With the way the pay increments work now. I'm a band 7 clinical practitioner and a band 8a has just come up that my manager is encouraging me to apply for. I'm not certain it's the right move for me so I'm weighing the pros and cons and the thing that's really bugging me is it's barely a change in pay for at least 5 years. I'm already at the top of band 7 so for all that extra responsibility I'd get just over £1000 more a year which obviously does not equate to very much at all day to day but then that's it! For 5 years! And yes after 5 years it could be a nice rise (that stops there) but I really don't think it's fair to give all that extra responsibility immediately that's only really compensated 5 years later. It only really makes a promotion feel like a promotion if you were not already at the top of your band.