When you join the NHS as anIMG doctor, you want to know how much money you will earn each month.Fortunately, NHS workers in the UK get competitive salaries – especially thosewho work in senior roles. When moving to the UK as a doctor,you can expect to earn well above the national UK average salary.
The question is, how muchis that? That is determined by the NHS medical pay scales, which show you howmuch basic pay you will get and how much money you’ll earn for any additional hours.
What Are Pay Scales?
NHS pay scales arecalculations that determine how much NHS workers (including doctors) get paid.There are varying pay scales for different NHS job titles. When you are given apay scale, you can see how much basic salary you’ll get and how much you’ll getfor additional hours. As a doctor, that involves receiving uplifts, bandings,enhancements, or supplements.
How Do Pay Scales Work?
Every medical pay scalemakes a calculation to figure out your:
- Basic Salary
- Other Allowances
Where you fall on aparticular pay scale is determined by a range of things, such as your years ofexperience as a doctor and job title. Then, you will move up the pay scalethroughout your career, earning more depending on your job title/experience.Often, moving up involves successful progression through specialist trainingand time spent in the role.
Which Pay Scale Will You Get?
The pay scale you fallunder depends on your job offer. So when receiving a job offer, always look atthe pay scale – learn what it is and how much you’ll earn.
Remember that every payscale works slightly differently, particularly when moving up and earning more.Sometimes, you will need to supply certifications to prove your experience, soyou don’t have to start at the bottom of a pay scale.
The Pay Scales for Doctors
It’s vital to learn whichpay scale you’ll be on. As a doctor, you can expect to be on one of thefollowing.
2016 NHS Junior Doctor Contract Pay Scale
The 2016 NHS Junior DoctorContract Pay Scale was the new pay scale implemented after the old 2002 scale.It allows you to work up the pay scale as you increase your grade. For example,for FY2, you’ll start on grade code MF01 with the basic salary of £34,012, andthen at grades ST1 (coded MS01) and CT1 (coded MC51), the basic salary is£40,257. At the top end is ST8 (coded MS08), which gets £58,398.
Note that the increase inpay does not happen as often. However, the pay increase is often a considerablejump, meaning you’ll receive a significant pay increase when you move up agrade.
Grade of Doctor | Stage | Grade Code | Nodal Point | Salary |
Foundation Year 1 | FY1 | MF01 | 1 | £29,384 |
Foundation Year 2 | FY2 | MF02 | 2 | £34,012 |
STR - Core Training | CT1 | MC51 | 3 | £40,257 |
CT2 | MC52 | 3 | £40,257 | |
CT3 | MC53 | 4 | £50,017 | |
STR - Runthrough | ST1 | MS01 | 3 | £40,257 |
ST2 | MS02 | 3 | £40,257 | |
Speciality Registrar - SPR | ST3 | MS03 | 4 | £50,017 |
ST4 | MS04 | 4 | £50,017 | |
ST5 | MS05 | 4 | £50,017 | |
ST6 | MS06 | 5 | £58,398 | |
ST7 | MS07 | 5 | £58,398 | |
ST8 | MS08 | 5 | £58,398 |
On top of the basic grade,you get additional pay for your extra hours (1/40th of basic pay), enhancedhours (37% above standard hourly pay), and weekend allowance (where you’ll getan uplift percentage) calculated as follows:
NHS Weekend On-Call Frequency | Percentage |
1 in 2 Weekends | 15% |
Less than 1 in 2 and greater than or equal to 1 in 3 weekends | 10% |
Less than 1 in 3 and greater than or equal to 1 in 4 weekends | 7.5% |
Less than 1 in 4 and greater than or equal to 1 in 5 weekends | 6% |
Less than 1 in 5 and greater than or equal to 1 in 6 weekends | 5% |
Less than 1 in 6 and greater than or equal to 1 in 7 weekends | 4% |
Less than 1 in 7 and greater than or equal to 1 in 8 weekends | 3% |
Less than 1 in 8 weekends | None |
If you take part in an NHSon-call rota, you’ll receive a flat rate uplift in additional to your basic salary on the pay scale determined by your nodal point on the same pay scale:
Nodal Point | Amount |
1 | £2,351 |
2 | £2,721 |
3 | £3,221 |
4 | £4,082 |
5 | £4,672 |
2002 NHS Junior Doctor Contract Pay Scale
The 2002 NHS Junior DoctorContract Pay Scale, sometimes known as the MN37 scale, is an old one – no newentrants get put on this one. However, it still applies to some long standingvacancies, so we thought it best to include it.
With the 2002 NHS JuniorDoctor Contract Pay Scale, the basic salary is based on years of experience.Therefore, IMGs would need to prove that they have the same relevant experiencefrom overseas to start on the higher end of the pay scale.
MN13 Scale | MN15 Scale | MN39 Scale | MN37 Scale | |
Years of Experience | FY1 | FY2 | Core Trainee | Speciality Registrar |
Minimum | £25,494 | £31,621 | £33,790 | £33,790 |
1 | £27,085 | £33,689 | £35,858 | £35,858 |
2 | £28,676 | £35,757 | £37,746 | £37,746 |
3 | £40,492 | £40,492 | ||
4 | £42,598 | £42,598 | ||
5 | £44,705 | £44,705 | ||
6 | £46,812 | |||
7 | £48,918 | |||
8 | £51,025 | |||
9 | £53,132 |
This pay scale uses bandingfor other allowances (the only pay scale to do so). Banding determines yourpercentage uplift based on the hours worked and whether those hours were mostantisocial or least antisocial. So, for example, band 1A is for 40-48 hours ofmostly antisocial hours, which provides an uplift percentage of 50%.
Band | Average Amount and Nature of Hours | Uplift |
3 | More than 56 hours per week or not achieving required rest | 100% |
2A | 48-56 hours per week - most antisocially | 80% |
2B | 48-56 hours per week - least antisocially | 50% |
1A | 40-48 hours per week - most antisocially | 50% |
1B | 40-48 hours per week - moderatelyantisocially | 40% |
1C | 40-48 hours per week - leastantisocially | 20% |
No Band | No more than 40 hours per week on average | 0% |
2021 NHS Speciality Doctor Pay Scale
This pay scale is fordoctors who have completed their foundation and early core/speciality trainingyears. So, it applies to speciality doctors at an equivalent to grade ST3+.
The 2021 NHS SpecialityDoctor Pay Scale (MC75 scale) is made up of lots of pay increments and is basedon years of experience. You will usually start at the very bottom of the payscale and work your way up unless you can evidence similar experience from yournative healthcare system. So, for example, if you have one year of experienceat an equivalent to ST3+ level, you’ll earn £51K; if you have 18 years ofexperience, you’ll earn £80K.
Grade Code | Years of Experience | Basic Salary |
MC75-01 | 1 | £51,000 |
MC75-02 | 2 | £51,000 |
MC75-03 | 3 | £51,000 |
MC75-04 | 4 | £58,756 |
MC75-05 | 5 | £58,756 |
MC75-06 | 6 | £58,756 |
MC75-07 | 7 | £65,500 |
MC75-08 | 8 | £65,500 |
MC75-09 | 9 | £65,500 |
Threshold | Threshold | Threshold |
MC75-10 | 10 | £72,500 |
MC75-11 | 11 | £72,500 |
MC75-12 | 12 | £72,500 |
MC75-13 | 13 | £80,000 |
MC75-14 | 14 | £80,000 |
MC75-15 | 15 | £80,000 |
MC75-16 | 16 | £80,000 |
MC75-17 | 17 | £80,000 |
MC75-18 | 18 | £80,000 |
Other allowances are madeup of PAs (programmed activities), which are four-hour blocks of work. You getten PAs for your basic salary, making a 40-hour work week. Any other PAs on topof that comes with an uplift of 10%.
Specialist Doctor Pay Scale
The Specialist Doctor PayScale (MC70 scale) was new for specialist doctors in 2021 and was implementedbecause it was a better option for recruiting very senior doctors.
To get on this pay scale,you must meet the criteria by providing evidence that your experience is equalto that of an NHS specialist doctor. Then, you’ll start with the appropriateyears of experience on the pay scale.
Grade Code | Years of Experience | Basic Salary |
MC70-01 | £81,500 | |
MC70-02 | 1 | £81,500 |
MC70-03 | 2 | £81,500 |
MC70-04 | 3 | £87,000 |
MC70-05 | 4 | £87,000 |
MC70-06 | 5 | £87,000 |
MC70-07 | 6 | £92,500 |
Other allowances includeany PAs over ten, which you will receive a 10% uplift for. There is also theon-call allowance, which you’ll also receive an uplift for. The upliftpercentage depends on the nature of the call and how frequent they are.
Frequency | Category A | Category B |
More frequent or equal to 1 in 4 | 8% | 3% |
1 in 4 through to 1 in 8 | 5% | 3% |
Less frequent than 1 in 8 | 3% | 1% |
Consultant PayScale
A consultant is the highestpost in NHS hospitals. Consultants start on the lowest point of the pay scale(YC72-01 or YC73-01) after qualifying at that level and progress as they gainexperience over the years. If you don’t want to start at the bottom end, youwill need to provide evidence that you have equivalent experience beforegetting on the appropriate point of the pay scale.
Grade Code | Years of Experience | Basic Salary |
YC72 / YC73 Point 00 | £88,364 | |
YC72 / YC73 Point 01 | 1 | £91,131 |
YC72 / YC73 Point 02 | 2 | £93,898 |
YC72 / YC73 Point 03 | 3 | £96,665 |
YC72 / YC73 Point 04 | 4 | £99,425 |
YC72 / YC73 Point 05 | 5 | £99,425 |
YC72 / YC73 Point 06 | 6 | £99,425 |
YC72 / YC73 Point 07 | 7 | £99,425 |
YC72 / YC73 Point 08 | 8 | £99,425 |
YC72 / YC73 Point 09 | 9 | £105,996 |
YC72 / YC73 Point 10 | 10 | £105,996 |
YC72 / YC73 Point 11 | 11 | £105,996 |
YC72 / YC73 Point 12 | 12 | £105,996 |
YC72 / YC73 Point 13 | 13 | £105,996 |
YC72 / YC73 Point 14 | 14 | £112,569 |
YC72 / YC73 Point 15 | 15 | £112,569 |
YC72 / YC73 Point 16 | 16 | £112,569 |
YC72 / YC73 Point 17 | 17 | £112,569 |
YC72 / YC73 Point 18 | 18 | £112,569 |
YC72 / YC73 Point 19 | 19 | £119,133 |
For additional PAs (anyover ten), you will get an uplift of 10%.
How to Stay Updated with Pay Scales
It’s a good idea to stayupdated with all things related to pay scales – especially as an NHS doctor! Todo so, check out the NHS Pay Circular website. It’s regularly updated andcovers changes to NHS salaries.
In Summary
When you start working forthe NHS, you should know how much you will get paid and how much more you’llearn over time. By understanding your pay scale, you can determine your pay foryour basic salary and additional hours.
If you would like to knowmore about working in the NHS and hear about all the latest job opportunitiesthen email usand we’ll be happy to keep you updated.
FAQs
What is a DR salary scale UK? ›
Specialty doctors and specialist payscale
If you're working as a specialty doctor you'll earn a basic salary of £50,373 to £78,759. If you are a specialist grade doctor you'll earn a basic salary of £80,693 to £91,584.
For example, a newly qualified Band 5 nurse will be placed at the bottom of the incremental scale, their pay step meeting will take place 2 years after their appointment (anniversary of date commenced role) to take them to the mid point of the band and then a further 2 years later for their next pay step.
How much do F1 doctors make in the NHS? ›The typical NHS F1 Doctor salary is £31,710 per year. F1 Doctor salaries at NHS can range from £27,398 - £39,219 per year.
What does Band 5 mean in NHS? ›Band 5 – Newly Qualified Nurse or Staff Nurse
Newly Qualified Nurses often start in a hospital setting and then progress within a ward – gaining more experience as they move up within the NHS nursing banding system.
The average physician earnings were ranked as follows: United States – $316,000. Germany – $183,000. United Kingdom – $138,000.
Which doctor is highly paid in UK? ›Type of Doctor | Annual Salary in USD* (Indeed) |
---|---|
Psychiatrist | 110,393 |
Cardiologist | 102,884 |
Oncologist | 102,419 |
Obstetrician | 99,172 |
Band 6 and band 7 will have three step points, taking a minimum of two years to progress from the entry step point to the mid step point and then a further minimum of three years to progress to the top of the band.
What do the different bands mean in NHS? › Simply put, the NHS staff structure operates on a banding system. Each role within the NHS will be allocated to a band within the structure. The band will determine the level of pay for a job role, with a range of salaries within each band. And there are a number of nursing grades in the NHS.
How long does it take to get promoted in the NHS? ›It takes on average 18 months for a nurse to amass the necessary job experience to be considered for a band six position. During this time, nurses must prove they are capable of safely practicing the extra senior duties necessary to thrive in the role.
Who gets paid the most in the NHS? ›The National Health Service (NHS) employees with the job title Project Manager, (Unspecified Type / General) make the most with an average annual salary of ₤40,785, while employees with the title Staff Nurse make the least with an average annual salary of ₤24,619.
What is the highest paid speciality in NHS? ›
- Medical director.
- Neurosurgeon.
- Anaesthetist.
- Plastic surgeon.
- Psychiatrist.
- Cardiologist.
- Director of nursing.
- Clinical director.
Although salaries can vary depending on region, speciality and employer, the base salary for nurses is, on average, £29,532 per year. In contrast, physicians can expect a base salary of around £59,195 per year. Surgeons can expect an even higher annual base salary , with an average of around £75,139 per year.
How long does it take to go from Band 5 to Band 6 NHS? ›How to become a Band 6 Nurse. The most common route for General Nurses to move into a Band 6 role is by becoming a Senior Staff Nurse. It's claimed it takes around 18 months on average to move from Band 5 to Band 6 – and for that to be possible, you'll need to prove you're capable of taking on more senior duties.
How do I move from Band 5 to Band 6 NHS? ›Moving from a band 5 to a band 6 nurse requires you to hold a full band 5 nursing qualification and have at least 12 months post-registration experience as a registered nurse, with specific experience in one or more of the following: Complex patients, including those who may be challenging to manage.
What is the hourly rate for Band 6 NHS? ›Band 1 * | £9.49 | |
---|---|---|
Entry step point | Intermediate step point | |
Band 5 | £13.12 | £14.21 |
Band 6 | £16.52 | £17.48 |
Band 7 | £20.49 | £21.54 |
The big pull of the USA (and most international countries) is the salary. Although US training doctors tend to work an average of 55 hours a week (compared to 45 in the UK), they can earn significantly more.
Is it harder to become a doctor in the US or UK? ›The US and the UK both have excellent medical school programs. While they differ a bit in structure, the time it takes to become a doctor is similar in either country.
Which state in USA pays highest to doctors? ›North Dakota tops the list with an average pay of $361,000. Alaska is a close second, at $359,000. Both states are home to rural areas that need higher compensation to attract physicians.
Which country pays doctors the most? ›The Country of nature and Landscapes; Switzerland
The reason that Switzerland is listed among the most lucrative countries for doctors is that their salary is significantly high even among the Swiss people. A general physician is paid about 13000 EUR per month, which is a high salary to live in this beautiful country.
The overall average dentist's salary in the UK is £50,838. This figure is based on data from PayScale's salary survey of dental professionals in the UK. Dentists can earn even more in cities like London and Birmingham (where average salaries are £80k). The NHS pays its dentists between £35,000 and £70,000.
Can doctors earn 200k UK? ›
→How much do general practitioners (GPs) earn in the UK? General practitioners (GPs) in the UK can earn an average salary of £70,000 to £100,000 per year, with some earning up to £200,000 depending on their level of experience and location.
Can you jump from Band 5 to Band 7? ›Many nurses will move from band 5 to 6 during the course of their career. The leap up to band 7 is a major step – and one nurses can spend years trying to make. Achieving it takes planning, determination and knowledge, as well as gaining the right skills and experience.
What is the new pay for Band 7 NHS? ›Band 1 * | £21,406 (£10.95) | |
---|---|---|
Band 7 | £43,574 (£22.28) | £45,721 (£23.38) |
Entry step point | Top step point | |
Band 8a | £50,441 ** (£25.80) | £56,534 (£28.91) |
Band 8b | £58,079 ** (£29.70) | £67,177 (£34.36) |
The Royal College of Nursing estimated in 2021 that the average annual salary of an NHS nurse is £33,384. The pay rise introduced across the NHS in 2022 means that average is probably now closer to £35,000. More broadly, we estimate that the average salary for a nurse is somewhere between £33,000 and £35,000.
Why are British nurses called sister? ›The title 'Sister' for nurses comes from the fact that nurses used to be nuns. Nowadays in the UK 'Sister' is a rank. The first grade of qualified nurse is a 'Staff Nurse', then above them come 'Deputy Ward Sister' then 'Ward Sister' (sometimes called 'Ward Manager' or 'Charge Nurse').
What NHS band is a nurse? ›Within Nursing, qualified Staff Nurses start as a Band 5 moving to Band 6 as a Junior Sister, Specialist Staff Nurse or Emergency Nurse Practitioner.
What is Band 8 in NHS? ›Examples of roles at band 8c - head of human resources, consultant clinical scientist (molecular genetics/cytogenetics) and consultant paramedic. Examples of roles at band 8d include consultant psychologist (8c-8d), estates manager, chief nurse and chief finance manager.
How do I move up in the NHS? ›You could work your way up from more junior roles; apply for a place on the Graduate Management Training Scheme or gain relevant experience in another sector before applying for a position in the NHS.
How often do you get paid from NHS Professionals? ›Any pay will be paid directly into your bank account. NHSP operates a weekly payroll.
What happens after a successful NHS interview? ›Following a successful interview NHS Professionals will complete several pre-employment checks including a DBS, Occupational Health Clearance and professional reference checks. If these checks are satisfactorily completed, you will then attend a training day before undertaking work opportunities.
Which doctor specialty makes the most money? ›
Neurosurgeons are the highest paid physician specialists, earning an average of $788,313 annually, according to Doximity's "2023 Physician Compensation Report."
Who are the lowest paid in the NHS? ›However, leaders warn this does not go far enough and the NHS Confederation is now calling on the Government to go further and add more to the pay packets of the lowest paid healthcare workers, including porters, medical secretaries, security guards and healthcare assistants.
What is the biggest drain on the NHS? ›In the year that the NHS suffers £2.7bn in cuts, 48% of Brits believe smokers are the biggest drain on healthcare.
What is the lowest paid doctor Speciality? ›- Pediatric endocrinology — $218,266.
- Pediatric infectious disease — $221,126.
- Pediatric rheumatology — $226,186.
- Pediatric hematology and oncology — $237,005.
- Pediatric nephrology — $238,208.
- Pediatrics — $242,832.
- Medical genetics — $244,107.
- Pediatric pulmonology — $263,742.
Physician specialty | Average salary |
---|---|
Pediatric hematology and oncology | $237,005 |
Pediatric nephrology | $238,208 |
Pediatrics | $242,832 |
Medical genetics | $244,107 |
- Nursing Assistant.
- Specialist Registrar.
- Brain Surgeon.
- Clerical Officer.
- Medical Secretary.
- Consultant Surgeon.
- Project Manager.
- Donor Carer.
Average Doctor Salary in UK
Doctor salary in UK ranges from 61,300 GBP, being the lowest salary to 282,000 GBP, being the highest salary. An average doctor's salary in the UK is around 76,300 GBP per year. This average annual salary includes transport, housing, and other benefits.
A GP earns an average of £108,000 per year in the UK. NHS salaried GPs' basic pay ranges from £65,000 to £98,000. However, many GPs are partners in their own practices- meaning they're in charge of running their practice as a business and can take home significantly larger salaries.
How much do nurses make in the UK compared to the US? ›First off, salaries. In England, the 2017-2018 starting annual pay for nurses is between $21,456 and $21,828 (in U.S. dollars). In contrast, according to Drexel University, the average starting salary for an American nurse was more than $66,000 in 2016-2017.
Is getting Band 6 hard? ›Getting a 6 band score is also not easy, but it's not enough. So, in writing too, make sure to identify the areas where you are lacking and concentrate on them. Are you weak in tenses or sentence formation, or presenting your ideas, and so on? You can improve the final score by improving the individual components.
How hard is it to get Band 5? ›
It is very important to have a realistic study plan and realistic expectations. On average, it takes people 2-6 months of hard work to achieve the desired band score. If you start from band score 3.5-4.5… If your mock test result is band 3.5-4.5, you will need about 6-8 months of hard work in order to get band 5.0-6.0.
How hard is band 6? ›A band-6 is a result that is between 90-100. A band-6 in English Advanced is ranked higher than one in Standard. But Advanced English is harder, and Advanced students are given more work.
Why would I be a good band 6? ›Band 6 Nurse Interview Presentation
Your understanding of the healthcare environment and the challenges healthcare professionals face. Your awareness of the current issues and challenges in healthcare. Your communication skills. Your ability to take a wider perspective to a topic.
Newly qualified, NMC registered nurses start at Band 5, and the most qualified and experienced nursing consultants and specialists can climb all the way to the uppermost pay band, which is band 9. Within each banding, different levels of NHS pay are on offer according to experience.
What is the difference between Band 5 and Band 6 NHS? ›Band 6 roles often involve similar tasks and responsibilities as Band 5 nursing roles. However, the main difference is that they will be more specialised. To progress to a Band 6 role, you will need to pursue some further training within a specialist area.
How much does Band 6 pay NHS London? ›NHS Pay Band (paypoint) | 20% Uplift | 5% Uplift |
---|---|---|
Band 6 - 1st paypoint | £42,469 | £37,161 |
Band 6 - 2nd paypoint | £44,820 | £39,218 |
Band 6 - 3rd & final paypoint | £51,140 | £44,748 |
Band 7 - 1st paypoint | £52,489 | £45,928 |
...
Agenda For Change NHS Nursing Pay Scale And Bands 2022 to 2023.
Band | Minimum years of experience | Pay |
---|---|---|
6 | 3-4 | £35,572 |
4-5 | £35,572 | |
5-6 | £40,588 | |
6-7 | £40,588 |
The average doctor salary in the United Kingdom is £58,502 per year or £30 per hour. Entry level positions start at £48,201 per year while most experienced workers make up to £75,000 per year.
What does increment date mean on NHS payslip? ›– This is the point in the year when you move from one pay point to the next reflecting the automatic increase in salary accrued with each additional year you work for the NHS. – Your incremental date will usually be the date you started working in a new post or on a new grade.
How do increments work? ›A salary increment is an increase in an employee's annual pay in the form of a percentage. Individuals use this percentage as a reference point when negotiating pay increases, while employers utilize salary increments to give yearly raises more fairly and easily.
How do NHS pay increments work Scotland? ›
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. See the revised pay scales. Allowances and RRPs which increase in line with pay uplifts will be uprated as appropriate.
Do NHS staff get a pay rise? ›More than 1 million NHS staff in England will receive an additional pay rise as part of an offer made following talks between the government and Agenda for Change unions.
What does NP mean on NHS payslip? ›Within the body of the payslip are more terms and abbreviations that can be confusing: Basic Pay – this is the pension-able amount of your basic pay; Additional Prog A NP – this is the non-pensionable amount of your basic pay; On Call – this is a percentage of your basic pay and is pensionable.
What does WTD mean on NHS payslip? ›Following a recent Court of Appeal decision, NHS employers have agreed working time directive (WTD) payments should be expanded to include regularly worked overtime, in addition to unsocial hours and on-call.
How do you calculate increment salary? ›How is the hike percentage calculated? (New salary – Old Salary) / Old Salary * 100 = Hike percentage. Then the amount obtained is divided by the old salary. The figure thus obtained is multiplied by 100 to express it in percentage.
How do you calculate increments? ›To find the scale increment, subtract the values of any two adjacent labeled graduations and divide by the number of intervals between them.
What does increment of 25 mean? ›an amount by which something increases or grows: a weekly increment of $25 in salary.
How long to progress from Band 5 to Band 6? ›How to become a Band 6 Nurse. The most common route for General Nurses to move into a Band 6 role is by becoming a Senior Staff Nurse. It's claimed it takes around 18 months on average to move from Band 5 to Band 6 – and for that to be possible, you'll need to prove you're capable of taking on more senior duties.
How much is Band 7 NHS? ›Band 7 - 1st pay point
A person on this NHS pay point will pay £311.65 a month of National Insurance, £357.22 a month NHS Pension contributions and £448.07 a month Tax. This makes their net (take home) pay £2,528.14 a month. The 5% NHS pay rise has increased this pay point from £41,659 to £43,741 a year.
The NHS is funded mainly from general taxation supplemented by National Insurance contributions (NICs).
What is Band 6 NHS? ›
Examples of roles at band 6 - school nurse, experienced paramedic, health records manager, clinical psychology trainee and biomedical scientist. Examples of roles at band 7 - communications manager, estates manager, high intensity therapist and advanced speech and language therapist.