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🏴󠁧󠁢󠁳󠁣󠁴󠁿 NHS Scotland 2026/27: Separate pay scales (3.75% uplift). Standard full-time week is 36 hours from April 2026. Scottish income tax and pension tiers applied automatically.
Your Results Band 5 AfC England
Before Deductions
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per year
£0.00
per month
After Deductions
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ℹ 2026/27 rates · AfC England/Wales/NI +3.3% from April 2026 · Scotland +3.75% (36h FT week) · Scottish income tax confirmed bands · NI thresholds frozen · NHS Pension tiers uprated 3.8% CPI · Student loan thresholds updated April 2026
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NHS AfC Band Take-Home Pay · 2026/27

Entry-point salaries · England · Before London weighting. After-tax figures shown before and after NHS pension contribution.

Band Starting Salary Before Pension (Monthly) NHS Pension % After Pension (Monthly)
Band 2£24,071£1,7385.1%£1,636
Band 3£24,625£1,7715.7%£1,654
Band 4£26,530£1,8855.7%£1,759
Band 5£29,970£2,0925.7%£1,949
Band 6£37,338£2,5346.1%£2,344
Band 7£46,148£3,0626.8%£2,800
Band 8a£53,755£3,4789.8%£3,040
Band 8b£62,215£3,88712.5%£3,239

London High Cost Area Supplement (HCAS) adds up to £6,469/year for Inner London. Use the NHS Pay Calculator above to include your band, location and pension tier for an accurate figure.

NHS pay bands explained for 2026
Agenda for Change bands, pay points, the NHS pension and what High Cost Area Supplement adds.
Read the guide

NHS Pay Calculator FAQs

What is NHS Band 5 take-home pay per month 2026?
An NHS Band 5 starting salary of £29,970 gives approximately £2,092/month after income tax and NI, before pension. After the NHS pension contribution of 5.7%, take-home is around £1,949/month. London Inner HCAS weighting adds up to £6,469/year on top of base salary.
What is NHS Band 6 take-home pay per month 2026?
An NHS Band 6 starting salary of £37,338 gives approximately £2,534/month after income tax and NI, before pension. After the NHS pension contribution of 6.1%, take-home is around £2,344/month. Use the calculator above to add London weighting or a student loan for a more precise figure.
What is NHS Band 7 take-home pay per month 2026?
An NHS Band 7 starting salary of £46,148 gives approximately £3,062/month after income tax and NI, before pension. After the NHS pension contribution of 6.8%, take-home is around £2,800/month. Band 7 salary sits in the higher income tax band, so marginal income tax is 40% on earnings above £50,270.
How much is the NHS pension contribution in 2026/27?
NHS pension employee contributions in 2026/27 range from 5.1% (earnings up to £13,259) up to 12.5% (earnings above £62,215). Band 5 staff typically pay 5.7% · Band 6 pays 6.1% · Band 7 pays 6.8% · Band 8a pays 9.8% · Band 8b pays 12.5%. The NHS pension is a defined benefit CARE scheme and one of the most valuable workplace pensions in the UK.
What is London weighting for NHS staff?
NHS High Cost Area Supplement (HCAS) adds a percentage of salary subject to minimum and maximum caps. Inner London: 20% of salary (min £5,132 · max £8,724/year). Outer London: 15% (min £4,265 · max £6,521). London Fringe: 5% (min £1,236 · max £2,077). The supplement is paid on top of your AfC band salary and is pensionable.

For informational purposes only · Not financial advice · NHS pay rates are estimates for 2026/27 · Verify with NHS Employers and HMRC