Clinical Nurse Manager/ Nurse Lead – A nurse who is responsible for an entire directorate/department (i.e. Surgical, Medical Diagnostic & Imaging etc.) or at least more than one ward, is often referred to as a clinical nurse manager. Depending on both the inclination of the NHS Trust and themselves, they may be more or less involved in actual clinical nursing or management on a clinical level. These nurses attract band 8a (or occasionally 8b/8c) under Agenda for Change.