inner, outer, and fringe London, from 1 April 2020.

This has been produced for illustrative purposes only. At the maximum and minimum of HCAS, the pay points have a whole pound value. Elsewhere, pay points may have values in pounds and pence.

For full details please refer to annex 2 and annex 9 of the NHS terms and conditions of service handbook.

Spine points are no longer used following the 2018 changes to the NHS terms and conditions of service, but for ease of reference the table below contains the previous spine point that corresponds to the new pay structure value.

* Does not include the one off consolidated payment. Please refer to annex 2 table 10b for further information.

Band Previous spine point

Minimum years of experience

2020/21 value (£)

including inner London HCAS

2020/21 value (£)

including outer London HCAS

2020/21 value (£)

including fringe HCAS

 annual value hourly value  annual value hourly value   annual value hourly value
Band 1 2 < 1 year 22,478 11.50  21,789 11.14  19,039  9.74
3 1+ years 22,478 11.50 21,789 11.14 19,039  9.74
Band 2 2 < 1 year 22,478 11.50  21,789 11.14 19,039  9.74
3 1 - 2 years 22,478 11.50  21,789 11.14 19,039  9.74
4 2 - 3 years 23,810 12.18  23,121 11.82 20,371  10.42
5 3 - 4 years 23,810 12.18 23,121 11.82 20,371 10.42
6 4 - 5 years 23,810 12.18 23,121 11.82 20,371  10.42
7 5 - 6 years 23,810 12.18 23,121 11.82 20,371  10.42
8 6+ years 23,810 12.18 23,121 11.82 20,371  10.42
Band 3 6 < 1 year 24,210  12.38 23,521 12.03  20,771 10.62 
7 1 - 2 years 24,210  12.38 23,521 12.03 20,771 10.62
8 2 - 3 years 25,615  13.10 24,926 12.75 22,199 11.35
9 3 - 4 years 25,615  13.10 24,926 12.75 22,199 11.35
10 4 - 5 years 25,615  13.10 24,926 12.75 22,199 11.35
11 5 - 6 years 25,615  13.10 24,926 12.75 22,199 11.35
12 6+ years 25,615  13.10 24,926 12.75 22,199 11.35
Band 4 11 < 1 year 26,365 13.48 25,676 13.13  22,987  11.76
12 1 - 2 years 26,365 13.48 25,676 13.13 22,987  11.76
13 2 - 3 years 26,365 13.48 25,676 13.13 22,987  11.76
14 3 - 4 years 28,988 14.83 27,941 14.29  25,365  12.97
15 4 - 5 years 28,988 14.83 27,941 14.29 25,365  12.97
16 5 - 6 years 28,988 14.83 27,941 14.29 25,365  12.97
17 6+ years 28,988 14.83  27,941 14.29 25,365  12.97
Band 5 16 < 1 year 29,888 15.29 28,691 14.67  26,152  13.37
17 1 - 2 years 29,888 15.29 28,691 14.67 26,152  13.37
18 2 - 3 years 32,364 16.55 31,016 15.86 28,319  14.48
19 3 - 4 years 32,364 16.55 31,016 15.86 28,319  14.48
20 4 - 5 years 32,899 16.83  31,528 16.12 28,787  14.72
21 5 - 6 years 32,899 16.83  31,528 16.12 28,787  14.72
22 6 - 7 years 36,738 18.79  35,207 18.01 32,146  16.44
23 7+ years 36,738 18.79  35,207 18.01 32,146  16.44
Band 6 21 < 1 year 37,638 19.25  36,070 18.45  32,933  16.84
22 1 - 2 years 37,638 19.25 36,070 18.45 32,933  16.84
23 2 - 3 years 39,811 20.36 37,998 19.43 34,835  17.82
24 3 - 4 years 39,811 20.36 37,998 19.43 34,835  17.82
25 4 - 5 years 39,811 20.36 37,998 19.43 34,835  17.82
26 5 - 6 years 40,535 20.73 38,601 19.74 35,468  18.14
27 6 - 7 years 40,535 20.73 38,601 19.74 35,468  18.14
28 7 - 8 years 44,780 22.90 42,712 21.84 39,681  20.29
29 8+ years 44,780 22.90 42,712 21.84 39,681  20.29
Band 7 26 <1 year 45,780 23.41  43,712 22.35  40,681 20.80 
27 1 - 2 years 45,780 23.41 43,712 22.35 40,681 20.80
28 2 - 3 years 47,784 24.44 45,716 23.38 42,685 21.83 
29 3 - 4 years 47,784 24.44 45,716 23.38 42,685  21.83
30 4 - 5 years 47,784 24.44 45,716 23.38 42,685  21.83
31 5 - 6 years 48,613 24.86 46,545 23.80  43,514  22.25
32 6 - 7 years 48,613 24.86 46,545 23.80 43,514  22.25
33 7 - 8 years 51,393 26.28 49,325 25.23 46,294  23.68
34 8+ years  51,393 26.28 49,325 25.23 46,294  23.68
Band 8a 33 <1 year 52,643 26.92 50,575 25.86  47,544  24.31
34 1 - 2 years 52,643 26.92 50,575 25.86 47,544  24.31
35 2 - 3 years 52,643 26.92 50,575 25.86 47,544  24.31
36 3 - 4 years *52,643 *26.92 *50,575 *25.86 *47,544  *24.31
37 4 - 5 years *52,643 *26.92 *50,575 *25.86 *47,544  *24.31
38 5+ years 58,558 29.95 56,490 28.89 53,459  27.34
Band 8b 37 <1 year 60,058  30.71  57,990 29.66 54,959 28.11
38 1 - 2 years 60,058  30.71 57,990 29.66 54,959 28.11
39 2 - 3 years 60,058  30.71 57,990 29.66 54,959 28.11
40 3 - 4 years *60,058  *30.71 *57,990 *29.66 *54,959 *28.11
41 4 - 5 years *60,058  *30.71 *57,990 *29.66 *54,959 *28.11
42 5+ years 68,891  35.23 66,823 34.17 63,792 32.62 
Band 8c 41 <1 year 70,641  36.13  68,573 35.07 65,542 33.52 
42 1 - 2 years 70,641 36.13 68,573 35.07 65,542 33.52
43 2 - 3 years 70,641  36.13 68,573 35.07 65,542 33.52
44 3- 4 years *70,641  *36.13 *68,573 *35.07 *65,542 *33.52
45 4 - 5 years *70,641  *36.13 *68,573 *35.07 *65,542 *33.52
46 5+ years 80,554 41.20 78,486 40.14 75,455 38.59
Band 8d 45 <1 year 82,804  42.35  80,736 41.29  77,705 39.74 
46 1 - 2 years 82,804 42.35  80,736 41.29 77,705 39.74
47 2 - 3 years 82,804 42.35 80,736 41.29 77,705 39.74
48 3- 4 years *82,804  *42.35 *80,736 *41.29 *77,705 *39.74
49 4 - 5 years *82,804 *42.35 *80,736 *41.29 *77,705 *39.74
50 5+ years 94,644  48.40  92,576 47.34 89,545 45.79
Band 9 49 <1 year 97,894 50.06  95,826 49.01  92,795 47.46 
50 1 - 2 years 97,894  50.06 95,826 49.01 92,795 47.46
51 2 - 3 years 97,894  50.06 95,826 49.01 92,795 47.46
52 3- 4 years *97,894  *50.06 *95,826 *49.01 *92,795 *47.46
53 4 - 5 years *97,894 *50.06 *95,826 *49.01 *92,795 *47.46
54 5+ years  111,817 57.18  109,749 56.13 106,718 54.58

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