PayBreakdown

NHS pay calculator

Every Agenda for Change band from entry to top of band, what the step points are worth, and the NHS pension tier that follows from pensionable pay.

How NHS pay is worked out

Agenda for Change runs from Band 2 at £25,272 to Band 9 at £129,783. Within a band you join at the bottom step and move up with service, so the band alone does not tell you the salary. The table below is every band's entry and top pay for 2026/27, and the calculator works any of them down to take-home after the NHS pension.

A worked example

On £35,000 a year with a standard 2026/27 tax code, no pension, no student loan, the figures work out like this. Open a calculator to put your own numbers in.

Gross salary£35,000
Take-home a year£28,720
Take-home a month£2,393
Take-home a week£552

Checks worth making on NHS pay

Assumptions used here

Assumptions used here
Tax/source year2026/27
RegionEngland/Wales/Northern Ireland
Tax code basis1257L where the page uses PAYE defaults
Pension basisNo pension deduction unless this example says otherwise
Student loan basisNo student loan unless selected in this example

Source and methodology context

Source and methodology context
What is not decided herePayBreakdown does not decide payroll correctness, lender approval, benefit entitlement or employer compliance, and does not give regulated financial, mortgage, debt, tax, payroll or legal advice.

What the NHS pay estimate assumes

The figures on this page are worked from NHS pay, using the values below. Open the calculator if your example salary differs.

Example salary£35,000 annual gross

Every band, entry to top, 2026/27

Band 2 is a spot point — one pay figure, no progression. Every other band has an entry step and a top, and the gap between them is what service is worth without changing band.

The pay scales come from NHS Employers, which publishes the Agenda for Change rates, rather than from GOV.UK, which does not. The base pay figures and pension contribution tiers across this hub and the band pages were last verified against the published NHS Employers scales and the NHSBSA tiers on 2026-08-28.

Every band, entry to top, 2026/27
BandEntry payTop of bandYears to the top
Band 2£25,272Spot pointNo progression
Band 3£25,760£27,4762 years
Band 4£28,392£31,1573 years
Band 5£32,073£39,0434 years
Band 6£39,959£48,1175 years
Band 7£49,387£56,5155 years
Band 8A£57,528£64,7505 years
Band 8B£66,582£77,3685 years
Band 8C£79,504£91,6095 years
Band 8D£94,356£108,8145 years
Band 9£112,782£129,7835 years
  • Band 2: a single pay point.
  • Band 3: £1,716 between entry and top.
  • Band 4: £2,765 between entry and top.
  • Band 5: £6,970 between entry and top.

The band is not the salary

A job advert says Band 5. That is a range, not a figure: £32,073 on the day you start and £39,043 once you reach the top, 4 years later. Everyone quoting "Band 5 pay" as one number is quoting one end of that.

Step points also move the NHS pension. The contribution tier is set by pensionable pay, so crossing a tier boundary applies a higher percentage to the whole of it. A step rise can therefore cost more in contributions than the rise itself suggests, which is the part people notice on the payslip and not in the advert.

  • Entry step on the day you start, top of band after the years shown above.
  • The pension tier follows from pay: it is not a choice you make.
  • High cost area supplements, unsocial hours and overtime all sit on top of base pay.

What sits on top of base pay

Base pay is the start of an NHS payslip, not the whole of it.

A high cost area supplement applies in and around London, as a percentage of base pay with a cash floor and ceiling. Unsocial hours enhancements apply to work at nights, at weekends and on public holidays, at percentages set by band. Overtime, on-call and bank shifts are separate again.

Each of those has its own page here, because each is worked out differently and none of them is a flat uplift on the salary.

  • High cost area supplement: a percentage of base pay, floored and capped in cash.
  • Unsocial hours: a percentage that falls as the band rises.
  • The NHS pension: a tier set by pensionable pay, deducted before tax under net pay.

What would change this figure

This estimate is worked out on £35,000 annual gross. Change any of those and the take-home figure moves; pension method and student loan plan usually move it most. A payslip can differ from any calculator because payroll works pay period by pay period, so a tax-code change, a bonus, arrears or a refund can land in one month and not the next. See how each deduction is worked out.

Official sources

Income Tax rates and Personal AllowancesNational Insurance rates and categoriesStudent loan repayment thresholdsPension tax reliefNHS Employers pay scales 2026/27NHS Health Careers Agenda for Change pay rates

Frequently asked questions

Is the nhs pay calculator financial advice?

No. It is an estimate worked from published HMRC and GOV.UK figures for the current tax year, using the assumptions shown on this page. It cannot see your tax code history, benefits in kind or employer payroll rules, so check important decisions against your payslip, official guidance or a qualified adviser.

Can I adjust the assumptions?

Yes. Open the linked calculator to change the salary, pension, tax code, region or student loan plan and the figures update as you type.

Last updated 2026-08-28. Checked by Sean Elsmore. Rates last checked against GOV.UK on 2026-08-07. Estimates are for planning and should be checked against official records where the decision matters.