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Take Home Tax
Updated for 2026/27

NHS Pay Calculator 2026/27

Find your NHS take-home pay for any Agenda for Change band. Pick your band below or enter your salary to see net pay after tax, NI, pension and student loan.

Preset: NHS Band 6 (entry). Change the salary or choose your band below.

£

Per year, before tax. The result updates as you type.

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Where do you live?
Advanced options
Student loan plan

Your take-home pay

per year

£31,011

£31,011 per year · £2,584 per month

Gross salary
£38,182.00
Income Tax
−£5,122.40
National Insurance
−£2,048.96
Take-home pay
£31,010.64

Effective rate

18.8%

Marginal rate

28.0%

Estimate only — not financial or tax advice. Based on standard 2026/27 rates.

Take home per year £31,011

NHS pay by band (2026/27)

Agenda for Change annual salaries for England. Select a band for its full take-home breakdown. Scotland, Wales and Northern Ireland run their own AfC pay scales.

Band Salary range Open
Band 2 £24,169 Take-home ›
Band 3 £24,625–£26,282 Take-home ›
Band 4 £27,155–£29,769 Take-home ›
Band 5 £30,639–£37,303 Take-home ›
Band 6 £38,182–£45,982 Take-home ›
Band 7 £47,181–£53,990 Take-home ›
Band 8a £54,964–£61,864 Take-home ›
Band 8b £63,576–£73,886 Take-home ›
Band 8c £75,925–£87,486 Take-home ›
Band 8d £90,122–£103,927 Take-home ›
Band 9 £107,724–£123,964 Take-home ›
Tax year 2026/27 Last updated 6 April 2026

Our figures use the standard 2026/27 Income Tax, National Insurance and student loan rates published by HMRC and the devolved administrations. See our methodology for exactly how each deduction is worked out, or check the official sources:

How NHS pay works

Almost all NHS staff — nurses, healthcare assistants, paramedics, allied health professionals and admin — are paid under Agenda for Change (AfC). Your band reflects your role, and within each band you move up pay points as you gain experience. Doctors and dentists are on separate contracts.

On top of basic pay, many NHS staff receive unsocial hours enhancements (Section 2) for nights, weekends and bank holidays, plus High Cost Area Supplements in and around London. This calculator works from your basic annual salary — add enhancements to your gross figure to include them.

The NHS Pension Scheme

Most staff pay into the NHS Pension Scheme, with contribution rates tiered by earnings (roughly 5%–12.5%). Contributions are taken before Income Tax, so they reduce your tax bill. Add your rate under Advanced options and choose "Auto-enrolment (pre-tax)".

More NHS calculators

Frequently asked questions

How do I work out my NHS take-home pay?
Enter your Agenda for Change salary above (or pick your band from the table). The calculator deducts Income Tax, National Insurance, your NHS pension contribution and any student loan to show your net monthly and yearly pay.
Does this include the NHS pension?
You can add your NHS pension contribution under Advanced options as a percentage. NHS pension contributions are taken before tax (net pay arrangement), so choose "Auto-enrolment (pre-tax)" to reflect the tax saving.
What are the NHS Agenda for Change bands?
Agenda for Change (AfC) is the pay system for most NHS staff except doctors and dentists. It runs from Band 2 (entry roles) up to Band 9 (directors), with pay points within each band based on experience.
What is the NHS pay rise for 2026/27?
Each spring the NHS pay award is confirmed and applied from April. Use our NHS pay rise calculator to see how a percentage award changes your take-home pay.