NHS staff pay deal: 2023 to 2024

Details of pay deal for healthcare staff governed by the Agenda for Change (AfC) agreement. Includes nurses, midwives, paramedics, allied health professionals, porters and others.


We are delivering an agreed one year pay deal for NHS Scotland Agenda for Change staff.

In order to achieve this, we have committed an overall financial envelope of £568 million for Agenda for Change pay in 2023 to 2024. This is the largest overall investment in Agenda for Change pay in a single year.

This equates to an average uplift of at least 6.5% for all staff up to and inclusive of Band 8a.

All staff will also receive a one-off pro rata payment of between £387 and £939 depending on banding.

Allowances and RRPs which increase in line with pay uplifts will be uprated as appropriate.

The pay uplift will also apply to the Two Tier Agreement.

In the event that the UK Government makes any improved pay award for NHS England which has additional funding through the Barnett formula, and which exceeds the total average percentage of the relevant pay award, then it is agreed that this will trigger an automatic re-opening of pay negotiations for 2022 to 2023 or 2023 to 2024 (whichever is relevant) with any additional resources directed into NHS Scotland pay.

Agenda for Change: review

The offer reaffirms previous commitments to modernise priority areas and supplements previously agreed reforms to the working week; protected learning time and a review of band 5 job nursing profiles.

The offer further commits to modernise Agenda for Change to support workforce recruitment, sustainability and retention as set out in: NHS Agenda for Change review: scope.

2023 to 2024 pay deal

Band 

Pay point 

2022/23

2023/24 offer 

% increase to 2022/23 salary 

Consolidated increase over 2 years (£)

Consolidated increase over 2 years (%)

One-off payment 

1

1

£21,692 

£23,240 

7.14% 

£3,753 

19.26% 

£387 

2

1

£21,814 

£23,362 

7.10% 

£3,753 

19.14% 

£387 

2

2

£23,820 

£25,368 

6.50% 

£3,753 

17.37% 

£387 

3

1

£23,914 

£25,468 

6.50% 

£3,759 

17.32% 

£389 

3

2

£25,808 

£27,486 

6.50% 

£3,883 

16.45% 

£420 

4

1

£25,914 

£27,598 

6.50% 

£3,889 

16.40% 

£421 

4

2

£28,187 

£30,019 

6.50% 

£4,037 

15.54% 

£458 

5

1

£28,384 

£30,229 

6.50% 

£4,125 

15.80% 

£461 

5

2

£30,329 

£32,300 

6.50% 

£4,251 

15.16% 

£493 

5

3

£35,365 

£37,664 

6.50% 

£4,749 

14.43% 

£575 

6

1

£35,522 

£37,831 

6.50% 

£4,759 

14.39% 

£577 

6

2

£37,087 

£39,498 

6.50% 

£4,861 

14.03% 

£603 

6

3

£43,286 

£46,100 

6.50% 

£5,364 

13.17% 

£703 

7

1

£43,422 

£46,244 

6.50% 

£5,372 

13.14% 

£706 

7

2

£45,080 

£48,010 

6.50% 

£5,480 

12.89% 

£733 

7

3

£50,506 

£53,789 

6.50% 

£5,943 

12.42% 

£821 

8a

1

£53,513 

£56,992 

6.50% 

£6,027 

11.83% 

£870 

8a

2

£57,767 

£61,522 

6.50% 

£6,506 

11.83% 

£939 

8b

1

£63,530 

£67,285 

5.91% 

£5,960 

9.72% 

£939 

8b

2

£68,223 

£71,978 

5.50% 

£5,960 

9.03% 

£939 

8c

1

£75,711 

£79,466 

4.96% 

£5,960 

8.11% 

£939 

8c

2

£81,426 

£85,181 

4.61% 

£5,960 

7.52% 

£939 

8d

1

£90,590 

£94,345 

4.15% 

£5,960 

6.74% 

£939 

8d

2

£94,629 

£98,384 

3.97% 

£5,960 

6.45% 

£939 

9

1

£107,840 

£111,595 

3.48% 

£5,960 

5.64% 

£939 

9

2

£112,673 

£116,428 

3.33% 

£5,960 

5.40% 

£939 

Over the two years of 2022 to 2023 and 2023 to 2024, this £1 billion pound investment will see Agenda for Change staff receive a pay rise of between 5.4% and 19.26%. This represents a cash uplift of between £3,753 and £6,506 over a two-year period and ensures that Agenda for Change staff within NHS Scotland remain the best paid in the UK.

With the one-off pro rata payment included, the total uplift, including both the pay rise and one-off payment, is 8.12% for all staff up to and inclusive of Band 8a.

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