NHS staff pay

NHS Scotland pay bands, including Agenda for Change staff.


Agenda for Change staff pay: 2025 to 2027

Who this covers 

This pay agreement covers NHS staff governed by the Agenda for Change agreement, including: 

  • nurses and midwives
  • paramedics 
  • allied health professionals 
  • porters

Main points 

  • 2 year pay deal covering 2025 to 2026, and 2026 to 2027 
  • 8% total pay increase for all staff in 2 stages: 
    • 4.25% from 1 April 2025 
    • 3.75% from 1 April 2026 
  • guaranteed to be at least one percentage point above CPI inflation each year 
  • includes allowances, Recruitment and Retention Premium (RRP), and Two-Tier Agreement 

NHS Scotland pay bands 2025 to 2027 

Bands 1 to 4: 2025 to 2026

Band 

point

2024-2025 pay 

2025-2026 pay 

Increase 

Hourly rate 

£24,518

£25,560

£1,042

£13.25

£24,647

£25,694

£1,047

£13.32

£26,763

£27,900

£1,137

£14.46

£26,869

£28,011

£1,142

£14.52

£28,998

£30,230

£1,232

£15.67

£29,116

£30,353

£1,237

£15.73

£31,670

£33,016

£1,346

£17.11

Bands 1 to 4: 2026 to 2027

Band 

point 

2025-2026 pay 

2026-2027 pay 

Increase 

Hourly rate 

£25,560

£26,519

£959

£14.13

£25,694

£26,658

£964

£14.20

£27,900

£28,947

£1,046

£15.42

£28,011

£29,061

£1,050

£15.48

£30,230

£31,364

£1,134

£16.71

£30,353

£31,492

£1,138

£16.78

£33,016

£34,254

£1,238

£18.25

Bands 5 to 7: 2025 to 2026

Band 

point 

2024-2025 pay 

2025-2026 pay 

Increase 

Hourly rate 

£31,892

£33,247

£1,355

£17.23

£34,077

£35,525

£1,448

£18.41

£39,735

£41,424

£1,689

£21.47

£39,912

£41,608

£1,696

£21.57

£41,670

£43,441

£1,771

£22.52

£48,635

£50,702

£2,067

£26.28

7 1 £48,788 £50,861 £2,073 £26.36
7 2 £50,651 £52,804 £2,153 £27.37
7 3 £56,747 £59,159 £2,412 £30.66

Bands 5 to 7: 2026 to 2027

Band 

point 

2025-2026 pay 

2026-2027 pay 

Increase 

Hourly rate 

£33,247 £34,494 £1,247 £18.38

£35,525 £36,857 £1,332 £19.63

£41,424 £42,977 £1,553 £22.89

£41,608 £43,169 £1,560 £23.00

£43,441 £45,070 £1,629 £24.01

£50,702 £52,603 £1,901 £28.02
7 1 £50,861 £52,769 £1,907 £28.11
7 2 £52,804 £54,784 £1,980 £29.18
7 3 £59,159 £61,377 £2,218 £32.70

Bands 8 and 9: 2025 to 2026

Band 

point 

2024-2025 pay 

2025-2026 pay 

Increase 

Hourly rate 

8a 

£60,126

£62,681

£2,555 £32.49

8a 

£64,906

£67,665

£2,759 £35.07

8b 

£70,986

£74,003

£3,017 £38.36

8b 

£75,937

£79,164

£3,227 £41.03

8c 

£83,837

£87,400

£3,563 £45.30

8c 

£89,866

£93,685

£3,819 £48.56

8d 

£99,534

£103,764

£4,230 £53.78

8d 

£103,795

£108,206

£4,411 £56.09

£117,732

£122,736

£5,004 £63.62

£122,831

£128,051

£5,220 £66.37

Bands 8 and 9: 2026 to 2027

Band 

point 

2025-2026 pay 

2026-2027 pay 

Increase 

Hourly rate 

8a 

£62,681

£65,032

£2,351

£34.64

8a 

£67,665

£70,202

£2,537

£37.40

8b 

£74,003

£76,778

£2,775

£40.90

8b 

£79,164

£82,133

£2,969

£43.75

8c 

£87,400

£90,678

£3,278

£48.31

8c 

£93,685

£97,199

£3,513

£51.78

8d 

£103,764

£107,655

£3,891

£57.35

8d 

£108,206

£112,264

£4,058

£59.81

£122,736

£127,338

£4,603

£67.84

£128,051

£132,853

£4,802

£70.77

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