NHS Careers > Explore by career > Ambulance service team > Pay for ambulance service staff

Pay for ambulance service staff

Most jobs in the NHS are covered by the Agenda for Change (AfC) pay scales. This pay system covers all staff except doctors, dentists and the most senior managers. For information about pay for these professions see the pay information section in the medical or dental  sections.

In AfC the NHS job evaluation system determines a points score which is used to match jobs to one of the nine pay bands and determine levels of basic salary. 

Each of the nine pay band has a number of pay points. Staff will normally progress to the next pay point annually until they reach the top of the pay band.  In addition to basic pay, there is also extra pay for staff who work in high cost areas such as around London.

Ambulance pay

Your career in the NHS ambulance service could start in a patient transport service or emergency service role at bands 2 or 3, with further progression to roles with greater responsibility. Your earnings in front line operational roles are often enhanced with unsocial hours payments of up to 25% of basic salary which reflects the 24 hour nature of the service.  Managerial roles attract higher bandings.

What do ambulance staff in the NHS earn?

The following information gives an indication of which Agenda for Change pay bands certain job titles fit into and is based on the nationally produced job profiles. It can be used as a guide to the levels of pay, but please note that some job vacancies advertised in the NHS may carry very slightly different job titles to those provided here.

Click here to view the actual pay rates

Band 2
Emergency medical dispatchers
Emergency service call taker
Patient transport services (PTS) driver
Band 3
Ambulance services driver PTS (higher level)
Band 4
Ambulance practitioner
Band 5
Ambulance practitioner specialist
Paramedic
Band 6
Ambulance practitioner advanced
Senior paramedic 
Emergency services team leader
Band 7
Emergency services area manager


The AfC pay band on which student paramedics will be employed, depends on the ambulance trust they work at.

Where can I get more information about Agenda for Change?