NHS Careers > Explore by career > Midwifery > Pay for midwives

Pay for midwives

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.

Your career in nursing and midwifery could start at an Agenda for Change Band 2 as a clinical support worker (maternity services) rising to consultant midwife at a Band 8a-c. Examples of other roles, with typical Agenda for Change pay bands include:

  • maternity care assistant (Band 4)
  • midwife entry level (Band 5) rising to Band 6
  • health visitor (Band 6)
  • midwife team manager (Band 7).

What do midwives 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. For actual pay rates, please click on the link below.

Band 2
Clinical support worker (community)
Clinical support worker (maternity services)
Band 3
Clinical support worker higher level (community)
Clinical support worker higher level (maternity services)
Band 4
Maternity care assistant
Nursery nurse (community)
Band 5
Midwife - entry level
Band 6
Health visitor
Midwife community
Midwife hospital
Midwife integrated
Band 7
Health visitor specialist
Health visitor team manager
Midwife - higher level
Midwife - higher level (research projects)
Midwife team manager
Band 8A-C
Midwife consultant


Clinical support worker (community) Band 2
Clinical support worker (maternity services) Band 2


Clinical support worker higher level (community) Band 3
Clinical support worker higher level (maternity servicesl) Band 3


Maternity care assistant Band 4
Nursery nurse (community) Band 4


Midwife entry level Band 5


Health visitor Band 6
Midwife community Band 6
Midwife hospital Band 6
Midwife integrated Band 6


Health visitor specialist Band 7
Health visitor team manager Band 7
Midwife higher level Band 7
Midwife higher level (research projects) Band 7
Midwife team manager Band 7


Midwife consultant Band 8a-c

Click here to see the actual pay rates.

Where can I get more information about Agenda for Change?