NHS Pay Calculator 2026/2027 for England & Scotland

Get instant insights into your NHS earnings with our cutting edge tool. Perfect for exploring salary across all bands

NHS Take Home Pay Calculator

🆕 2026/27 Pay Rates Now Available!
England: 3.3% pay rise confirmed | Scotland: 3.75% pay rise confirmed
Effective from 1 April 2026 – First on-time payment in years!

Estimate your Healthcare Assistant Pay or other NHS salaries with our Agenda for Change Pay tool for England and Scotland.

Calculate Your NHS Pay

High Cost Area Supplement applies to England only.
Hourly Pay is calculated from a 37.5-hour standard week, set by Agenda for Change in 2004. Weekly pay adjusts based on hours entered.

Before 2004, the standard working week for NHS staff under the Agenda for Change agreement was 39 hours. This was the norm prior to the introduction of the Agenda for Change pay system. It was implemented on December 1, 2004, and reduced the standard working week to 37.5 hours to align with broader public sector reforms and improve work-life balance for NHS employees.

Gross Pay

Annual Salary: £0
Monthly Gross: £0.00
Hourly Rate: £0.00

NHS Take Home Pay

Annual Net: £0
Monthly Net: £0.00
Hourly Net: £0.00

Deductions (Monthly)

Income Tax: £0.00
National Insurance: £0.00
Pension: £0.00
Student Loan: £0.00

Pay Breakdown

Nation-Specific Information

NHS Pay Bands 2026/27 for England are based on Agenda for Change with a 3.3% pay rise.

NHS Pay Bands 2–9 for 2026/27

Updated for the 2026/27 NHS Pay Rise, confirmed February 12, 2026, for England (3.3%) and Scotland’s two-year deal (3.75%).

  • Band 2 (NHS Band 2 Pay): Healthcare Assistant Pay for HCAs, domestic staff (£25,272 England).
  • Band 3: Clinical support workers, HCAs with vital signs roles (£25,760–£27,476 England).
  • Band 4: Administrative staff, assistant practitioners (£28,218–£31,196 England).
  • Band 5: Newly qualified nurses, allied health professionals (£32,072–£39,041 England).
  • Band 6: Specialist nurses, paramedics (£39,958–£48,117 England).
  • Band 7: Advanced practitioners, ward managers (£49,247–£55,653 England).
  • Band 8a–9: Senior managers, consultants (£57,527–£129,783 England).

Our NHS Pay Calculator estimates Healthcare Assistant Pay, NHS Take Home Pay, and NHS London Weighting for 2024/25, 2025/26 and 2026/27. Results may vary, learn more about Pay Bands.

How to Use NHS Pay Calculator

Follow these simple steps to get your NHS pay breakdown.

Choose which UK nation you work in: England or Scotland. Each nation has different NHS pay scales.

Select the NHS pay year (e.g. 2024/25)

Select your current NHS role and pay band (e.g. Pay Band 5 or Pay Band 6) from the drop down. This helps the calculator to get results for your specific position.

Select your Experience level or Spine Point (e.g. 2nd year). Use the hover tips or check the official NHS Agenda for Change documents.

Enter your weekly contracted hours.For full time staff this is usually 37.5 hours per week, but part time workers should adjust accordingly.

This applies HCAS (e.g. 5%-20% to base salary) for NHS staff in and around London, entitled to receive additional pay. Check your payslip or ask HR.

Our Commitments to You

  • Easy to Use
  • Accurate and Updated for 2026/27
  • Sourced from Official NHS Data
  • Accurate Salary Estimates
  • Accurate Calculation including Overtime and Unsocial Hours Pay
  • Informed Financial Planning
  • Transparency and Fairness
  • Career Progression Insights
  • Pension and Tax Deduction Visibility
  • Quick Comparison between different Roles and Pay Bands
  • Customisable Inputs
  • Understanding Deductions
  • Time Saving tool
  • Regularly Updated Pay Info

Regional Pay Variations & HCAS

UK NHS pay region map 2025 with Inner London, Outer London, and Fringe areas

How NHS pay differs across regions in 2026/27, from Inner London’s +20% HCAS to Scotland’s 3.75% boost. Explore ‘NHS regional pay differences 2026/27’ with our tool!

Latest NHS Pay Updates for England & Scotland

Let’s Breakdown NHS Pay so You can Plan What’s Next

Get a detailed NHS pay breakdown by band and region, from Band 2 to Band 9. Perfect for “NHS Band 5 salary” and “NHS Band 6 salary” for 2025/26 across UK regions!

NHS Quick Band Comparison

Annual Salary Band 3
£25,760 → £27,476
Annual Salary Band 4
£28,218 → £31,196
Monthly Take‑Home Pay
Band 3: ~£1,810 → £1,920
Band 4: ~£1,960 → £2,140
Typical Roles
Band 3: HCA, Clinical Support Worker
Band 4: Assistant Practitioner, Admin Lead
Next Step
Band 3 → NVQ Level 3 / Apprenticeship
Band 4 → Band 5 via diploma or degree
With support from development frameworks and apprenticeships, Band 3 staff can move into Band 4 roles requiring more autonomy and clinical documentation.
Annual Salary Band 4
£28,218 → £31,196
Annual Salary Band 5
£32,072 → £39,041
Monthly Take‑Home Pay
Band 4: ~£1,960 → £2,140
Band 5: ~£2,120 → £2,530
Typical Roles
Band 4: Assistant Practitioner, Admin Lead
Band 5: Registered Nurse, Radiographer, OT
Next Step
Band 4 → Degree qualification
Band 5 → Specialist training or Band 6 pathway
Band 5 is the first level for most registered healthcare professionals, often requiring a full nursing or allied health degree.
Annual Salary Band 5
£32,072 → £39,041
Annual Salary Band 6
£39,958 → £48,117
Monthly Take‑Home Pay
Band 5: ~£2,120 → £2,530
Band 6: ~£2,580 → £3,050
Typical Roles
Band 5: Nurse, Physiotherapist, Radiographer
Band 6: Specialist Nurse, Senior AHP, Paramedic
Next Step
Band 5 → Advanced clinical training
Band 6 → Band 7 leadership or education role
Band 6 professionals usually have additional clinical responsibilities, may mentor juniors, and often act as shift leaders.
Annual Salary Band 6
£39,958 → £48,117
Annual Salary Band 7
£49,247 → £55,653
Monthly Take‑Home Pay
Band 6: ~£2,580 → £3,050
Band 7: ~£3,150 → £3,550
Typical Roles
Band 6: Specialist Nurse, Clinical Educator
Band 7: Ward Manager, Advanced Practitioner
Next Step
Band 6 → Leadership, MSc, education roles
Band 7 → Band 8a or Consultant-level pathway
Band 7 roles involve senior-level decision making, staff supervision, and often lead specialist services or small teams.

Why Trust Our Pay Bands Tool with your NHS Journey?

Hopeful & Empowering Version

At PayBandsTool, we believe every healthcare worker deserves clarity, fairness and confidence when it comes to their pay. We have built a tool grounded in official NHS data to give you accurate, up to date salary insights tailored to your role, experience and region. Whether you’re just starting out or planning your next step, we’re here to support your journey with transparency, simplicity and hope for a more informed financial future

Work Out Your NHS Wages Today!

Whether you are planning your future, comparing job offers or simply curious.Take control of your finances with our free NHS pay calculator. Get instant insights into your take home pay across all bands and regions, including the latest updates. Check Calculator now!

Frequently Asked Queries

NHS pay in 2026/27 is calculated based on your pay band (e.g., Band 2 to Band 9), region and High-Cost Area Supplements (HCAS) where applicable. For 2026/27, England offers a 3.3% pay rise, while Scotland provides 3.75%, adjusted for experience and hours. Use our calculator to input your details for an accurate estimate

Our calculator covers NHS pay bands from Band 2 (support workers) to Band 9 (senior managers), reflecting 2026 salary scales for England and Scotland regions. Enter your band to see your tailored pay breakdown!

Our calculator uses the latest 2026 NHS pay data, including regional variations and HCAS, sourced from official guidelines. While highly accurate, individual circumstances (e.g., overtime) may vary, consult HR for final figures.

Yes, the calculator allows you to select if you work in a High Cost Area, such as London, and automatically includes London weighting or HCAS based on the latest NHS pay circulars.

Yes, our calculator estimates take-home pay by factoring in 2026/27 UK tax rates, National Insurance, and pension contributions based on your band and region. Input your details for a clear net pay figure!

Pay data is updated quarterly, with the latest reflecting the 2026/27 NHS pay award (e.g., 3.3% England, 3.75% Scotland). Check back regularly or subscribe for NHS pay update notifications.

Absolutely. You can input your exact number of hours per week, and the calculator will scale your pay accordingly, including deductions and pension contributions.

There are fields to add overtime hours, night shifts or weekend enhancements. The calculator applies NHS Agenda for Change rules to estimate your enhanced pay accurately.

Use the calculator to compare both bands side by side. Input your years of experience to see incremental pay differences and how it impacts your take-home pay after deductions.

Yes. You can specify whether you have a Plan 1, 2, or 4 student loan, and the calculator will automatically estimate the repayment based on your income.

Your take-home pay is reduced by deductions such as Income Tax, National Insurance, NHS Pension contributions, and possibly student loan repayments. The calculator shows your net pay after these deductions, giving you a more realistic view than just your gross salary.

The NHS Pension Scheme uses a tiered contribution system based on your salary. Higher earners contribute a larger percentage. The calculator shows this automatically based on your band and hours worked.

Yes. It is based on official NHS pay data, does not collect personal data and uses up to date tax and pension rules to give a close estimate. For exact figures, your employer’s payroll will have the final say.