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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. Adult nurses in the NHS will usually start at band 5 and work standard hours of 37.5 per week. With further experience, training and qualifications, they can apply for posts up to band 9 in the most senior roles. Nurse practitioners are a type of registered nurse that has spent time continuing their education so that they specialize in a more specific branch of medicine. These professionals usually hold a bachelor’s or master’s degree and have completed further clinical education to enhance their skill set. They generally help patients with acute or chronic medical problems through a variety of Author: Staff Writers.