Free NHS take-home pay calculator for all NHS Bands 2–9 in England, Scotland, Wales and Northern Ireland (2026/27). Estimates net pay after NHS Pension, Income Tax, National Insurance, HCAS/London weighting, Section 2 unsocial hours, on-call, overtime, student loan, salary sacrifice and tax-code deductions. For nurses, AHPs, midwives, HCAs, ambulance and admin staff (full-time or part-time/WTE). Tools: Compare scenarios, Mortgage affordability, Payslip breakdown, AfC Scales, Share link, role presets and reverse take-home to gross.
Full methodology
UPDATED 2026/27
Includes the confirmed 3.3% Agenda for Change award effective 1 April 2026 plus separate NHS Scotland and NHS Wales 2026/27 scales — with 2026/27 NHS Pension tiers and 2026/27 HMRC thresholds for all four nations.
✨ QUICK NHS ROLE PRESETS
Click any role to auto-configure pay parameters
01
Core Parameters
Nation, Agenda for Change Band, Pay Point & Hours
Basic: £16.40 / hr
Range: £32,073 – £39,043
1.00 WTE (100%)
England & Wales only. Not applicable in Scotland or Northern Ireland.
Normal pension age: State Pension Age. Revalued CPI + 1.5% annually.
Pensionable pay up to
Employee rate
Extra pension contributions deducted before tax (payroll relief).
Tax Code & W1/M1 1257L▼
Student Loans Not active▼
Unsocial Hours Not active▼
Maximum 25% under Agenda for Change for ambulance staff.
On-Call Not active▼
Annex 29 caps the availability supplement at 9.5% of basic salary.
Home/workplace: paid at time-and-a-half.
Home/workplace: paid at double time.
Overtime & Back Pay Not activeNot activeNot active▼
Overtime periods
Bank / agency shifts can be priced at a different AfC band.
Mid-year promotion / band change
Back-pay lump sum (pay award)
Allowances Not active▼
Long-term RRP is pensionable.
Sacrifice & Expenses Not activeNot activeNot activeNot active▼
Salary sacrifice reduces gross before NI and pension. With payrolled BIK (default), Income Tax still uses notional pay before the sacrifice; NI uses reduced pay.
Expenses & mileage (tax-free reimbursements)
Many NHS trusts pay 28–32p per mile.
Tax relief via your tax code — not a cash refund.
Pay Breakdown & Take-Home
✓ Verified against official 2026/27 sources: NHS Employers pay circular, Welsh Gov AfC(W) 02/2026, NHS Scotland PCS(AFC)2026/1 and HMRC thresholds
PRECISION ENGINE 2026/27
ESTIMATED NET TAKE-HOME (ANNUAL)
£24,482.99 / yr
Equivalent to £2,040.25 per month after taxes & pension.
GROSS PAY (ANNUAL)£32,073.00
Effective Total Deductions Rate23.7%
Net (76%) Tax (11%) NI (5%) Pension (8%)
Component
Annual
Monthly
Your employer also pays £7,601 a year into your NHS pension (about 23.7% of pensionable pay).
VS UK FULL-TIME MEDIAN SALARY (£39,039)-17.8%
⇧
Band Pay Step Progression (True Net Calculated)
Step
Gross Salary
True Net / Month
REVERSE SALARY SOLVER
What salary do I need for my target take-home?
Calculating target gross salary...
Explore Every NHS Pay & Pension Calculator
Sixty free tools covering Agenda for Change pay, the NHS Pension Scheme, tax, leave, absence and leaving the NHS — updated for 2026/27. Start from a pillar hub, then drill into the cluster that matches your question.
How does the NHS Agenda for Change (AfC) pay scale work?
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The NHS Agenda for Change (AfC) pay system covers all NHS staff except doctors, dentists and very senior managers. It groups jobs into pay bands 2 to 9 based on job evaluation. Each band contains pay step points that staff progress through after completing the required years of service, typically 2 to 5 years. See the full Agenda for Change pay scales for 2026/27.
What is the confirmed NHS pay rise for 2026/27?
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The 2026/27 NHS pay award applies a confirmed 3.3% consolidated increase effective from 1 April 2026 across all Agenda for Change bands 2 to 9 in England, Wales and Northern Ireland. NHS Scotland negotiated a separate award. Read more on the 2026/27 NHS pay rise page.
How much will I take home as a Band 5 nurse in 2026/27?
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A Band 5 nurse on the 2026/27 entry salary of £32,073 takes home about £2,040 a month in England after NHS Pension at 8.3%, Income Tax at 20% and National Insurance. At the top of Band 5 (£39,043) monthly take-home rises to about £2,381 — a smaller increase than the gross rise alone suggests, because the higher salary crosses into the 9.8% pension tier. See the Band 5 salary breakdown.
How are NHS pension contributions calculated in 2026/27?
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NHS pension contributions use tiered rates from 5.2% to 12.5% based on actual annual pensionable earnings. Contributions are deducted from gross pay before Income Tax is calculated, giving immediate tax relief. Scotland uses separate SPPA tiers starting at 5.7% and Northern Ireland uses HSC tiers. See all 2026/27 contribution rates.
How does High Cost Area Supplement (HCAS / London Weighting) work?
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Staff in London and surrounding fringe areas receive High Cost Area Supplements: Inner London 20% of basic pay (minimum £5,794, maximum £8,746), Outer London 15% (minimum £4,870, maximum £6,137) and Fringe 5% (minimum £1,346, maximum £2,270). HCAS is both taxable and pensionable, so it can push you into a higher pension tier. Use the London weighting calculator.
How are unsocial hours enhancements calculated under Section 2?
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Under AfC Section 2 higher rates, weekday nights and Saturdays pay a 41% enhancement for Band 2, 35% for Band 3 and 30% for Bands 4 to 9. Sundays and public holidays pay 83% for Band 2, 69% for Band 3 and 60% for Bands 4 to 9. England staff who started on or after 1 July 2018 may be on Section 2 lower rates instead, which pay less on Sundays and public holidays. Model both with the unsocial hours calculator.
How does Scottish Income Tax differ for NHS staff in Scotland?
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NHS staff resident in Scotland pay Scottish Income Tax across six bands: starter 19%, basic 20%, intermediate 21%, higher 42%, advanced 45% and top 48%. NHS Scotland also uses separate SPPA pension contribution tiers, which start at 5.7% rather than 5.2%. See the Scottish NHS tax calculator.
Net monthly£2,040
Gross£2,673
Payslip-style preview
Earnings estimate
Payslip-style preview — not an official NHS document.
Pay Period: Monthly
Tax Year: 2026/27
Tax Code: 1257L
Employee GradeBand 5 - Entry level
Location / NationEngland
Payments
Deductions
Net Payable£2,040.25
Paid to nominated account
Compare two scenarios
Scenario A — your current selection
Scenario B
—
Both scenarios keep your other settings (nation, hours, HCAS, loans and deductions) so the comparison is like for like.
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Combined household gross
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Joint borrowing range (4.0x – 4.5x)
£—
Your salary alone (4.5x)£—
£—
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Agenda for Change pay scales 2026/27
Band / step
Annual basic
Cash figures from the 2026/27 Agenda for Change award. Wales has its own Agenda for Change scale under AfC(W) 02/2026.
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What Does This Calculator Show You?
This calculator shows your net monthly pay by applying your deductions to your NHS Agenda for Change salary — the figure that actually reaches your bank account, not the gross salary printed on your contract.
How to Use It in Three Steps
Select your AfC pay band and pay point. Choose Band 2 through Band 9, then pick entry, intermediate or top of band. The NHS Agenda for Change pay scales for 2026/27 take effect from 1 April 2026.
Set your nation and contracted hours. Choose England, Scotland, Wales or Northern Ireland, and enter your weekly contracted hours (37.5 for full-time). For London, select your HCAS zone: Fringe, Outer London or Inner London.
Read your monthly take-home. The calculator applies the correct 2026/27 NHS Pension tier, income tax thresholds and any London supplement automatically.
Why NHS Take Home Pay Differs from Other UK Salary Calculators
Generic UK salary calculators stop at income tax and National Insurance. NHS pay requires several additional calculations that generic tools do not handle.
Feature
Generic UK salary calculator
NHS Take Home Pay calculator
NHS Pension contribution tier
Flat percentage assumed
Correct 2026/27 tier applied by salary automatically
Spine point / pay point
Not applicable
All AfC pay points mapped to confirmed 2026/27 salary
Scottish income tax
England rates often applied
6-band Scottish system applied when Scotland is selected
HCAS London supplement
Ignored or manual entry only
Zone-specific percentage with minimum and maximum caps
Part-time pension tier shift
Not handled
Pension tier recalculates when hours fall below 37.5
Section 2 unsocial hours
Not handled
Higher and lower rates, band-specific enhancement
Annex 29 on-call
Not handled
Availability type, rota frequency and call-out pay
Multiple student loan plans
Single plan only
Undergraduate and postgraduate loans together
How Much Take Home Pay Will I Get on My NHS Band in 2026/27?
Your take-home pay is your gross salary minus Income Tax, National Insurance and NHS Pension contributions. A Band 5 nurse at the 2026/27 entry point of £32,073 takes home about £2,040 each month.
NHS Pay Scales 2026/27 — Every Band, Every Step, All Four Nations
The full Agenda for Change pay scales for 2026/27, with the hourly rate for each step (based on the NHS standard 37.5-hour week) and the estimated monthly take-home pay after NHS Pension, Income Tax and National Insurance. Take-home estimates assume full-time hours, tax code 1257L and the 2015 pension scheme. Switch nation to see the separate NHS Scotland scale (including Band 1) and NHS Wales scale.
NHS England pay scales 2026/27 with hourly rates and estimated monthly take-home
Band
Pay step
Annual salary
Hourly rate
Est. monthly take-home
Band 2
Entry level
£25,272
£12.92
£1,700
Band 3
Entry level
£25,760
£13.17
£1,727
Band 3
Top of band (2 yrs)
£27,476
£14.05
£1,823
Band 4
Entry level
£28,392
£14.52
£1,874
Band 4
Top of band (3 yrs)
£31,157
£15.93
£1,990
Band 5
Entry level
£32,073
£16.40
£2,040
Band 5
Intermediate (2 yrs)
£34,592
£17.69
£2,177
Band 5
Top of band (4 yrs)
£39,043
£19.97
£2,381
Band 6
Entry level
£39,959
£20.44
£2,430
Band 6
Intermediate (2 yrs)
£42,165
£21.56
£2,548
Band 6
Top of band (5 yrs)
£48,117
£24.61
£2,866
Band 7
Entry level
£49,387
£25.26
£2,934
Band 7
Intermediate (2 yrs)
£52,065
£26.63
£3,086
Band 7
Top of band (5 yrs)
£56,515
£28.90
£3,309
Band 8a
Entry level
£57,528
£29.42
£3,353
Band 8a
Top of band (5 yrs)
£64,750
£33.11
£3,663
Band 8b
Entry level
£66,582
£34.05
£3,742
Band 8b
Top of band (5 yrs)
£77,368
£39.57
£4,136
Band 8c
Entry level
£79,504
£40.66
£4,226
Band 8c
Top of band (5 yrs)
£91,200
£46.64
£4,718
Band 8d
Entry level
£94,356
£48.25
£4,851
Band 8d
Top of band (5 yrs)
£108,187
£55.33
£5,433
Band 9
Entry level
£112,782
£57.68
£5,626
Band 9
Top of band (5 yrs)
£129,484
£66.22
£6,107
NHS Scotland pay scales 2026/27 with hourly rates and estimated monthly take-home
Band
Pay step
Annual salary
Hourly rate
Est. monthly take-home
Band 1
Single point
£26,557
£13.58
£1,777
Band 2
Entry level
£26,696
£13.65
£1,785
Band 2
Top of band (2 yrs)
£28,988
£14.82
£1,901
Band 3
Entry level
£29,103
£14.88
£1,907
Band 3
Top of band (2 yrs)
£31,409
£16.06
£2,035
Band 4
Entry level
£31,537
£16.13
£2,042
Band 4
Top of band (3 yrs)
£34,303
£17.54
£2,154
Band 5
Entry level
£34,544
£17.67
£2,167
Band 5
Intermediate (2 yrs)
£36,911
£18.88
£2,294
Band 5
Top of band (4 yrs)
£43,039
£22.01
£2,570
Band 6
Entry level
£43,231
£22.11
£2,580
Band 6
Intermediate (2 yrs)
£45,135
£23.08
£2,680
Band 6
Top of band (5 yrs)
£52,679
£26.94
£3,007
Band 7
Entry level
£52,845
£27.03
£3,014
Band 7
Intermediate (2 yrs)
£54,863
£28.06
£3,087
Band 7
Top of band (5 yrs)
£61,466
£31.43
£3,358
Band 8a
Entry level
£65,125
£33.31
£3,508
Band 8a
Top of band (5 yrs)
£70,303
£35.95
£3,721
Band 8b
Entry level
£76,888
£39.32
£3,950
Band 8b
Top of band (5 yrs)
£82,251
£42.06
£4,167
Band 8c
Entry level
£90,808
£46.44
£4,504
Band 8c
Top of band (5 yrs)
£97,338
£49.78
£4,754
Band 8d
Entry level
£107,810
£55.14
£5,156
Band 8d
Top of band (5 yrs)
£112,426
£57.50
£5,333
Band 9
Entry level
£127,521
£65.22
£5,699
Band 9
Top of band (5 yrs)
£133,044
£68.04
£5,820
NHS Wales pay scales 2026/27 with hourly rates and estimated monthly take-home
Band
Pay step
Annual salary
Hourly rate
Est. monthly take-home
Band 2
Entry level
£26,300
£13.45
£1,757
Band 3
Entry level
£26,300
£13.45
£1,757
Band 3
Top of band (2 yrs)
£27,890
£14.26
£1,846
Band 4
Entry level
£28,819
£14.74
£1,898
Band 4
Top of band (3 yrs)
£31,626
£16.17
£2,016
Band 5
Entry level
£32,557
£16.65
£2,067
Band 5
Intermediate (2 yrs)
£35,114
£17.96
£2,206
Band 5
Top of band (4 yrs)
£39,631
£20.27
£2,412
Band 6
Entry level
£40,559
£20.74
£2,462
Band 6
Intermediate (2 yrs)
£42,805
£21.89
£2,582
Band 6
Top of band (5 yrs)
£48,841
£24.98
£2,905
Band 7
Entry level
£50,129
£25.64
£2,974
Band 7
Intermediate (2 yrs)
£52,712
£26.96
£3,124
Band 7
Top of band (5 yrs)
£57,365
£29.34
£3,346
Band 8a
Entry level
£58,379
£29.86
£3,389
Band 8a
Intermediate (2 yrs)
£61,317
£31.36
£3,515
Band 8a
Top of band (5 yrs)
£65,723
£33.61
£3,705
Band 8b
Entry level
£67,583
£34.56
£3,785
Band 8b
Intermediate (2 yrs)
£71,952
£36.80
£3,908
Band 8b
Top of band (5 yrs)
£78,530
£40.16
£4,185
Band 8c
Entry level
£80,698
£41.27
£4,276
Band 8c
Intermediate (2 yrs)
£85,611
£43.78
£4,483
Band 8c
Top of band (5 yrs)
£92,984
£47.55
£4,793
Band 8d
Entry level
£95,773
£48.98
£4,910
Band 8d
Intermediate (2 yrs)
£101,643
£51.98
£5,157
Band 8d
Top of band (5 yrs)
£110,448
£56.48
£5,528
Band 9
Entry level
£114,475
£58.54
£5,695
Band 9
Intermediate (2 yrs)
£121,377
£62.07
£5,884
Band 9
Top of band (5 yrs)
£131,732
£67.37
£6,169
NHS Northern Ireland pay scales 2026/27 with hourly rates and estimated monthly take-home
Band
Pay step
Annual salary
Hourly rate
Est. monthly take-home
Band 2
Entry level
£25,272
£12.92
£1,697
Band 3
Entry level
£25,760
£13.17
£1,724
Band 3
Top of band (2 yrs)
£27,476
£14.05
£1,786
Band 4
Entry level
£28,392
£14.52
£1,836
Band 4
Top of band (3 yrs)
£31,157
£15.93
£1,986
Band 5
Entry level
£32,073
£16.40
£2,036
Band 5
Intermediate (2 yrs)
£34,592
£17.69
£2,138
Band 5
Top of band (4 yrs)
£39,043
£19.97
£2,376
Band 6
Entry level
£39,959
£20.44
£2,424
Band 6
Intermediate (2 yrs)
£42,165
£21.56
£2,542
Band 6
Top of band (5 yrs)
£48,117
£24.61
£2,860
Band 7
Entry level
£49,387
£25.26
£2,927
Band 7
Intermediate (2 yrs)
£52,065
£26.63
£3,048
Band 7
Top of band (5 yrs)
£56,515
£28.90
£3,303
Band 8a
Entry level
£57,528
£29.42
£3,347
Band 8a
Top of band (5 yrs)
£64,750
£33.11
£3,598
Band 8b
Entry level
£66,582
£34.05
£3,675
Band 8b
Top of band (5 yrs)
£77,368
£39.57
£4,128
Band 8c
Entry level
£79,504
£40.66
£4,218
Band 8c
Top of band (5 yrs)
£91,200
£46.64
£4,709
Band 8d
Entry level
£94,356
£48.25
£4,841
Band 8d
Top of band (5 yrs)
£108,187
£55.33
£5,422
Band 9
Entry level
£112,782
£57.68
£5,615
Band 9
Top of band (5 yrs)
£129,484
£66.22
£6,099
Each band has pay step points. You move up one step after the required years of service until you reach the top of the band. Hourly rates divide annual salary by 1,955.36 hours (37.5 hours × 52.143 weeks), the NHS standard divisor.
What Deductions Come off My NHS Pay, and in What Order?
Three deductions come off your NHS pay: NHS Pension contribution, Income Tax (PAYE) and National Insurance, plus student loan repayments if applicable. They apply in a specific sequence, and that sequence matters, because each deduction reduces the base on which the next is calculated.
NHS Pension is deducted first, before Income Tax is calculated. This means your taxable income is your gross salary minus your pension contribution, not the full gross figure. For a Band 5 nurse on £32,073, the pension contribution of £2,662 a year reduces taxable income from £32,073 to £29,411. Income tax is then calculated on the lower figure, which is why the pension costs you less in real terms than its headline percentage suggests.
Deduction Breakdown — Band 5 on £32,073
Component
Annual
Monthly
Gross salary
£32,073.00
£2,672.75
NHS Pension (8.3%)
−£2,662.06
−£221.84
Income Tax (PAYE, 20% basic)
−£3,368.19
−£280.68
National Insurance (8% main rate)
−£1,560.24
−£130.02
Total deductions
−£7,590.49
−£632.54
Net take-home pay
£24,482.51
£2,040.21
The effective deduction rate on this example is 23.7%. Higher bands pay 40% Income Tax on the slice above £50,270, which raises the rate.
Income Tax uses the UK Personal Allowance of £12,570 and bands of 20%, 40% and 45% for England, Wales and Northern Ireland. National Insurance takes 8% on earnings between £12,570 and £50,270, then 2% above. The NHS Pension contribution is a tiered percentage of pensionable pay, not a flat rate.
What Tax Code Does the Calculator Use?
The calculator defaults to tax code 1257L, the standard code for a single job with a full personal allowance of £12,570. Most NHS employees on one substantive post will have this code.
Three NHS-specific situations produce a non-standard code:
Bank staff or staff with a second NHS job are placed on a BR code for the second role, meaning no personal allowance is applied to that income.
Staff with benefits in kind, such as a lease car through salary sacrifice, may receive a K code that reduces the effective tax-free amount.
New starters joining mid-year sometimes receive an emergency W1 or M1 code until payroll receives the P45 from the previous employer.
If your payslip shows any code other than 1257L, enter your actual code in the calculator before comparing the result to your payslip. Using 1257L when your code is BR, common for NHS bank staff, overstates monthly take-home significantly.
How Does the 3.3% NHS Pay Rise Change My Take Home Pay in 2026/27?
The 2026/27 Agenda for Change pay rise is a confirmed 3.3% consolidated increase effective from 1 April 2026, so your monthly take-home rises by a small fixed amount at each band. A consolidated rise becomes permanent base pay and feeds future pension and increments.
Band
2025/26 salary
2026/27 salary
Old take-home
New take-home
Gain per month
Band 2
£24,465
£25,272
£1,655
£1,700
+£45
Band 5
£31,049
£32,073
£1,984
£2,040
+£56
Band 6
£38,682
£39,959
£2,362
£2,430
+£68
Band 7
£47,810
£49,387
£2,850
£2,934
+£84
The 3.3% rise also moves some staff into a higher pension contribution tier, which can trim part of the gain.
How Does the NHS Pension Contribution Affect My Take Home Pay?
The NHS Pension Scheme 2015 (CARE) contribution is a tiered percentage of pensionable pay — basic pay plus HCAS and on-call. Your employer also contributes about 23.7% of your pensionable pay on top of your own contribution.
Why Did My Pension Percentage Jump After the Rise or HCAS?
Your pension percentage jumps when a pay rise or HCAS pushes your pensionable pay across a tier boundary — for example from 8.3% to 9.8% above £35,156. The contribution rate is set by total pensionable pay each pay period, so a one-off boost such as HCAS or on-call can move you up a tier even before your base salary does.
Is the NHS Pension Worth Keeping in 2026/27?
For most NHS staff, keeping the NHS Pension is the financially stronger choice. The employer contribution rate is approximately 23.7% of pensionable pay. That figure never appears on your payslip, but it is paid into the scheme on top of your own contribution. If you opt out, you gain your own employee contribution back as extra take-home pay, but you permanently lose the employer contribution.
Band
Monthly gain from opting out
Monthly employer contribution lost
Net monthly loss
Band 3
+£140
−£509
−£369
Band 5
+£222
−£633
−£412
Band 6
+£326
−£789
−£463
Band 7
+£403
−£975
−£572
Karen Beckett, Head of Payroll and an NHS Pension Board member, notes that opting out of the 2015 CARE scheme to gain take-home is almost always a false economy: at Bands 5 to 7 you forfeit roughly £400 to £570 a month of employer contribution for only £140 to £400 extra in hand. The NHS Pension Scheme is an unfunded defined benefit arrangement backed by central government, and no private scheme carries equivalent guarantees at comparable cost.
You can also pay Additional Voluntary Contributions through the salary sacrifice section. AVCs are deducted before tax and National Insurance, reducing taxable pay. Unlike regular pension contributions, AVCs do not count toward NHS Pension Scheme accrual — they build a separate pot rather than adding to your CARE pension.
How Do London Weighting (HCAS) and Scotland Change My Take Home Pay?
HCAS and Scottish tax rules change your take-home even when your AfC salary is identical, because HCAS adds taxable and pensionable pay while Scotland uses its own tax bands and its own AfC pay scales.
NHS Take-Home Across the UK — Band 5 Top of Band (£39,043 Gross)
Nation
Monthly take-home
Income Tax
National Insurance
Pension
England
£2,380.80
£377.45
£176.49
£318.85
Scotland
£2,423.21
£370.82
£176.49
£283.06
Wales
£2,380.80
£377.45
£176.49
£318.85
Northern Ireland
£2,375.59
£376.15
£176.49
£325.36
Scotland pays slightly more take-home at this band because its pension tier starts higher, even though Scottish Income Tax has more bands. Scotland also negotiated its own separate pay award.
HCAS Rates by Zone (2026/27)
Zone
Rate
Minimum
Maximum
Monthly boost
Inner London
20%
£5,794
£8,746
up to £729
Outer London
15%
£4,870
£6,137
up to £512
Fringe
5%
£1,346
£2,270
up to £189
Source: NHS Employers, HCAS 2026/27 rates. Staff outside London receive no HCAS. Because HCAS is pensionable, a large Inner London supplement can push you into a higher pension tier.
How Do Unsocial Hours, Overtime, Salary Sacrifice and Part-Time Hours Change My Pay?
Unsocial hours enhancements for 2026/27: Bands 4 to 9 receive 30% for weekday nights and Saturdays and 60% for Sundays and bank holidays; Bands 1 to 3 receive 41% and 83%. A Band 5 working two Saturdays and two Sundays a month can add several hundred pounds of take-home. England staff who started on or after 1 July 2018 may be on Section 2 lower rates, which reduce the Sunday and public holiday enhancement.
Salary sacrifice schemes such as Cycle to Work and lease cars reduce your taxable pay, lowering Income Tax and National Insurance. Part-time staff use a fraction of full-time hours, expressed as whole time equivalent: 30 hours of a 37.5-hour week is 0.8 WTE, and the calculator pro-rates pay automatically.
Formula: pro-rata annual salary = (contracted hours ÷ 37.5) × full-time AfC band salary.
Contracted hours
WTE
Pro-rata salary (Band 5 entry)
Monthly take-home
Pension tier
37.5
1.0
£32,073
about £2,040
8.3%
30.0
0.8
£25,658
about £1,722
6.5%
22.5
0.6
£19,244
about £1,365
6.5%
18.75
0.5
£16,036
about £1,186
6.5%
Working fewer hours can move you into a lower pension tier, so the take-home reduction from full-time to part-time is often smaller than the gross salary reduction alone suggests.
Salary sacrifice also reduces pensionable pay. A high earner near the £100,000 cliff can inadvertently drop a pension tier by electing a large sacrifice, so model it before you commit. NHS staff who wear a uniform and wash it themselves can claim a flat-rate HMRC tax relief of £125 per year, or £185 for ambulance staff, applied through the tax code.
On-call pay under Annex 29 pays a frequency allowance on basic salary. The 2026/27 rates are 9.5% for one in three weeks or more frequent, 4.5% for one in three to one in six, 3.0% for one in six to one in nine and 2.0% for one in nine to one in twelve. Work actually done on call is paid at time and a half, or double time on a public holiday.
How Do Student Loan Repayments and My Pension Tier Apply to Me?
Why Might My Take-Home Differ from My Payslip, and What Is the £100k Tax Trap?
Your calculator figure may differ from a single payslip because HCAS or on-call can land in a different pay period, or because your tax code is non-standard. Karen Beckett notes the most common reason a mid-month take-home check looks light is HCAS or on-call landing in a different period to basic pay: the annualised calculator figure is correct, the single payslip is not representative.
Above £100,000 the £12,570 Personal Allowance tapers by £1 for every £2 earned, disappearing at £125,140. Combined with 40% Income Tax and 2% National Insurance this creates an effective 60% marginal rate. Band 8d and Band 9 staff and high HCAS earners are most exposed.
Five Common Reasons Your Figure Differs from Your Payslip
HCAS paid in a later period
A non-standard tax code
Student loan Plan 4 (Scotland) or a postgraduate loan
Salary sacrifice lowering pensionable pay
Overtime or bank shifts paid in a different month
How Does My NHS Band Compare to the Next Band Up?
Moving from one band to the next does not always add a large take-home step. On the 2026/27 England scale, Band 5 entry (£2,040) to Band 6 entry (£2,430) is only about £390 a month after tax and pension, because Band 6 starts in a higher pension tier. Band 6 top is about £2,866 and Band 7 entry about £2,934.
Band
Salary range 2026/27
Monthly take-home range
Band 2
£25,272
£1,700
Band 3
£25,760 to £27,476
£1,727 to £1,823
Band 4
£28,392 to £31,157
£1,874 to £1,990
Band 5
£32,073 to £39,043
£2,040 to £2,381
Band 6
£39,959 to £48,117
£2,430 to £2,866
Band 7
£49,387 to £56,515
£2,934 to £3,309
Band 8a
£57,528 to £64,750
£3,353 to £3,663
Band 8b
£66,582 to £77,368
£3,742 to £4,136
A Band 5 at the top of the band (£39,043) takes home about £2,381 a month, while a Band 6 at entry (£39,959) takes home about £2,430 — only around £49 a month apart despite the promotion, because Band 6 starts at a higher 9.8% pension tier that absorbs much of the gross gain. A Band 6 at the top (£48,117) reaches about £2,866 and a Band 7 at entry (£49,387) about £2,934, again a narrow gap of roughly £68 a month at the crossover.
NHS Salaries by Role in 2026/27 — Nurse, Midwife, Paramedic and More
Most clinical roles map to a predictable Agenda for Change band, so you can estimate any NHS salary from the band tables above. The figures below use the 2026/27 England scale with take-home estimated at the entry step (full time, tax code 1257L, 2015 pension).
Role
Typical band
2026/27 salary range
Est. monthly take-home (entry)
Healthcare assistant (HCA)
Band 2–3
£25,272 – £27,476
£1,700
Senior HCA / nursing associate
Band 3–4
£25,760 – £31,157
£1,727
Newly qualified staff nurse
Band 5
£32,073 – £39,043
£2,040
Paramedic (newly qualified)
Band 5, then 6
£32,073 – £48,117
£2,040
Midwife (qualified)
Band 5–6
£32,073 – £48,117
£2,040
Senior / specialist nurse
Band 6
£39,959 – £48,117
£2,430
Ward manager / advanced practitioner
Band 7
£49,387 – £56,515
£2,934
Matron / nurse consultant
Band 8a–8c
£57,528 – £91,200
£3,353
Nurse Salary in the UK (2026/27)
A newly qualified NHS nurse starts at Band 5 on £32,073, taking home about £2,040 a month in England. A Band 6 nurse — senior staff nurse, community nurse or specialist nurse — earns £39,959 to £48,117, taking home roughly £2,430 to £2,830 a month. Nurses in Scotland are paid on the separate NHS Scotland scale, where Band 5 starts higher at £34,544 but Scottish Income Tax and SPPA pension tiers apply — switch the calculator to Scotland to compare like for like. See the Band 5, Band 6 and Band 7 breakdowns.
Midwife Salary
Qualified midwives start at Band 5 and typically move to Band 6 after preceptorship, earning £39,959 to £48,117 in England for 2026/27. Delivery suite coordinators and specialist midwives are usually Band 7. Because midwifery involves substantial night and weekend working, Section 2 unsocial hours enhancements often add 10–25% to gross pay — use the unsocial hours section of the calculator above to model your own rota.
Paramedic Salary
Newly qualified paramedics start at Band 5 and progress to Band 6 after completing the NQP consolidation period (usually two years). Ambulance staff may also receive Annex E prospective percentage payments of up to 25% for unsocial hours — both are built into this calculator. Specialist and advanced paramedics sit at Band 6–7.
Doctors and Dentists
Doctors are not paid on Agenda for Change. See the separate junior doctor, consultant and GP salary calculators.
Who Built This Calculator
This calculator is reviewed by Karen Beckett BA (Hons) ChFCIPP, an employer representative on the NHS Pensions Board appointed in 2024, with nearly 40 years of experience in payroll, pensions and reward across the private and public sectors, predominantly in the NHS.
Karen is Head of Payroll and Benefits at Dorset HealthCare University NHS Foundation Trust, where she leads a team of payroll, pensions and reward professionals processing pay for NHS staff every month. She has overseen many changes to the NHS pension scheme at trust level including choice exercises, the introduction of the 1995, 2008 and 2015 schemes, changes to part-time rules, McCloud and partial retirement. Karen became one of the first 15 chartered members of the Chartered Institute of Payroll Professionals, holds ChFCIPP Chartered Fellow status, the CIPP Certificate in Pensions Administration and a 2:1 BA (Hons) in Applied Business and Management, and has been included in the Reward Strategy Reward 300 listing for the last five years.
She sits on the CIPP technical panel and is a speaker at the Reward and Payroll Summit 2026. Her review ensures that every pension tier boundary, AfC pay point and deduction sequence reflects real NHS payroll processing rather than simplified approximations.
This calculator is reviewed each April when NHS Employers publishes the new AfC pay circular and HMRC confirms the new tax year thresholds, so the first payslip of the new financial year can be verified immediately. It is an estimate for planning and budgeting; results may differ from your actual payslip due to non-standard tax codes, mid-year changes, salary sacrifice arrangements or trust-specific deductions. Always verify against your official payslip, and for complex tax positions contact your NHS payroll department or a qualified payroll professional.
Head of Payroll & Benefits • NHS Pension Board Member • 40+ Years Experience
Head of Payroll & Benefits at Dorset HealthCare University NHS Foundation Trust and NHS Pension Board Member. Chartered Fellow of the CIPP (ChFCIPP) with 40+ years experience. LinkedIn →