Locum vs Banding: What’s the Real Difference?

For many UK healthcare professionals, the NHS Agenda for Change (AfC) pay bands define salaries, from Band 2 HCAs to Band 8+ senior nurses and AHPs. But locum and agency work operate differently—offering greater flexibility, higher earning potential, and personalised progression routes.

So what lies beyond banding? Let’s explore the pay structure, perks, and progression of locum work in 2025.

How Does Locum Pay Compare to NHS Banding?

Locum professionals are typically paid hourly rates, which vary based on:

• Specialty (e.g. theatre nurse vs general ward nurse)
• Location (London weighting, rural shortages)
• Experience
• Shift type (nights, weekends, holidays)

Here’s a general comparison:

Note: Agency rates can be significantly higher in high-demand areas or during critical staffing periods.

Key Perks of Locum Work

Besides the attractive pay, locum work comes with lifestyle and career benefits that traditional NHS roles don’t always offer:

1. Flexibility & Work-Life Balance
Choose your own shifts, locations, and working hours—ideal for managing family life, study, or side projects.

2. Tax Efficiency (When Applicable)
Working through a limited company or umbrella company (where compliant) can offer tax benefits. (Note: IR35 rules apply—seek financial advice.)

3. No Ties to One Employer
Work across multiple NHS trusts, private hospitals, or community providers—broadening your skills and CV.

4. Faster Pay Cycles
Get paid weekly or even daily with MedicsPro’s streamlined payroll options.

5. Bonuses & Referral Schemes
Many agencies, including MedicsPro, offer referral rewards, completion bonuses, or loyalty incentives.

Career Progression as a Locum: Yes, It’s Possible

One common myth is that locum work stalls progression. In truth, many clinicians grow faster thanks to diverse exposure and autonomy.

How to Progress as a Locum:

• Specialise: Gain experience in high-demand areas (e.g. endoscopy, A&E, offender health).
• Certify: Complete advanced training (e.g. ALS, ENP, non-medical prescribing).
• Lead: Take on team leader or clinical coordinator roles on temporary contracts.
• Teach or Mentor: Deliver in-house training or work as a clinical educator.
• Transition: Use agency experience to land senior permanent roles or NHS Band 6–8 jobs.

Quote:
“Working locum gave me the variety and control I needed—and helped me discover I wanted to specialise in emergency care.” — A&E Nurse, MedicsPro Candidate

Locum vs NHS: What's Right for You?

You may choose to do both—many clinicians blend NHS and agency work throughout their careers.

How MedicsPro Supports Your Locum Career

At MedicsPro, we make it easy to thrive as a locum:

Personal Account Manager
We help match you to the right roles based on skills, goals, and location.

Fast Onboarding & Compliance
Digital onboarding, verified training records, and instant reminders.

Access to Exclusive Roles
We work with NHS trusts, private hospitals, and community providers across the UK.

Career Advice & Training
Need to upskill or move into a new specialty? We’re here to help.

FAQs: Locum Pay & Progression

Q: Is locum work suitable for newly qualified nurses or doctors?
A: Yes, though we recommend gaining 6–12 months NHS experience first to build clinical confidence.

Q: Will I miss out on NHS benefits like a pension?
A: Locum roles don’t offer NHS pensions—but you may access benefits via umbrella companies or your own Ltd setup.

Q: Can I move back into NHS work after being a locum?
A: Absolutely. Many locums return to permanent roles later—often with broader experience and stronger CVs.

Final Thoughts

Locum work goes far beyond the banding system—offering higher pay, flexibility, and control over your career. Whether you're looking to earn more, avoid burnout, or gain new experiences, MedicsPro is here to support you every step of the way.

Take the next step—beyond banding, beyond limits. Choose locum with MedicsPro.