NHS Pay

NHS ODP Salary 2026/27: £32,073 to £56,515

FP FrontlinePay Editorial
Updated September 2026

Independent guidance — not affiliated with NHS England or DHSC

Operating Department Practitioner is one of the 14 officially recognised Allied Health Professions, yet it's routinely folded into "theatre nurse" searches and job adverts as if it were the same registration under a different name. It isn't — ODPs are a distinct, HCPC-registered profession with their own degree route, and 2024 brought a real change to how you qualify. This guide covers the real 2026/27 ODP pay figures on their own terms, what the role actually covers across anaesthetics, surgery and recovery, and exactly how it differs from theatre nursing.

Short answer

NHS Operating Department Practitioners are typically employed on Band 5 to Band 7 of Agenda for Change. For 2026/27 in England, Wales and Northern Ireland, that spans £32,073 at Band 5 point 1 up to £56,515 at the top of Band 7, with senior and specialist ODPs commonly at Band 6 (£39,959–£48,117). A smaller number of ODPs progress further into Band 8a through extended clinical roles or theatre/service management.

England, Wales & N. Ireland (Band 5–7)

£32,073–£56,515

Full Band 5 to Band 7 range for NHS Operating Department Practitioners in 2026/27.

Scotland (Band 6)

£43,231–£52,679

Band 6 range under Scotland's separate 2026/27 pay deal.

ODP pay points 2026/27 (England, Wales & Northern Ireland)

BandTypical ODP roles2026/27 range (England)
Band 5Newly qualified ODP, rotating across anaesthetics, surgery/scrub and recovery£32,073–£39,043
Band 6Senior/specialist ODP, surgical specialty scrub practitioner, senior anaesthetics or recovery practitioner£39,959–£48,117
Band 7Theatre team leader/deputy manager, Surgical Care Practitioner, Advanced Critical Care Practitioner, lead resuscitation officer£49,387–£56,515
Band 8aTheatre/service manager, advanced clinical practice lead (a smaller number of posts)£57,528–£64,750

Use the NHS Pay Calculator for your exact take-home figure at any band and point, including London weighting.

Scotland's rates

NHS Scotland's 2026/27 Band 6 runs from £43,231 to £52,679 under its own separately negotiated pay deal. See the full Agenda for Change pay scales guide for every band across all four nations side by side.

HCPC registration: the 2024 degree change

Registration with the Health and Care Professions Council (HCPC) is legally required to practise as an ODP and to use the protected title — the same regulator covering physiotherapists, radiographers, podiatrists and paramedics. From September 2024, the HCPC raised the minimum entry qualification for new ODP registrants from a Diploma of Higher Education to a full degree, bringing ODP training in line with most other HCPC-regulated professions. This doesn't affect anyone already registered under the previous diploma standard — existing ODPs keep their registration and aren't required to top up to a degree — but anyone starting ODP training from that point onwards needs to complete a degree-level programme to register.

ℹCheck the date on any older ODP careers advice you find

Because the degree requirement is recent, a fair amount of pre-2024 careers content online still describes the diploma route as current. If you're researching how to become an ODP rather than ongoing pay, check that any training-route guide you're reading reflects the post-September-2024 degree requirement rather than the older diploma standard.

What an ODP actually does

ODPs train and work across all three phases of perioperative care from the start of their career, rather than specialising into one from day one:

  • • Anaesthetics — preparing equipment, drugs and monitoring, and directly supporting the anaesthetist before, during and immediately after induction of anaesthesia.
  • • Surgery/scrub — working at the sterile field, passing instruments, managing the surgical swab and instrument count, and supporting the surgical team throughout the procedure.
  • • Post-anaesthesia care (recovery/PACU) — monitoring patients as they wake from anaesthesia, managing pain and airway safety, and confirming they're stable enough to leave recovery.
  • • Beyond the theatre — many ODPs' resuscitation and airway skills transfer into critical care outreach, resuscitation officer posts, simulation-based clinical education, and pre-operative assessment roles.

ODP vs theatre nurse: two professions, overlapping work

Because ODPs and theatre nurses rotate through the same three practice areas, work the same lists, and sit on the same Agenda for Change bands for equivalent posts, it's easy to assume they're the same job under two names. They aren't. Our theatre nurse and ODP pay guide covers both professions together with the full shared pay picture; here's the short version of what genuinely differs.

Operating Department Practitioner

HCPC-registered. Trains via a dedicated perioperative practice degree, built specifically around anaesthetics, surgery and recovery from day one — the same regulator as physiotherapists, radiographers and podiatrists, rather than nursing's regulator.

Theatre nurse

NMC-registered. Usually trains via a general (most commonly adult) nursing degree, then chooses to specialise into perioperative practice as a career decision after qualifying, rather than as a separate initial training route.

In practice, the two professions are deliberately used together in most theatre teams rather than as substitutes for each other — a scrub list is commonly staffed by a mix of ODPs and theatre nurses working side by side, with the professional registration mattering for revalidation and scope of practice rather than for who's allowed to do which task on a given list.

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Career ladder beyond Band 5

1

Rotate broadly across anaesthetics, surgery and recovery

early on — most Band 6 posts expect confident, broad experience across more than one phase of perioperative practice, not just a single area.

2

Specialise into a surgical specialty or practice area

(orthopaedics, cardiac, neurosurgery and similar for scrub roles; or a specific focus within anaesthetics or recovery) where a Band 6 post calls for it.

3

Pursue an extended-scope route if it suits your interests

Surgical Care Practitioner, Advanced Critical Care Practitioner, resuscitation officer or simulation education lead are all genuine Band 7 routes building on ODP training, each requiring accredited further study.

4

Move into theatre or service leadership

(team leader, deputy or full theatre manager) at Band 7, with a smaller number of Band 8a service management and advanced clinical practice posts beyond that.

Worked example: take-home pay across the ODP bands

Using the same 2026/27 Income Tax, National Insurance and NHS Pension Scheme rules that power our NHS Pay Calculator, here's what a full-time salary (pension included, no student loan) actually nets at each stage of the ODP ladder, outside any High Cost Area Supplement zone:

StageGross salaryNHS PensionIncome TaxNational InsuranceNet monthly
Band 5, point 1 (newly qualified)£32,073−£2,662−£3,368−£1,560≈£2,040
Band 6, point 1 (senior/specialist)£39,959−£3,916−£4,695−£2,191≈£2,430
Band 7, top (team leader/advanced practice)£56,515−£6,047−£7,619−£3,141≈£3,309

This is the basic salary only — it doesn't include any unsocial hours or on-call enhancements, which can add a meaningful amount for ODPs covering emergency and trauma theatres. Use the Unsocial Hours Calculator to see what an on-call rota adds on top of these figures.

Why you can trust these ODP pay figures

  • ✓ Every band and pay point cross-checked against the confirmed 2026/27 Agenda for Change pay circular.
  • ✓ The September 2024 HCPC degree entry requirement is stated with its actual effective date, and we're clear it doesn't retrospectively affect existing registrants.
  • ✓ ODP and theatre nurse are kept as the two distinct, separately regulated professions they are, rather than treated as interchangeable job titles.
  • ✓ No NHS, DHSC or Health and Care Professions Council affiliation — an independent, source-checked reference, not official guidance.

More on perioperative and AHP pay

Frequently asked questions

What does a newly qualified ODP earn? +
A newly qualified, HCPC-registered Operating Department Practitioner starts at Band 5, point 1 — £32,073 a year in England, Wales and Northern Ireland for 2026/27, the same entry point used across nursing and most other Allied Health Professional roles.
Do ODPs need a degree now, or is the diploma still accepted? +
Since September 2024, the Health and Care Professions Council (HCPC) has required a degree as the minimum entry qualification to register as an ODP, replacing the previous Diploma of Higher Education route. Practitioners who registered under the old diploma standard remain fully registered and don't need to top up to a degree retrospectively — the change affects new entrants to the profession from that date onwards, not existing registrants.
Is an ODP the same as a theatre nurse? +
No — they're two separate, separately regulated professions doing closely overlapping work. An ODP is registered with the HCPC and trains via a dedicated perioperative practice degree from day one. A theatre nurse is registered with the Nursing and Midwifery Council (NMC) and typically trains via a general nursing degree before specialising into theatres. See our dedicated theatre nurse and ODP pay comparison below for the fuller picture of where the two roles overlap and differ.
What's the difference between the three theatre practice areas for an ODP? +
Anaesthetics (preparing equipment and drugs, and directly supporting the anaesthetist before and during induction), surgery/scrub (working at the sterile field, passing instruments and managing the surgical count), and post-anaesthesia care/recovery (monitoring patients as they wake from anaesthesia until they're safe to leave recovery). ODPs are trained across all three areas from the outset and most rotate through them, especially earlier in their career, though some specialise into one area long-term.
Can ODPs work outside the operating theatre? +
Yes, and this is one of the more distinctive features of the profession compared with other perioperative roles. Experienced ODPs' resuscitation, airway management and acute care skills transfer into roles such as critical care outreach, resuscitation officer, simulation-based education lead, and pre-operative assessment — as well as the Surgical Care Practitioner and Advanced Critical Care Practitioner extended roles covered below. It's a genuinely broader skill set than 'theatre only' job titles suggest.
What is a Surgical Care Practitioner, and is it an ODP-specific role? +
A Surgical Care Practitioner (SCP) is an advanced practice role — usually Band 7, sometimes 8a — where an experienced perioperative practitioner takes on tasks traditionally done by a junior surgeon, such as wound closure, tissue handling and direct surgical assistance, after completing accredited further training. It isn't exclusive to ODPs; theatre nurses can train into the same role. It's simply one of the more common advanced routes ODPs specifically pursue, alongside Advanced Critical Care Practitioner and Anaesthesia Associate training.
Is Anaesthesia Associate the same job as an ODP? +
No — Anaesthesia Associate (AA) is a separate, distinct healthcare role from ODP, regulated by the General Medical Council rather than the HCPC, working under an anaesthetist's supervision to deliver anaesthesia care with a wider scope than standard perioperative practice. Some experienced ODPs (and some nurses) go on to complete the separate AA postgraduate training and register as Anaesthesia Associates, but it's a genuinely different registered profession and pay structure from ODP itself, not simply a senior ODP grade.
How quickly can an ODP reach Band 6 or 7? +
There's no fixed or guaranteed timeline. Band 6 senior/specialist ODP posts typically expect solid, broad experience across more than one theatre practice area, and Band 7 posts (team leadership, deputy theatre management, or an extended role like Surgical Care Practitioner) usually require either management experience or accredited further training on top of that. How long it realistically takes depends heavily on local vacancy timing and specialty demand, not a fixed number of years of service.
Do ODPs get unsocial hours and on-call pay? +
It depends on the unit. Elective (planned) theatre lists commonly run largely daytime, weekday hours. Units providing 24/7 or on-call cover for emergency and trauma surgery — and ODPs on an on-call rota for emergency theatres — attract standard Agenda for Change unsocial hours rates plus, in many units, a separate on-call allowance.
How does Scotland pay ODPs compared with England? +
The band structure is UK-wide, but the cash figures differ. NHS Scotland's 2026/27 Band 6 runs from £43,231 to £52,679, against £39,959 to £48,117 in England, Wales and Northern Ireland.

Free download: 2026/27 Agenda for Change pay scales

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