This article contains details of pay in NHS Band 7 (also known as Agenda for Change Band 7). It covers the Agenda for Change salary in England as a whole, and in the Inner, Outer and Fringe London weighting (HCAS) areas.

In all bands staff receive a starting salary. Then, in all bands except bands 1 and 2, they receive increments after a number of years of service.

Agenda for Change Band 7 salary in England

In Band 7, just like in Band 5 and 6, staff receive two incremental payments. These come after two years and five years. The starting salary at Band 7 is £43,742. This is followed by an incremenet after two years (so paid from the start of the third year of employment) which increases basic pay to £45,996. Then, after three more years of service and a total of five years service in the band, at the start of year six pay increases again to £50,056. The table below shows the salary you should expect to receive for each year of service you have in Band 7.

Years of ServiceSalary (£)
0-1£43,742
1-2£43,742
2-3£45,996
3-4£45,996
4-5£45,996
5 plus£50,056
Annual NHS salary at AfC Band 7

NHS HCAS / London Weighting Band 7

In all three HCAS areas – inner, outer and fringe London – salaries follow the same basic structure as in the rest of the UK. You can read more about how the High Cost Area Supplement (more commonly known as London Weighting) works in the NHS in our separate article.

Inner London Band 6 staff, just like in Band 5 and 6, staff receive two incremental payments. These come after two years and five years. The starting salary at Band 7 is £51,488. This is followed by an incremenet after two years (so paid from the start of the third year of employment) which increases basic pay to £53,742. Then, after three more years of service and a total of five years service in the band, at the start of year six pay increases again to £57,802.

Years of ServiceSalary (£)
0-1£51,488
1-2£51,488
2-3£53,742
3-4£53,742
4-5£53,742
5 plus£57,802
Annual NHS salary at AfC Band 7

In Band 7, just like in Band 5 and 6, staff receive two incremental payments. These come after two years and five years. The starting salary at Band 7 in Outer London is £49,178. This is followed by an incremenet after two years (so paid from the start of the third year of employment) which increases basic pay to £51,432. Then, after three more years of service and a total of five years service in the band, at the start of year six pay increases again to £55,492.

Years of ServiceSalary (£)
0-1£49,178
1-2£49,178
2-3£51,432
3-4£51,432
4-5£51,432
5 plus£55,492
Annual NHS salary at AfC Band 7

In Band 7, just like in Band 5 and 6, staff receive two incremental payments. These come after two years and five years. The starting salary at Band 7 in Fringe London is £45,733. This is followed by an incremenet after two years (so paid from the start of the third year of employment) which increases basic pay to £48,007. Then, after three more years of service and a total of five years service in the band, at the start of year six pay increases again to £52,067.

Years of ServiceSalary (£)
0-1£45,733
1-2£45,733
2-3£48,007
3-4£48,007
4-5£48,007
5 plus£52,067
Annual NHS salary at AfC Band 7

Example jobs at NHS Band 7

Jobs in band 7 include project manager, communications manager, estates manager, clinical pharmacist, physiotherapist, mental health practitioner, occupational therapist, paramedic, podiatrist, physician associate, and clinical quality lead.

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