NHS (The National Health Service Of UK)

The NHS was launched in 1948, and was born out of a long-held ideal that good healthcare should be available to all, regardless of wealth – one of the NHS's core principles.

With the exception of some charges, such as prescriptions, optical services and dental services, the NHS in England remains free at the point of use for all UK residents. This currently stands at more than 64.6 million people in the UK and 54.3 million people in England alone.

The NHS in England deals with over 1 million patients every 36 hours. It covers everything, including antenatal screening, routine screenings with (such as the NHS Health Check), and treatments for long-term conditions, transplants, emergency treatment and end-of-life care.

In 2014, the Commonwealth Fund declared that in comparison with the healthcare systems of 10 other countries (Australia, Canada, France, Germany, Netherlands, New Zealand, Norway, Sweden, Switzerland and the US) the NHS was the most impressive overall. The NHS was rated as the best system in terms of efficiency, effective care, safe care, coordinated care and patient-centered care.


The NHS employs more than 1.5 million people, putting it in the top five of the world’s largest workforces. The NHS in England is the biggest part of the system by far, catering to a population of 54.3 million and employing around 1.2 million people. Of those, the clinically qualified staff include 150,273 doctors, 40,584 general practitioners (GPs), 314,966 nurses and health visitors, 18,862 ambulance staff, and 111,127 hospital and community health.


Funding for the NHS comes directly from taxation. Since the NHS transformation in 2013, the NHS payment system has become underpinned by legislation. The Health & Social Care Act 2012 moves responsibility for pricing from the Department of Health, to a shared responsibility for NHS England and NHS Improvement. When the NHS was launched in 1948, it had a budget of £437 million (roughly £15 billion at today’s value). For 2015/16, the overall NHS budget was around £116.4 billion. NHS England is managing £101.3 billion of this.

Pay Scale:

The Registered nurses are paid with Band 5 payment as per the NHS pay scale. The NHS reviews the pay scale and perks of its employees and revises it as per the existing norms periodically. According to the latest revision, the starting band 5 salary is £24,214 per year. The salary quoted is for a standard NHS contract of a 37.5 - hour week and earnings will depend on additional income earned depending on what shifts you work. See below for rates paid at nights and weekends.

Unsocial hour’s payments are additions to basic pay. These apply for staff whose work in standard hours, within the normal 37.5 hour of work a week. Anything above 37.5 hours a week would be considered as ‘overtime’ and will be paid in addition to the basic pay.

All time on Saturday (midnight to midnight) and any week day after 8pm and before 6am

Time plus 30%

All time on Sundays and Public Holidays

(Midnight to midnight)

Time plus 60%

NHS pay scale 2019-2020

This pay system covers all staff except doctors, dentists and very senior managers. Each of the nine pay bands 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.


  • Pre-Registered Nurses will be on Band-3/Band-4 Pay scale

  • Registered Nurses are on Band-5 Pay scale.

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