Midwife Salary Calculator
Work out your NHS midwife salary by Agenda for Change band and pay point, including the London High Cost Area Supplement and pro-rata pay for part-time hours.
What Does a Midwife Earn?
Choose your Agenda for Change band, pay point, and location below. The calculator updates instantly and shows your basic salary, any London weighting, and your equivalent hourly and monthly pay.
Your Salary Estimate
Updates automatically as you change the form
How NHS Midwife Pay Is Worked Out
Midwife pay follows the same Agenda for Change (AfC) framework used across NHS nursing, allied health, and clinical support roles.
Job Evaluation Sets the Band
Every NHS role is scored against a national job evaluation scheme, which places it into one of nine pay bands based on responsibility, skills, and complexity.
Pay Points Reward Experience
Within each band, staff move through pay points — usually Entry, Mid, and Top — as they build up time and experience in the role, typically progressing annually.
Location Can Add a Supplement
Midwives working in or near London receive a High Cost Area Supplement on top of their basic salary, reflecting the higher cost of living in the capital.
Hours Determine Pro-Rata Pay
Part-time staff are paid a proportion of the full-time salary based on their contracted hours compared to the standard 37.5-hour working week.
Midwifery Pay Bands at a Glance
2026/27 Agenda for Change annual salary ranges relevant to midwifery careers in England.
| Band | Typical Role | Salary Range (Entry–Top) |
|---|---|---|
| Band 5 | Newly qualified midwife | £32,073 – £39,043 |
| Band 6 | Experienced midwife | £39,959 – £48,117 |
| Band 7 | Senior midwife / team manager | £49,387 – £56,515 |
| Band 8a | Consultant midwife | £57,528 – £64,750 |
| Band 8b | Head of midwifery | £66,582 – £77,368 |
| Band 8c | Director-level midwifery leadership | £79,504 – £91,609 |
Midwife Salary FAQ
Answers to the questions people ask most often about NHS midwife pay and progression.
Newly qualified midwives typically start on Band 5 of the Agenda for Change pay scale, though many progress to Band 6 fairly quickly once they’ve completed their preceptorship period. Senior and specialist midwives are usually Band 7, with consultant and leadership roles reaching Band 8a and above.
Midwives working in London receive a High Cost Area Supplement (HCAS) on top of their basic salary: 20% in Inner London, 15% in Outer London, and 5% in the Fringe area just outside London, each subject to a minimum and maximum cash amount set by NHS Employers.
Within most Agenda for Change bands, staff move up through pay points as they gain experience in the role, typically progressing annually until they reach the top of the band. The number of years needed to reach each step varies by band, and progression is usually automatic subject to satisfactory performance.
Scotland, Wales and Northern Ireland each negotiate their own Agenda for Change pay uplifts, so the exact pay points can differ slightly from those used in England, even though the band structure itself is the same across the UK.