NHS pay calculator for England (2026/27)

Tax year 2026/27 (6 April 2026 to 5 April 2027) · Last checked 5 November 2026 against HMRC rates · Sources and methodology

Work out your take-home pay using England’s Agenda for Change pay bands.

Pay scales for England from NHS Employers, effective 1 April 2026. Scotland, Wales and Northern Ireland have their own pay scales. Your tax region below changes Income Tax rates; it does not change the England pay scale.

Full-time hours are 37.5 a week
Unsocial hours (optional)

Enter average weekly hours already included in your contracted hours. Count each hour once. This estimates the extra premium only.

Weekdays 20:00 to 06:00, or any time on Saturday

For a custom salary, the selected band sets the premium rate. Excludes overtime and on-call payments.

Where do you live?
Scottish Income Tax rates apply if you live in Scotland
Student loan Not added
Tax code 1257L

Your take-home pay

£2,040.21 a month

Monthly deductions: Income Tax £280.68; National Insurance £130.02; NHS Pension £221.84.

Band 5, entry (under 2 years); 37.5 hours a week. No HCAS. Tax region: England, Wales or Northern Ireland; tax code 1257L. NHS Pension: 8.3%. No student loan.

Change your details

  • Take-home 76.3%
  • Income Tax 10.5%
  • National Insurance 4.9%
  • Pension 8.3%

Effective Income Tax rate: 10.5%. Take-home is 76.3% of gross pay.

Annual estimates use annual thresholds. Your employer’s period PAYE deductions may differ.

Full breakdown

Show payslip by period
Your pay through the year
Pay and deductionsYearMonthWeekDayMonth
Gross pay£32,073.00£2,672.75£616.79£123.36£2,672.75
Income Tax£3,368.19£280.68£64.77£12.95£280.68
National Insurance£1,560.24£130.02£30.00£6.00£130.02
Pension deduction£2,662.06£221.84£51.19£10.24£221.84
Take-home pay£24,482.51£2,040.21£470.82£94.16£2,040.21

Gross hourly equivalent: £16.45. Take-home hourly equivalent: £12.56.

How we got this

  1. NHS basic pay: £32,073.00
  2. High Cost Area Supplement (HCAS): £0.00
  3. Unsocial hours premium: £0.00
  4. Personal Allowance used: £12,570.00
  5. Taxable pay after allowances: £16,840.94
  6. Basic rate: £3,368.19
  7. Higher rate: £0.00
  8. Additional rate: £0.00
  9. Employee National Insurance: £1,560.24
  10. Student loan repayments: £0.00
  11. Pension deducted from your pay: £2,662.06
  12. Salary exchanged for pension contributions: £0.00
  13. Your annual take-home pay: £24,482.51
Income Tax bands
BandEarningsRateDeduction
Basic rate£16,840.9420%£3,368.19
National Insurance bands
BandEarningsRateDeduction
Between the primary and upper earnings thresholds£19,503.008%£1,560.24
Above the upper earnings limit£0.002%£0.00
Your NHS pay, a year
Basic pay£32,073.00
HCAS£0.00
Unsocial hours premium£0.00
Actual pensionable pay£32,073.00
NHS Pension tierTier 3 (8.3%)

NHS Pension uses actual pensionable pay, including HCAS and the estimated unsocial premium. It reduces pay for Income Tax; National Insurance and student loan earnings are unchanged.

Part-time HCAS is an estimate: we scale the full-time supplement and its minimum and maximum by contracted hours ÷ 37.5. Unsocial hours assume the same average weekly pattern throughout the year; HCAS is excluded from the premium base.

Common questions about NHS pay

Is this calculator official?

No. PayCompass is an independent website. It is not run by the NHS, NHS Employers or HMRC. We use their published pay scales and tax rates. Your payslip is the final word.

How are unsocial hours estimated?

Enter average weekly unsocial hours within your contracted hours, counting each hour once. We add only the premium to basic pay. The basic salary is already paid for those hours. HCAS is excluded from the premium base; the premium is pensionable.

This assumes a steady weekly pattern for the year. It does not model overtime, on-call payments, changes during the year or local arrangements. NHS Employers unsocial hours rules.

Why might my payslip differ?

These annual estimates assume the same pay and working pattern throughout the year. Your employer’s period PAYE calculation, pay-step date and other deductions may change the amount paid.

Can I use another NHS pay scale?

This calculator uses England’s Agenda for Change scale. It does not cover doctors’ contracts or the NHS pay scales for Scotland, Wales or Northern Ireland.

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