Updated April 2026 — 3.3% Pay Award Confirmed

Your NHS Take-Home Pay,
Calculated Correctly,
Any Month of the Year

Updated with the 3.3% pay award from April 2026. Choose your band, hours and region. See exactly what lands in your bank account after Tax, National Insurance, NHS Pension and Student Loans.

Cumulative PAYE
2026/27 Pension
All Tax Codes
Part-Time Support
Calculates: Income Tax • National Insurance • NHS Pension • Student Loans • London Weighting • Overtime • On-call • Unsocial Hours • Salary Sacrifice
6
Pension Tiers
3.3%
Pay Award
11
AfC Bands
4
UK Nations

NHS Pay Calculator 2026/27

Select your band, hours, region, and month to see your exact take-home pay.

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Month selector: HMRC works cumulatively. Select your actual month — your tax will match your payslip.
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Pension toggle: NHS pension is now 6 tiers from April 2026. Employer adds 23.7%. Toggle off to see your cost.
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London region: HCAS is pensionable — it raises both your deduction and your pension entitlement.
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Tax code: Test BR, D0, 0T, or K — your take-home adjusts instantly. Not all calculators do this.
📍 Detecting your region…
2026/27 · All UK Regions · Official Rates

NHS Take Home Pay Calculator

Exact monthly take-home after income tax, NI and pension. Region-specific rules: Scotland 36hrs FT, Scottish tax bands, HCAS London, HSC Northern Ireland. Auto-detects your location.

Income Tax Correct
Scotland 36hr FT
Scottish Tax 2026/27
HCAS London Caps
6 Pension Tiers
NI £1,048/mo PT
Auto Location
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AfC Pay Band — NHS Employers 2026/27
Select Your Band
Pay Step
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Hours & Region
Contracted Hours / Week 1.00 WTE
Full-time = 37.5 hrs/week · WTE calculated automatically
Select Region
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Tax Code & Tax Month
Tax Code
Scotland → S prefix · Wales → C prefix · BR/D0/D1/D2/D3/0T/NT/K all supported
Tax Month — Cumulative PAYE (April = 1, March = 12)
ℹ️Cumulative PAYE: for a stable monthly salary, tax is the same every month — this is correct HMRC behaviour. The month selector affects calculations when income varies (e.g. a bonus, overtime, or back pay paid only in one month). Select the month in which you receive the variable payment.
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NHS Pension — 2026/27 Six Tiers
NHS Pension Active Auto-calculated from pensionable pay
💜 Employer (23.7%)
Added on top of your deduction. Employer contribution is extra money into your pension.
England · Wales · Northern Ireland
Tier 1Up to £13,2595.2%
Tier 2£13,260–£28,8546.5%
Tier 3£28,855–£35,1558.3%
Tier 4 ⚠️£35,156–£52,7789.8%
Tier 5£52,779–£67,66810.7%
Tier 6£67,669+12.5%
Additional Pay
Unsocial Hours Enhancement Pensionable
%
On-Call Allowance / Month Not Pensionable
£
Overtime / Month Not Pensionable
£
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Deductions & Salary Sacrifice
Student Loan Plan
ℹ️2026/27 thresholds: Plan 1 £26,900/yr · Plan 2 £29,385/yr · Plan 4 £33,795/yr (Scotland SAAS). Postgrad: on gross before sacrifice.
Salary Sacrifice / Month (pre-tax)
£
AVC, buy leave, cycle to work, parking, season ticket
⚠️High sacrifice amounts may reduce your pay below the National Minimum Wage. Check with your employer before proceeding.
BIK Payrolling ON = PAYE on pre-sacrifice gross · NI & pension on post-sacrifice
Monthly Take-Home Pay
£0
Annual:
Full Breakdown
FTE Gross (annual)
Pro-Rata Annual
Basic Monthly
+ Unsocial (pensionable)£0
+ On-Call (not pensionable)£0
+ Overtime (not pensionable)£0
− Salary Sacrifice£0
Deductions
Income Tax
National Insurance
NHS Pension
Student Loan£0
Monthly Take-Home
Effective Deduction Rate
💜 Employer Pension (23.7%)
Confirmed NHSBSA 2026/27. On top of your deduction.
📊 Pensionable gross: /yr · Basic + HCAS + unsocial (all pensionable). On-call & overtime excluded.
Sources: NHS Employers (Feb 2026) · HMRC · mygov.scot (Apr 2026) · LITRG. NI PT=£1,048/mo. Payslips may differ ±£1–2 from payroll rounding.

What Is NHS Take-Home Pay?

Your NHS take-home pay is what reaches your bank account after all deductions. It starts with your Agenda for Change salary, based on your band and pay point. Then deductions come off.

The main deductions are income tax, National Insurance, and your NHS pension contribution. You may also have student loan repayments, London weighting adjustments, or salary sacrifice schemes such as cycle-to-work or additional pension contributions.

Unsocial hours, on-call, and overtime add to your gross pay. But not all additions are pensionable. Overtime and on-call are not pensionable for AfC staff, a detail many calculators miss.

Our calculator applies the correct 2026/27 rates, the new 6-tier pension structure, and cumulative PAYE accurately for any month of the tax year, not just April. The take-home figures reflect your net pension cost after income tax relief, which is what your pay actually reduces by each month, not the higher gross deduction figure shown on your payslip.

Pay Bands at a Glance

ⓘ Assumes 37.5 hrs/week · Tax code 1257L · No student loan · Pension ON · England (no London weighting). Take-home shown after pension income tax relief.
BandStarting Salary 2026/27Monthly GrossPension %Monthly Take-Home (est.)
Band 2£25,272£2,1066.5%£1,700
Band 3£25,760£2,1476.5%£1,727
Band 4£28,392£2,3666.5%£1,874
Band 5£32,073£2,6738.3%£2,040
Band 6£39,959£3,3309.8%£2,430
Band 7£49,387£4,1169.8%£2,934
Band 8a£57,528£4,79410.7%£3,353
Band 8b£66,582£5,54910.7%£3,742
Band 8c£79,504£6,62512.5%£4,226
Band 8d£94,356£7,86312.5%£4,851
Band 9£112,782£9,39912.5%£5,626

What Changed in 2026/27

The 2026/27 tax year brought several significant changes to NHS pay. If you used a calculator last year, here is what is different now.

Pay Award

3.3% Consolidated Pay Award

Confirmed for all Agenda for Change staff, backdated to 1 April 2026. Consolidated means it becomes part of your base salary, affecting future pension calculations and subsequent percentage awards.

Pension

Pension Restructured

From 1 April 2026, the contribution structure changed. If you are in Band 5, your rate increased from 7.0% to 8.3%. If you are in Band 6 mid or higher, your tier changed, but your rate stays at 9.8%. Many calculators still show the old 7-tier structure. Ours uses the correct 2026/27 rates.

Student Loan

Plan 2 Threshold Increased

The Plan 2 threshold increased from £27,295 to £29,385. If you are on Plan 2 and earning around Band 5 entry level, you may now pay significantly less each month, or nothing at all.

Maternity

Statutory Maternity Pay Increased

The SMP flat rate increased from £187.18 to £194.32 per week from 6 April 2026.

Sick Pay

SSP Now a Day-One Right

SSP increased from £118.75 to £123.25 per week. Under the Employment Rights Act 2025, SSP is now payable from day one of sickness. The three waiting days have been abolished.

London

London Weighting Caps Updated

Inner London maximum increased from £8,172 to £8,746. Outer London’s maximum increased from £5,941 to £6,137.

Use the calculator above to see exactly how these changes affect your take-home. For a full year-by-year comparison, see our Tax Year Comparison Page →

What You Actually Lose If You Opt Out of the NHS Pension

Opting out puts more money on your payslip each month. But you also lose your employer’s contribution. Here is what the trade-off looks like for typical bands.

Band What you gain/month (opting out) What your employer was contributing Net loss/month
Band 3+£112-£509-£397
Band 5+£177-£633-£456
Band 6+£261-£789-£528
Band 7+£323-£975-£652
The “what you gain” figure is your net pension cost after income tax relief. Your employer contributes 23.7% of your pensionable pay — one of the most generous employer pension contributions in the UK. Opting out costs you far more than you gain. Use the pension toggle above, or visit our NHS Pension Calculator

How This Calculator Is Different

Most NHS pay calculators miss things. Ours doesn’t.

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Cumulative PAYE

Most NHS pay calculators assume you’re still in April. In October, you’ve already used seven months of your personal allowance. Ignore that, and your tax figure will be wrong.

This calculator includes a month selector. Tell us which month you’re in, and we’ll apply the correct cumulative allowance. No other free NHS calculator does this.

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Pension Tiers (6)

The NHS pension changed on 1 April 2026.

We use the correct 2026/27 tiers (5.2% to 12.5%). Take-home figures show your net pension cost after income tax relief — what your pay actually reduces by, not the higher gross figure on your payslip.

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London Weighting

London weighting (HCAS) is pensionable. It is added to your basic pay before your pension contribution is calculated, increasing both your monthly deduction and your long-term pension entitlement.

We calculate it correctly, including the minimum and maximum caps for Inner London, Outer London, and the Fringe.

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Unsocial Hours and Salary Sacrifice

We let you set Saturday, Sunday, and night rates independently. And instead of one generic salary sacrifice box, we itemise AVC, cycle to work, buying extra leave, parking, and season ticket loans.

Example: A Band 5 nurse working two Saturday shifts (7.5h each) at 30% enhancement earns ~£74 extra gross. After deductions, ~£47 reaches their bank account.
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BIK Toggle and Tax Code Testing

Our BIK payrolling toggle is set to ON by default, matching how most trusts operate. And the tax code field? We test it. Change to BR, D0, 0T, or K and you’ll see your take-home adjust immediately.

Example: A Band 6 nurse adds £200/month salary sacrifice for cycle to work. With BIK ON, NI saves ~£16/month. True cost to take-home: £184, not £200.

Calculators for Every UK Nation

Your take-home depends on where in the UK you work. Each nation has different tax bands, pay scales, and rules.

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Scotland

Six income tax bands (Starter 19% to Top 48%). Tax code starts with S. Scotland received a higher 3.75% pay award for 2026/27.

Scotland Calculator →
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Wales

Wales has the same income tax rates as England for 2026/27. Welsh AfC pay scales are set separately by the Welsh Government. every band in Wales is higher than the equivalent England figure for 2026/27.

Wales Calculator →
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Northern Ireland

Health service runs as HSC. Income tax matches the rest of the UK. Pay circulars and implementation dates can sometimes lag behind.

NI Calculator →
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London

Your pay includes a High Cost Area Supplement. HCAS is pensionable — it increases both your monthly deduction and your long-term pension entitlement.

London Calculator →

More Than Just Take-Home Pay: Calculators for Every NHS Scenario

Doctor

NHS Doctor Take-Home Pay Calculator

BMA pay scales, less‑than‑full‑time hours, and IR35 toggle for locum work. Automatically prorates on-call payments if you work part-time.

Doctor Calculator →
Pay Rise

NHS Pay Rise Calculator

See your current pay versus your new pay side by side. Alerts you if your pension contribution rate changes after the raise.

Pay Rise Calculator →
Maternity

NHS Maternity Pay Calculator

Maps out all 52 weeks. Eight weeks full pay (including SMP), eighteen weeks half pay plus SMP, thirteen weeks SMP only. Calculates average weekly earnings the official government way.

Maternity Calculator →
Sick Pay

NHS Sick Pay Calculator

Works out your entitlement based on your total NHS service, not just your current trust. Applies the new SSP rate of £123.25 a week (payable from day one) once occupational pay runs out.

Sick Pay Calculator →
Back Pay

NHS Back Pay Calculator

Applies cumulative PAYE to the arrears, so you know exactly what you’ll actually receive when a backdated lump sum appears in your payslip.

Back Pay Calculator →
Pension

NHS Pension Calculator

Shows both sides: what you pay and what your trust pays (23.7%). Compares what you gain by opting out against what you lose in employer contributions.

NHS Pension Calculator →
Overtime

NHS Overtime Pay Calculator

Overtime is not pensionable for AfC staff. Shows your net take‑home per overtime hour and your effective hourly rate after deductions.

Overtime Calculator →

Part-Time Hours. Different Tax Years. Two Calculators.

NHS Part-Time Pay Calculator

Working less than full‑time? Enter your contracted hours, and we show you exactly what that means in pounds, including your whole time equivalent to two decimal places. So 22.5 hours becomes 0.60 WTE, and your pro rata gross salary is shown separately from the full-time equivalent figure.

NHS Part-Time Calculator →

NHS 2026/27 Tax Year Comparison Guide

The tax year runs from 6 April to 5 April, and rates change almost every year. Our 2026/27 Tax Year Calculator uses the confirmed 3.3% pay award from 1 April 2026 and includes a toggle so you can switch back to 2025/26 figures to see exactly how much more (or less) you’re taking home.

Tax Year Comparison →

Frequently Asked Questions

Everything you need to know about NHS take-home pay, pension, tax, and this calculator.

Around £2,040 a month if you’re at the entry point, working 37.5 hours a week, with a standard 1257L tax code, no student loan, and pension switched on. That figure is after pension income tax relief — the actual amount your pay reduces by, not the gross pension deduction. It changes if you work part-time, do unsocial hours, have a student loan, or live in London. Use the calculator above for your exact figure.

Yes. High Cost Area Supplements are pensionable. HCAS is added to your basic pay and the combined figure is used to calculate both your pension contribution tier and your monthly pension deduction. HCAS is also fully taxable and subject to National Insurance. The net take-home benefit is typically around 65–72% of the headline supplement, depending on your tax position.

HMRC doesn’t calculate your tax in isolation each month. They look at how much you’ve earned and how much personal allowance you’ve used so far in the tax year. In October (month 7), you’ve already used seven months of your £12,570 allowance. Most calculators ignore this and assume you’re in April, which is why their figures can be wrong mid-year. Use the month selector in the calculator above.

Confirmed at 3.3%, backdated to 1 April 2026. The award is consolidated — it becomes part of your base salary, which also affects future pension calculations.

Yes, overtime is taxed at your marginal rate. But overtime is not pensionable for Agenda for Change staff. There’s no pension deduction taken from overtime pay, but equally no pension accrual on those extra hours.

Scotland has six income tax bands, from Starter at 19% to Top at 48%. Our Scotland calculator uses the correct 2026/27 Scottish bands and pay scales. National Insurance is not devolved — we use the same UK-wide rates.

 

Wales has the same income tax rates as England for 2026/27. Welsh AfC pay scales are set separately by the Welsh Government under Pay Circular AfC(W) 02/2026,  every band in Wales is higher than the equivalent England figure for 2026/27.

 Pay Circular AfC(W) 02/2026 sets Welsh AfC salaries above England’s equivalent figures at every band entry point. Bands 2 and 3 are lifted to £26,300 by the Living Wage floor. For Bands 4–9, the Welsh circular applies the 3.3% uplift to a slightly different base than England, meaning Wales is ahead across the board. from £427 more at Band 4 to over £1,693 more at Band 9.

Eight weeks at full pay, followed by 18 weeks at half pay plus Statutory Maternity Pay (£194.32 per week for 2026/27), then 13 weeks of SMP only, then unpaid leave. The full pay already includes SMP — we don’t add it on top.

It depends on how long you’ve worked for the NHS. Someone in their first year gets one month full pay and two months half pay. Someone with five or more years gets six months full and six months half. We also include SSP (£123.25 a week for 2026/27, payable from day one under the Employment Rights Act 2025) once your occupational sick pay runs out.

The NHS pension moved from seven tiers to six from 1 April 2026. Rates start at 5.2% (up to £13,259 a year) and go up to 12.5% (above £67,669 a year). Your employer adds 23.7% on top of your contribution. The take-home figures in this calculator reflect your net pension cost after income tax relief.

Yes. Enter your contracted hours. We show your whole time equivalent to two decimal places, for example, 22.5 hours becomes 0.60 WTE, and your pro rata gross pay is shown separately from the full-time equivalent.

Three common reasons. First, your payslip shows the gross pension deduction — the full amount before tax relief. Our calculator shows net pension cost after relief, which is lower. Second, your payslip may include unsocial hours, overtime, or other variable pay not included in the calculator estimate. Third, your employer may have deducted arrears if a pay award was processed late. Use the month selector and add any variable pay in the calculator above for the closest match.

Updated April 2026  |  Verified against NHS Employers 2026/27 pay scales  |  Figures show net pension cost after income tax relief  |  Cumulative PAYE accurate for any month of the tax year