Band 1

Effective from 1 April 2018 the minimum basic rate in the NHS in England would be £17,460 – equivalent to £8.92 per hour – which exceeds the living wage.

For all staff currently in band 1 this would be an immediate increase of about 10%. Band 1 will then be increased each year, in line with the bottom point of band 2.

And for band 1 staff the deal wouldn’t stop there. By March 2021 all jobs in band 1 would be altered to become band 2 roles. Staff would get training and support to take on any necessary changes. They would therefore benefit from a further increase taking their salary to £18,005, equivalent to £9.21ph, by the end of the deal.

In total, current band 1 staff would receive increases of 15% to 17% over the three years.

There would also be an additional 1.1% lump sum in year two – a payment of £194.

Band 1 would be closed from 1 December 2018 for new starters; staff would be recruited straight into band 2 jobs.

For Band 2 salaries and progression arrangements please see the band 2 section.

New pay scales

2018/19 Spot rate

£17, 460

2019/20 Spot rate


2020/21 Spot rate


The total change to salaries would be made up of a mixture of pay award, reform, and pay progression. This means staff on different pay points will see different size changes to earnings. This table shows the difference between existing arrangements (1 per cent annually plus incremental progression) and the pay offer. 

Band and
AfC pay point 2017/18
Difference between
Current System and
Proposed Deal
Band 1 pay point 2 +11.51%
Band 1 pay point 3 +11.51%

More detail on the difference between existing arrangements and the pay proposals ‎can be found on this technical annex (PDF).

Other changes

Unsocial hours payments would be calculated in a different way for bands 1-3 to protect the current value and improve it as basic pay increases over the three years.

These changes have the effect of preserving the cash value of unsocial hours while the pay restructuring takes place, but would stop any leapfrogging effects where staff in lower bands end up earning more than those in the next band up for the same unsocial hours shift. Once the changes to pay bands have been completed, the system would reset with the new adjusted percentages for the future.

Under the current system the unsocial hours element of pay in band 1 is Time plus 50% on Saturdays/nights, and double time on Sundays. On 2017/18 rates these are worth £4.01 per and £8.01 per hour. For the duration of the deal these cash values would be fixed, while basic pay rises in each year of the deal. The table below shows how this, plus increases to basic pay, would contribute to increased unsocial hours earnings over the three years.

   17/18  18/19  19/20  20/21
 Top of band 1  £15,671  £17,460  £17,652  £18,005
 Plain time £8.01   £8.93  £9.03  £9.21
 All time on Saturday (midnight to midnight) and any week day after 8 pm and before 6 am (£8.01+£4.01=)
( £9.03+£4.01=)
 All time on Sundays and Public Holidays (midnight to midnight (£8.01+£8.01=)
( £9.03+£8.01=)
   2018/19  2019/20  20/21  2021 onwards
Band 1
All time on Saturday (midnight to midnight) and any week day after 8 pm and before 6 am 
 Time + 49%    Time + 48%  Time + 47%   Time + 47%
 Band 1
All time on Sundays and Public Holidays (midnight to midnight
Time + 97%  Time + 95%   Time + 94%    Time + 94% 

Use our pay calculator to see pay progression.