The 2026/27 NHS pay award was confirmed at 3.3%, consolidated, and backdated to 1 April 2026. Updated 12 February 2026.
Updated April 2026 — 3.3% Confirmed · All AfC Bands · All Regions
NHS Pay Rise Calculator: See Your
New Take-Home Pay (2026/27)

The 2026/27 NHS pay award is confirmed at 3.3%, effective from 1 April 2026. Enter your current band and see what you’ll actually take home after tax, national insurance, and pension. The calculator shows your net monthly gain and alerts you if your pension contribution rate changes.

Before and after comparison side by side
Pension tier change alert: see if your rate increases
Cumulative PAYE: accurate in April or October
Works for all AfC bands and regions
Includes student loan, London weighting, part-time hours
Calculates: income tax and national insurance · NHS Pension (6 tiers) · Student loan (multiple plans supported simultaneously) · London weighting (HCAS, pensionable) · Part-time pro-rata · Pension tier change alert
3.3%
Confirmed Award
1 Apr
Effective Date
Bands 2–9
All AfC Staff
4 Nations
All Regions
NHS Pay Rise Calculator 2026/27

Select your current band and new band to see your exact take-home gain after tax, NI, and pension. Pension tier change alerts included.

Net gain shown: Your monthly gain already accounts for tax, NI, and any pension tier increase — no manual calculation needed.
💰
Pension alert: If your new salary crosses a pension tier boundary, the calculator alerts you and shows the exact £ reduction to your net gain.
🌐
All regions: England, Scotland, Wales, and Northern Ireland — each with their own tax bands, pension tiers, and pay scales.
Cumulative PAYE: Select your month for accurate results matching your payslip, whether you’re in April or mid-year.
NHS Pay Rise Calculator · Page 9 · 2026/27

NHS Pay Rise Calculator

See exactly how much of your pay rise you actually take home. Compare before & after with full tax, NI, pension and loan breakdown. All regions and AfC bands 2–9.

Before & After comparison
% or £ rise or promotion
All regions inc. London
Pension tier change alert
Marginal deduction rate
Custom salary supported
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Region
⬅️
BEFORE — Current Salary
How to specify current salary
Band
Pay Point
➡️
AFTER — New Salary or Pay Rise
How is the pay rise specified?
Pay Rise Percentage
%
e.g. 3.3 for the 2026/27 NHS pay award
⚙️
Shared Settings (apply to both scenarios)
Contracted Hours / Week 1.00 WTE
FT = 37.5hrs · WTE = hours ÷ FT
Tax Code Standard
Tax Month (Apr=1, Mar=12)
NHS PensionAuto tier · pensionable = basic + HCAS (if London) + unsocial hours
Student Loan
Monthly Salary Sacrifice (£)
£
BIK PayrollingON = PAYE on pre-sacrifice gross
Monthly Take-Home Increase
--
--/yr · Marginal deduction: --%
⚠️ Pension tier changes with this pay rise: --
⬅️ Before
FTE Salary--
Pro-Rata--
Monthly Gross--
Income Tax--
NI--
Pension --
Student Loan--
Take-Home--
➡️ After
FTE Salary--
Pro-Rata--
Monthly Gross--
Income Tax--
NI--
Pension --
Student Loan--
Take-Home--
Change in Monthly Deductions
Salary rise (FTE)--
Extra tax paid--
Extra NI paid--
Extra pension--
Extra student loan--
Net take-home increase --
Marginal deduction rate: --%
Of every £1 salary increase, --p goes to your pocket and --p goes in deductions.
📊 Employer pension: Before -- · After -- · Not deducted from you.
Sources: NHS Employers (Feb 2026) · HMRC · LITRG. Scotland FT=36hrs. All other FT=37.5hrs. Calculations based on 2026/27 rates. Payslips may differ £1–2.

Your Pay Raise, Before and After

Example: Band 5 Entry → Band 6 Entry · England · 37.5 hrs · No student loan · Pension on

Before (Current)
BandBand 5
Pay pointEntry
Annual gross£32,073
Monthly gross£2,673
Monthly take-home£2,040
Pension tier8.3% (Tier 3)
Pension £/mo£222
Income tax−£281
National Insurance−£130
After (New)
BandBand 6
Pay pointEntry
Annual gross£39,959
Monthly gross£3,330
Monthly take-home£2,430
Pension tier9.8% (Tier 4)
Pension £/mo£326
Income tax−£391
National Insurance−£183
+£390▲ +19%
Net monthly gain after tax, NI, and pension deductions
Annual gain: +£4,680 per year

Full itemised breakdown available in the calculator above. Enter your own band and hours for your exact figures.

Will Your Pension Contribution Rate Change?

The calculator above shows a pension tier change alert if this happens. Here’s an example of what changes when a pay rise moves you into a higher tier.

⚠️

Your pension contribution rate increases with this pay raise

Your pensionable pay moves from £32,073 to £39,959, crossing the threshold into a higher contribution tier.

Before
Tier 3
8.3%
After
Tier 4
9.8%
Monthly Pension Increase
+£104
£222 → £326
This pension increase reduces your net monthly gain by £104 compared to if your rate had stayed the same. The calculator above handles this automatically; your net gain figure already includes this reduction.
When no pension tier change: Your pension contribution rate stays the same. Your net gain is not reduced by a tier change.
TierAnnual Pensionable PayRate
1Up to £13,2595.2%
2£13,260 – £28,8546.5%
3£28,855 – £35,1558.3%
4£35,156 – £52,7789.8%
5£52,779 – £67,66810.7%
6Above £67,66912.5%
Regional note: Scotland uses its own 9-tier structure (5.7%–12.7%) and Northern Ireland uses a slightly higher 6-tier structure (5.2%–12.7%) than England/Wales. The calculator automatically applies the correct structure for your selected region.

How the 3.3% Pay Award Affects Your Take-Home

Percentage
3.3% consolidated uplift (England/Wales/NI)
Effective Date
1 April 2026
Backdated
Yes — payable from April 2026
Consolidated
Becomes part of base salary — affects future pensions and awards
Applies to
All Agenda for Change staff (Bands 2–9)
Scotland
3.75% uplift confirmed under PCS(AFC)2026/1, separate settlement
Wales
3.3% uplift confirmed under AfC(W) 02/2026, separate circular. Wales uses its own pay scale (not identical to England)
Northern Ireland
Same 3.3% percentage, separate circular

Example monthly take-home gains (full-time, no student loan, pension on, England, outside London):

BandPay PointCurrent Take-HomeNew Take-HomeMonthly Gain
Band 2Entry£1,655£1,700+£45
Band 3Entry£1,681£1,727+£46
Band 4Entry£1,823£1,874+£51
Band 5Entry£1,984£2,040+£56
Band 5Top£2,186£2,244+£58
Band 6Entry£2,361£2,430+£69
Band 7Entry£2,850£2,934+£84
Band 8aEntry£3,265£3,353+£88
Band 8bEntry£3,651£3,742+£91
Band 8cEntry£4,119£4,226+£107
Band 8dEntry£4,723£4,851+£128
Band 9Entry£5,474£5,626+£152
These figures are calculated using the 2026/27 engine with confirmed NHS Employers pay scales. Estimates assume 37.5 hours, tax code 1257L, no student loan, pension on, working outside London. Your actual gain may differ — use the calculator above for your exact figures.

⚠ What reduces your net gain

  • Pension tier increase — e.g. moving from 9.8% to 10.7% when crossing £52,778 pensionable pay
  • Student loan repayments — higher earnings may increase repayments, and multiple plans (e.g. Plan 2 + Postgrad) can apply simultaneously
  • Higher rate tax — moving into 40% or 45% tax bracket (England/Wales/NI) or the equivalent higher Scottish bands
  • National Insurance — higher earnings = more NI at 8% up to the upper threshold, then 2% above it
  • Personal allowance taper — applies once pensionable pay after pension deduction exceeds £100,000, relevant from Band 8d/9 in some regions and zones

Frequently Asked Questions

Everything you need to know about the 2026/27 NHS pay award, net gain, pension tier changes, and how the rise affects your take-home.

The 2026/27 NHS pay award for England, Wales, and Northern Ireland is confirmed at 3.3%, backdated to 1 April 2026. Scotland’s award is 3.75%, confirmed separately under PCS(AFC)2026/1. The award is consolidated; it becomes part of your base salary and affects future pension calculations and subsequent percentage awards. Use the NHS pay rise calculator above to see your take-home.

The award is effective from 1 April 2026. Most trusts implement the rise within 2–3 months. You will receive backdated pay to April. Use the NHS Back Pay Calculator to estimate your arrears.

It depends. If your new pensionable pay crosses a tier threshold, your contribution rate will increase. The calculator above shows a pension tier change alert if this happens, including the exact £ reduction to your net gain.

A Band 5 entry nurse in England gains approximately £56 per month after the 3.3% award. A Band 7 gains approximately £84 per month. Note that crossing a pension tier boundary reduces your net gain; for example, a Band 6 entry moving to Band 7 entry in Inner London gains approximately £522 per month but pays significantly more pension because pensionable pay (including HCAS) crosses from Tier 4 (9.8%) into Tier 5 (10.7%). Use the calculator above for your exact figure.

No. Scotland’s settlement is 3.75%, confirmed under PCS(AFC)2026/1, higher than the 3.3% applied in England, Wales, and Northern Ireland. Wales also has its own distinct AfC pay scale (AfC(W) 02/2026), which is not identical in value to England’s, even though the percentage uplift is the same. The calculator above uses the correct rates and pay scales for each nation.

A consolidated award becomes part of your base salary. Future percentage pay awards apply to the consolidated amount. Non-consolidated awards are one-off payments that do not increase your base salary.

If your new salary exceeds your student loan threshold, you will start repaying it (or repay more). The calculator applies the correct 2026/27 thresholds: Plan 1 £26,900, Plan 2 £29,385, Plan 4 (Scotland) £33,795, Plan 5 £25,000, and Postgrad £21,000. You can select multiple plans simultaneously (for example Plan 2 and Postgrad together), and each is calculated and shown separately in your results.

Yes, if your new salary pushes you into a higher tax band. Scotland has six bands (from starter 19% to top 48%). England, Wales, and Northern Ireland have three bands (20%, 40%, and 45%). The calculator applies the correct bands for your nation.

Yes. The percentage uplift applies to your pro-rata salary. Your pension tier may also change if your pro-rata earnings cross a threshold. The calculator handles part-time hours automatically (37.5hrs full-time everywhere except Scotland, which uses 36hrs).

Yes, HCAS (London weighting) increases by the same percentage as the pay award. Unlike many people assume, HCAS is pensionable and is included in your pension tier calculation. The calculator applies the updated 2026/27 caps for Inner, Outer, and Fringe London.

If you are on a protected salary (e.g. following AfC assimilation), your pay rise may be calculated differently. Use the manual salary entry tab to enter your actual current and new salaries.

Very accurate. We use cumulative PAYE (most calculators assume a flat April rate), the correct tiered pension structures for each nation (6-tier England/Wales, 6-tier Northern Ireland with its own slightly higher rates, and 9-tier Scotland), and nation-specific tax bands. Our net gain figures are typically within £1–2 of actual payslip values for standard cases, allowing for payroll rounding.

Updated April 2026  |  Confirmed 2026/27 NHS pay award at 3.3%  |  Net gain after tax, NI, and pension  |  Cumulative PAYE accurate for any month of the tax year