NHS
NetPayScale UK
verified2026/27 AfC Rates
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HMRC & NHS Circular 2026/27 (+3.3%) Verified
2026/27 Agenda for Change Verified (+3.3% Pay Uplift)

NHS Pay Calculator 2026/27 Know Your Real Take-Home Pay in Seconds

Pick your Agenda for Change band and see exactly what lands in your bank account, after PAYE income tax, National Insurance, NHS Pension (2015 CARE Scheme), and student loan deductions.

Auto-configures band & standard terms
Popular:
England & Wales 2026/27 (+3.3%)
timelineExperience Progression MilestoneAnnex 2 Incremental Pay Scale
scheduleContracted Working Hours

Standard NHS baseline is 37.5 hrs/wk (1.0 FTE)

37.5 hrs/wk (1.00 FTE)
location_onHCAS London WeightingSection 4 AfC
nightlightUnsocial Hours & Shift Enhancements

Nights & Sats +30% | Suns & Bank Hols +60%

SECTION 2
account_balance_wallet
Net Shift Cash Yield: Real In-Pocket Value

+£250.74 / mo directly into your account after PAYE Tax, National Insurance, and 8.3% CARE Pension deductions.

tuneAdvanced Statutory Tax & Pension Configuration
expand_more
Standard £12,570 Allowance
Deducted pre-tax
Post-2012 Undergraduate
Estimated Take-Home Pay
Pay Date: 28th
Net Monthly In-Bank
£2,373/ mo
Annual:£28,481 / yrHourly:£14.57/hr
Gross AfC Salary

£39,368

Total Deductions

−£907 / mo

Proportional Distribution72.3% kept in pocket
Take-Home Pay£2,373
NHS Pension (8.3%)−£239
PAYE Income Tax−£399
National Insurance−£179
shareShare WhatsApp / SMS Summary
shield

Statutory model synchronised with 2026/27 NHS Pension Tier Threshold updates & Autumn Statement NIC rates.

Band 5•After 2 years (Mid)
£2,373.42/mo
Keep 72p in £1
compare_arrows

Side-by-Side Promotion & Step Comparator

Evaluate the real cash-in-pocket gain when stepping from Band 5 (Top) to Band 6 (Entry) after pension tier shifts and tax adjustments.

warningPension Tier Boundary Alert
Popular NHS Comparison Presets:1-Click Scenarios
A

Scenario A (Current Post)

£2,380.80/mo net
Contracted Hours37.5 hrs/wk
Night Hours0 hrs/wk
B

Scenario B (Proposed Post / Promotion)

£2,429.77/mo net
Contracted Hours37.5 hrs/wk
Night Hours0 hrs/wk

Net Take-Home Difference (B vs A)

Exact bottom-line impact after tax, NI, and pension tier adjustments

Net Cash Change (monthly)
+£48.97/mo

Actual change in your monthly bank deposit

Gross Salary Change (monthly)
+£76.34

Headline contractual earnings shift

Pay Rise Retention Rate
64.2%

You keep 64p in every £1 of this pay rise

Side-by-Side Financial Ledger (Annual & Monthly)
Pay ElementScenario AScenario BDifferential
Base Basic Salary£39,043£39,959+£916
London Weighting (HCAS)£0£0+£0
Unsocial Hours Enhancements£0£0+£0
Total Gross Pay£39,043£39,959+£916
NHS Pension (9.8% vs 9.8%)−£3,826−£3,916+£90
PAYE Income Tax−£4,529−£4,695+£165
National Insurance (8%/2%)−£2,118−£2,191+£73
Net Take-Home Pay (Annual)£28,569.59£29,157.29+£587.70
Net Take-Home Pay (Monthly Deposit)£2,380.80/mo£2,429.77/mo+£48.97/mo
receipt_long

Official Electronic Staff Record (ESR) Payslip Replica

Exact visual mimic of standard NHS ESR itemized payroll statements for mortgage, tenancy, or verification checks.

ESR Electronic Staff Record Payslip Advice (Simulation)
NHSELECTRONIC STAFF RECORD — PAY ADVICE
National Health Service • Agenda for Change Terms & Conditions 2026/27
Pay Date: 28th Monthly (BACS)
Tax Period: Month 12 • 2026/27
Band & StepBand 5 (After 2 years (Mid))
Tax Code1257L
NI CategoryA (Standard)
Pension SchemeNHS 2015 (8.3%)
Contracted Hrs37.5 hrs/wk
Hourly Rate£17.69/hr
Payments / EarningsAmount (£)
Basic Pay (37.5h)£2,883
Unsocial Hours — Nights/Sats (Sec 2)+£265
Unsocial Hours — Sundays/BH (Sec 2)+£133
Total Gross Pay£3,281
DeductionsAmount (£)
PAYE Income Tax (1257L)−£399
National Insurance (Class 1)−£179
NHS Pension (8.3% on superannuable pay)−£239
Student Loan Repayment−£91
Total Deductions−£907
Superannuable (Pensionable) Pay£2,883
Taxable Gross£3,041
Tax Relief via Pension+£48/mo
Retention Yield72p in every £1
Net Pay Credit (Bank Account Deposit)
£2,373.42
Annualized Equivalent:
£28,481.06/yr
This document is an electronic payroll projection based on official 2026/27 Agenda for Change rates (+3.3%) and HMRC tax parameters.

Band Step-Up & Promotion Value

Salary increase when progressing from one band entry point to the next

2026/27 Pay Settlement
Band 5 → Band 6+24.6%
+£7,886 /year

Gross annual increase upon promotion

Band 6 → Band 7+23.6%
+£9,428 /year

Gross annual increase upon promotion

Band 7 → Band 8a+16.5%
+£8,141 /year

Gross annual increase upon promotion

Band 8a → Band 8b+15.7%
+£9,054 /year

Gross annual increase upon promotion

The Most Popular Clinical Bands

Key milestone points for Bands 5, 6, and 7 where majority of clinical staff operate

Band 5

£32,073 gross/yr

Newly qualified nurses, ODPs, paramedics and AHPs

Entry:£32,073
After 2 years:£34,592
After 4 years (Top):£39,043
Starting take-home:£24,483/yr

Band 6

£39,959 gross/yr

Experienced specialists, deputy ward sisters, senior paramedics

Entry:£39,959
After 2 years:£42,170
After 5 years (Top):£48,117
Starting take-home:£29,157/yr

Band 7

£49,387 gross/yr

Advanced clinical practitioners, ward managers, clinical team leads

Entry:£49,387
After 2 years:£51,932
After 5 years (Top):£56,515
Starting take-home:£35,206/yr

Example Scenarios: What Your Pay Could Look Like

Worked payroll examples for typical NHS professions under 2026/27 rules

Typical Cases
Band 5Monthly payslip

Newly Qualified Nurse (RN)

Band 5 · £32,073 FTE · Full time (37.5h) · Plan 2 Student Loan

Gross pay:£2,672.75
Deductions:−£652.70
Net deposit / month:
£2,020.05
Band 7Monthly payslip

Senior Physiotherapist

Band 7 · £51,932 FTE · 30 hours/week part-time · Standard tax

Gross pay:£3,462.13
Deductions:−£947.53
Net deposit / month:
£2,514.60
Band 3Monthly payslip

Healthcare Assistant (HCA)

Band 3 · £27,476 FTE · Full time · Top of pay band

Gross pay:£2,289.67
Deductions:−£466.87
Net deposit / month:
£1,822.80
Band 6Monthly payslip

Senior Paramedic (Shift Worker)

Band 6 · £42,170 FTE · 2x Night Shifts (23h) · Section 2 Uplift

Gross pay:£3,950.40
Deductions:−£1,120.20
Net deposit / month:
£2,830.20

Keyworker Financial Planning & Tax Efficiency

Practical strategies to optimize your 2026/27 take-home earnings and pension wealth

FCA Regulated Frameworks
RetirementUp to 40% HMRC Tax Relief

NHS Additional Voluntary Contributions (AVCs) & SIPPs

NHS employees in the 2015 Scheme can make tax-relieved AVCs or contribute to a personal SIPP to build supplementary pension capital, claiming 20% to 40% income tax relief on all contributions.

Compare UK SIPP & AVC Options →
£20k Annual Tax Shelter

Tax-Free High-Yield Cash ISAs (4.85%+ AER)

Keep your monthly take-home surplus fully sheltered from HMRC tax with FSCS-protected Cash ISAs. Every UK adult has a £20,000 annual allowance where all interest earned is completely free of income tax.

View Top UK Cash ISAs →
Bank & Shift Income Included

Specialist Mortgages for NHS Staff & Clinicians

Standard high-street lenders often penalize unsocial enhancements and NHS bank shift earnings. Specialist keyworker mortgage brokers assess 100% of your total gross earnings for higher borrowing multiples.

Check NHS Borrowing Multipliers →
Save 30–42% on Tax & NI

NHS Electric Vehicle Salary Sacrifice Schemes

By taking an ultra-low emission car through an approved NHS salary sacrifice lease, lease payments are deducted from gross basic pay before Income Tax and National Insurance, saving 30% to 42% on running costs.

Review NHS Fleet EV Calculator →

Regulatory Notice: NetPayScale UK provides independent calculations. Partner services are FCA-regulated UK entities. Capital is at risk when investing.

Agenda for Change Pay Scale Reference (Bands 2–9)

National basic pay rates for 2026/27 reflecting the official 3.3% pay uplift (standard 37.5h week)

UK National AfC
Pay BandEntry SalaryEntry HourlyTop of BandYears to TopTypical NHS Job TitlesAction
Band 2£25,272£12.92/hr£25,272Single pointHealthcare Assistant, Clinical Support Worker, Phlebotomist
Band 3£25,760£13.17/hr£27,4762 yearsSenior Healthcare Assistant, Emergency Care Assistant, Pharmacy Assistant
Band 4£28,392£14.52/hr£31,1573 yearsNursing Associate, Assistant Practitioner, Pharmacy Technician
Band 5£32,073£16.40/hr£39,0434 yearsStaff Nurse (RN), Newly Qualified Paramedic, Physiotherapist
Band 6£39,959£20.44/hr£48,1175 yearsJunior Sister / Charge Nurse, Senior Paramedic, Specialist Physiotherapist
Band 7£49,387£25.26/hr£56,5155 yearsWard Manager / Sister, Advanced Clinical Practitioner (ACP), Advanced Paramedic
Band 8a£57,528£29.42/hr£64,7505 yearsMatron, Principal Clinical Psychologist, Advanced Nurse Consultant
Band 8b£66,582£34.05/hr£77,3685 yearsSenior Matron, Consultant Clinical Psychologist, Head of Clinical Services
Band 8c£79,504£40.66/hr£91,6095 yearsHead of Nursing, Associate Director, Consultant Scientist
Band 8d£94,356£48.26/hr£108,8145 yearsDeputy Director of Nursing, Chief Pharmacist (Large Trust), Director of Operations
Band 9£112,782£57.68/hr£129,7835 yearsDirector of Nursing, Chief Operating Officer, Director of Clinical Strategy

London Weighting Regulations (HCAS)

Agenda for Change Section 4 and Annex 9 statutory High Cost Area Supplements

2026/27 Caps & Floors

Inner London

+20% of basic
Minimum Floor:£5,794/year
Maximum Ceiling:£8,746/year

Applies to NHS Trusts situated in central London boroughs including Camden, Islington, Westminster, City of London, Kensington & Chelsea, Southwark, Lambeth, and Tower Hamlets.

Outer London

+15% of basic
Minimum Floor:£4,870/year
Maximum Ceiling:£6,137/year

Applies to NHS Trusts in outer London boroughs including Barnet, Croydon, Bromley, Kingston, Richmond, Enfield, Hounslow, and Ealing.

Fringe (London Border)

+5% of basic
Minimum Floor:£1,346/year
Maximum Ceiling:£2,270/year

Applies to designated NHS Trusts bordering Greater London, including Dartford, Slough, Epsom, St Albans, and West Essex.

Regional Pay Scales & Role Directory

Pre-configured salary models for specific NHS Trusts, clinical roles, and geographic weighting zones

490 Programmatic Guides
Band 2Inner London

Healthcare Assistant in Inner London

Official 2026/27 NHS Band 2 Healthcare Assistant salary and take-home pay in Inner London (including 20% Inner London HCAS weighting). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Outer London

Healthcare Assistant in Outer London

Official 2026/27 NHS Band 2 Healthcare Assistant salary and take-home pay in Outer London (including 15% Outer London HCAS weighting). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Fringe Border

Healthcare Assistant in Fringe Border

Official 2026/27 NHS Band 2 Healthcare Assistant salary and take-home pay in Fringe Border (including 5% Fringe weighting). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Birmingham & Solihull

Healthcare Assistant in Birmingham & Solihull

Official 2026/27 NHS Band 2 Healthcare Assistant salary and take-home pay in Birmingham & Solihull (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Greater Manchester

Healthcare Assistant in Greater Manchester

Official 2026/27 NHS Band 2 Healthcare Assistant salary and take-home pay in Greater Manchester (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Newcastle & North East

Healthcare Assistant in Newcastle & North East

Official 2026/27 NHS Band 2 Healthcare Assistant salary and take-home pay in Newcastle & North East (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Liverpool & Merseyside

Healthcare Assistant in Liverpool & Merseyside

Official 2026/27 NHS Band 2 Healthcare Assistant salary and take-home pay in Liverpool & Merseyside (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Southampton & Hampshire

Healthcare Assistant in Southampton & Hampshire

Official 2026/27 NHS Band 2 Healthcare Assistant salary and take-home pay in Southampton & Hampshire (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Scotland

Healthcare Assistant in Scotland

Official 2026/27 NHS Band 2 Healthcare Assistant salary and take-home pay in Scotland (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Northern Ireland

Healthcare Assistant in Northern Ireland

Official 2026/27 NHS Band 2 Healthcare Assistant salary and take-home pay in Northern Ireland (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Inner London

Clinical Support Worker in Inner London

Official 2026/27 NHS Band 2 Clinical Support Worker salary and take-home pay in Inner London (including 20% Inner London HCAS weighting). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Outer London

Clinical Support Worker in Outer London

Official 2026/27 NHS Band 2 Clinical Support Worker salary and take-home pay in Outer London (including 15% Outer London HCAS weighting). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Fringe Border

Clinical Support Worker in Fringe Border

Official 2026/27 NHS Band 2 Clinical Support Worker salary and take-home pay in Fringe Border (including 5% Fringe weighting). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Birmingham & Solihull

Clinical Support Worker in Birmingham & Solihull

Official 2026/27 NHS Band 2 Clinical Support Worker salary and take-home pay in Birmingham & Solihull (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Greater Manchester

Clinical Support Worker in Greater Manchester

Official 2026/27 NHS Band 2 Clinical Support Worker salary and take-home pay in Greater Manchester (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Newcastle & North East

Clinical Support Worker in Newcastle & North East

Official 2026/27 NHS Band 2 Clinical Support Worker salary and take-home pay in Newcastle & North East (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Liverpool & Merseyside

Clinical Support Worker in Liverpool & Merseyside

Official 2026/27 NHS Band 2 Clinical Support Worker salary and take-home pay in Liverpool & Merseyside (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Southampton & Hampshire

Clinical Support Worker in Southampton & Hampshire

Official 2026/27 NHS Band 2 Clinical Support Worker salary and take-home pay in Southampton & Hampshire (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Scotland

Clinical Support Worker in Scotland

Official 2026/27 NHS Band 2 Clinical Support Worker salary and take-home pay in Scotland (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Northern Ireland

Clinical Support Worker in Northern Ireland

Official 2026/27 NHS Band 2 Clinical Support Worker salary and take-home pay in Northern Ireland (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Inner London

Phlebotomist in Inner London

Official 2026/27 NHS Band 2 Phlebotomist salary and take-home pay in Inner London (including 20% Inner London HCAS weighting). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Outer London

Phlebotomist in Outer London

Official 2026/27 NHS Band 2 Phlebotomist salary and take-home pay in Outer London (including 15% Outer London HCAS weighting). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Fringe Border

Phlebotomist in Fringe Border

Official 2026/27 NHS Band 2 Phlebotomist salary and take-home pay in Fringe Border (including 5% Fringe weighting). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→
Band 2Birmingham & Solihull

Phlebotomist in Birmingham & Solihull

Official 2026/27 NHS Band 2 Phlebotomist salary and take-home pay in Birmingham & Solihull (under UK national Agenda for Change pay scales). Accurate breakdown of monthly net pay, pension deductions, income tax, and shift uplifts.

Open localized model→

Showing 24 of 490 matching guides. Use the search box above or expand the complete index below.

account_treeComplete UK Regional & Clinical Role Pay Directory (All 490 Agenda for Change Models)
▼
Band 2 Healthcare Assistant — Inner LondonBand 2 Healthcare Assistant — Outer LondonBand 2 Healthcare Assistant — Fringe BorderBand 2 Healthcare Assistant — Birmingham & SolihullBand 2 Healthcare Assistant — Greater ManchesterBand 2 Healthcare Assistant — Newcastle & North EastBand 2 Healthcare Assistant — Liverpool & MerseysideBand 2 Healthcare Assistant — Southampton & HampshireBand 2 Healthcare Assistant — ScotlandBand 2 Healthcare Assistant — Northern IrelandBand 2 Clinical Support Worker — Inner LondonBand 2 Clinical Support Worker — Outer LondonBand 2 Clinical Support Worker — Fringe BorderBand 2 Clinical Support Worker — Birmingham & SolihullBand 2 Clinical Support Worker — Greater ManchesterBand 2 Clinical Support Worker — Newcastle & North EastBand 2 Clinical Support Worker — Liverpool & MerseysideBand 2 Clinical Support Worker — Southampton & HampshireBand 2 Clinical Support Worker — ScotlandBand 2 Clinical Support Worker — Northern IrelandBand 2 Phlebotomist — Inner LondonBand 2 Phlebotomist — Outer LondonBand 2 Phlebotomist — Fringe BorderBand 2 Phlebotomist — Birmingham & SolihullBand 2 Phlebotomist — Greater ManchesterBand 2 Phlebotomist — Newcastle & North EastBand 2 Phlebotomist — Liverpool & MerseysideBand 2 Phlebotomist — Southampton & HampshireBand 2 Phlebotomist — ScotlandBand 2 Phlebotomist — Northern IrelandBand 3 Senior Healthcare Assistant — Inner LondonBand 3 Senior Healthcare Assistant — Outer LondonBand 3 Senior Healthcare Assistant — Fringe BorderBand 3 Senior Healthcare Assistant — Birmingham & SolihullBand 3 Senior Healthcare Assistant — Greater ManchesterBand 3 Senior Healthcare Assistant — Newcastle & North EastBand 3 Senior Healthcare Assistant — Liverpool & MerseysideBand 3 Senior Healthcare Assistant — Southampton & HampshireBand 3 Senior Healthcare Assistant — ScotlandBand 3 Senior Healthcare Assistant — Northern IrelandBand 3 Emergency Care Assistant — Inner LondonBand 3 Emergency Care Assistant — Outer LondonBand 3 Emergency Care Assistant — Fringe BorderBand 3 Emergency Care Assistant — Birmingham & SolihullBand 3 Emergency Care Assistant — Greater ManchesterBand 3 Emergency Care Assistant — Newcastle & North EastBand 3 Emergency Care Assistant — Liverpool & MerseysideBand 3 Emergency Care Assistant — Southampton & HampshireBand 3 Emergency Care Assistant — ScotlandBand 3 Emergency Care Assistant — Northern IrelandBand 3 Pharmacy Assistant — Inner LondonBand 3 Pharmacy Assistant — Outer LondonBand 3 Pharmacy Assistant — Fringe BorderBand 3 Pharmacy Assistant — Birmingham & SolihullBand 3 Pharmacy Assistant — Greater ManchesterBand 3 Pharmacy Assistant — Newcastle & North EastBand 3 Pharmacy Assistant — Liverpool & MerseysideBand 3 Pharmacy Assistant — Southampton & HampshireBand 3 Pharmacy Assistant — ScotlandBand 3 Pharmacy Assistant — Northern IrelandBand 4 Nursing Associate — Inner LondonBand 4 Nursing Associate — Outer LondonBand 4 Nursing Associate — Fringe BorderBand 4 Nursing Associate — Birmingham & SolihullBand 4 Nursing Associate — Greater ManchesterBand 4 Nursing Associate — Newcastle & North EastBand 4 Nursing Associate — Liverpool & MerseysideBand 4 Nursing Associate — Southampton & HampshireBand 4 Nursing Associate — ScotlandBand 4 Nursing Associate — Northern IrelandBand 4 Assistant Practitioner — Inner LondonBand 4 Assistant Practitioner — Outer LondonBand 4 Assistant Practitioner — Fringe BorderBand 4 Assistant Practitioner — Birmingham & SolihullBand 4 Assistant Practitioner — Greater ManchesterBand 4 Assistant Practitioner — Newcastle & North EastBand 4 Assistant Practitioner — Liverpool & MerseysideBand 4 Assistant Practitioner — Southampton & HampshireBand 4 Assistant Practitioner — ScotlandBand 4 Assistant Practitioner — Northern IrelandBand 4 Pharmacy Technician — Inner LondonBand 4 Pharmacy Technician — Outer LondonBand 4 Pharmacy Technician — Fringe BorderBand 4 Pharmacy Technician — Birmingham & SolihullBand 4 Pharmacy Technician — Greater ManchesterBand 4 Pharmacy Technician — Newcastle & North EastBand 4 Pharmacy Technician — Liverpool & MerseysideBand 4 Pharmacy Technician — Southampton & HampshireBand 4 Pharmacy Technician — ScotlandBand 4 Pharmacy Technician — Northern IrelandBand 5 Staff Nurse (RN) — Inner LondonBand 5 Staff Nurse (RN) — Outer LondonBand 5 Staff Nurse (RN) — Fringe BorderBand 5 Staff Nurse (RN) — Birmingham & SolihullBand 5 Staff Nurse (RN) — Greater ManchesterBand 5 Staff Nurse (RN) — Leeds & West YorkshireBand 5 Staff Nurse (RN) — Newcastle & North EastBand 5 Staff Nurse (RN) — Bristol & SevernBand 5 Staff Nurse (RN) — Liverpool & MerseysideBand 5 Staff Nurse (RN) — Sheffield & South YorkshireBand 5 Staff Nurse (RN) — Southampton & HampshireBand 5 Staff Nurse (RN) — Nottingham & East MidlandsBand 5 Staff Nurse (RN) — ScotlandBand 5 Staff Nurse (RN) — WalesBand 5 Staff Nurse (RN) — Northern IrelandBand 5 Newly Qualified Paramedic — Inner LondonBand 5 Newly Qualified Paramedic — Outer LondonBand 5 Newly Qualified Paramedic — Fringe BorderBand 5 Newly Qualified Paramedic — Birmingham & SolihullBand 5 Newly Qualified Paramedic — Greater ManchesterBand 5 Newly Qualified Paramedic — Leeds & West YorkshireBand 5 Newly Qualified Paramedic — Newcastle & North EastBand 5 Newly Qualified Paramedic — Bristol & SevernBand 5 Newly Qualified Paramedic — Liverpool & MerseysideBand 5 Newly Qualified Paramedic — Sheffield & South YorkshireBand 5 Newly Qualified Paramedic — Southampton & HampshireBand 5 Newly Qualified Paramedic — Nottingham & East MidlandsBand 5 Newly Qualified Paramedic — ScotlandBand 5 Newly Qualified Paramedic — WalesBand 5 Newly Qualified Paramedic — Northern IrelandBand 5 Physiotherapist — Inner LondonBand 5 Physiotherapist — Outer LondonBand 5 Physiotherapist — Fringe BorderBand 5 Physiotherapist — Birmingham & SolihullBand 5 Physiotherapist — Greater ManchesterBand 5 Physiotherapist — Leeds & West YorkshireBand 5 Physiotherapist — Newcastle & North EastBand 5 Physiotherapist — Bristol & SevernBand 5 Physiotherapist — Liverpool & MerseysideBand 5 Physiotherapist — Sheffield & South YorkshireBand 5 Physiotherapist — Southampton & HampshireBand 5 Physiotherapist — Nottingham & East MidlandsBand 5 Physiotherapist — ScotlandBand 5 Physiotherapist — WalesBand 5 Physiotherapist — Northern IrelandBand 5 Radiographer — Inner LondonBand 5 Radiographer — Outer LondonBand 5 Radiographer — Fringe BorderBand 5 Radiographer — Birmingham & SolihullBand 5 Radiographer — Greater ManchesterBand 5 Radiographer — Leeds & West YorkshireBand 5 Radiographer — Newcastle & North EastBand 5 Radiographer — Bristol & SevernBand 5 Radiographer — Liverpool & MerseysideBand 5 Radiographer — Sheffield & South YorkshireBand 5 Radiographer — Southampton & HampshireBand 5 Radiographer — Nottingham & East MidlandsBand 5 Radiographer — ScotlandBand 5 Radiographer — WalesBand 5 Radiographer — Northern IrelandBand 5 Occupational Therapist — Inner LondonBand 5 Occupational Therapist — Outer LondonBand 5 Occupational Therapist — Fringe BorderBand 5 Occupational Therapist — Birmingham & SolihullBand 5 Occupational Therapist — Greater ManchesterBand 5 Occupational Therapist — Leeds & West YorkshireBand 5 Occupational Therapist — Newcastle & North EastBand 5 Occupational Therapist — Bristol & SevernBand 5 Occupational Therapist — Liverpool & MerseysideBand 5 Occupational Therapist — Sheffield & South YorkshireBand 5 Occupational Therapist — Southampton & HampshireBand 5 Occupational Therapist — Nottingham & East MidlandsBand 5 Occupational Therapist — ScotlandBand 5 Occupational Therapist — WalesBand 5 Occupational Therapist — Northern IrelandBand 5 Midwife — Inner LondonBand 5 Midwife — Outer LondonBand 5 Midwife — Fringe BorderBand 5 Midwife — Birmingham & SolihullBand 5 Midwife — Greater ManchesterBand 5 Midwife — Leeds & West YorkshireBand 5 Midwife — Newcastle & North EastBand 5 Midwife — Bristol & SevernBand 5 Midwife — Liverpool & MerseysideBand 5 Midwife — Sheffield & South YorkshireBand 5 Midwife — Southampton & HampshireBand 5 Midwife — Nottingham & East MidlandsBand 5 Midwife — ScotlandBand 5 Midwife — WalesBand 5 Midwife — Northern IrelandBand 6 Junior Sister / Charge Nurse — Inner LondonBand 6 Junior Sister / Charge Nurse — Outer LondonBand 6 Junior Sister / Charge Nurse — Fringe BorderBand 6 Junior Sister / Charge Nurse — Birmingham & SolihullBand 6 Junior Sister / Charge Nurse — Greater ManchesterBand 6 Junior Sister / Charge Nurse — Leeds & West YorkshireBand 6 Junior Sister / Charge Nurse — Newcastle & North EastBand 6 Junior Sister / Charge Nurse — Bristol & SevernBand 6 Junior Sister / Charge Nurse — Liverpool & MerseysideBand 6 Junior Sister / Charge Nurse — Sheffield & South YorkshireBand 6 Junior Sister / Charge Nurse — Southampton & HampshireBand 6 Junior Sister / Charge Nurse — Nottingham & East MidlandsBand 6 Junior Sister / Charge Nurse — ScotlandBand 6 Junior Sister / Charge Nurse — WalesBand 6 Junior Sister / Charge Nurse — Northern IrelandBand 6 Senior Paramedic — Inner LondonBand 6 Senior Paramedic — Outer LondonBand 6 Senior Paramedic — Fringe BorderBand 6 Senior Paramedic — Birmingham & SolihullBand 6 Senior Paramedic — Greater ManchesterBand 6 Senior Paramedic — Leeds & West YorkshireBand 6 Senior Paramedic — Newcastle & North EastBand 6 Senior Paramedic — Bristol & SevernBand 6 Senior Paramedic — Liverpool & MerseysideBand 6 Senior Paramedic — Sheffield & South YorkshireBand 6 Senior Paramedic — Southampton & HampshireBand 6 Senior Paramedic — Nottingham & East MidlandsBand 6 Senior Paramedic — ScotlandBand 6 Senior Paramedic — WalesBand 6 Senior Paramedic — Northern IrelandBand 6 Specialist Physiotherapist — Inner LondonBand 6 Specialist Physiotherapist — Outer LondonBand 6 Specialist Physiotherapist — Fringe BorderBand 6 Specialist Physiotherapist — Birmingham & SolihullBand 6 Specialist Physiotherapist — Greater ManchesterBand 6 Specialist Physiotherapist — Leeds & West YorkshireBand 6 Specialist Physiotherapist — Newcastle & North EastBand 6 Specialist Physiotherapist — Bristol & SevernBand 6 Specialist Physiotherapist — Liverpool & MerseysideBand 6 Specialist Physiotherapist — Sheffield & South YorkshireBand 6 Specialist Physiotherapist — Southampton & HampshireBand 6 Specialist Physiotherapist — Nottingham & East MidlandsBand 6 Specialist Physiotherapist — ScotlandBand 6 Specialist Physiotherapist — WalesBand 6 Specialist Physiotherapist — Northern IrelandBand 6 Specialist Radiographer — Inner LondonBand 6 Specialist Radiographer — Outer LondonBand 6 Specialist Radiographer — Fringe BorderBand 6 Specialist Radiographer — Birmingham & SolihullBand 6 Specialist Radiographer — Greater ManchesterBand 6 Specialist Radiographer — Leeds & West YorkshireBand 6 Specialist Radiographer — Newcastle & North EastBand 6 Specialist Radiographer — Bristol & SevernBand 6 Specialist Radiographer — Liverpool & MerseysideBand 6 Specialist Radiographer — Sheffield & South YorkshireBand 6 Specialist Radiographer — Southampton & HampshireBand 6 Specialist Radiographer — Nottingham & East MidlandsBand 6 Specialist Radiographer — ScotlandBand 6 Specialist Radiographer — WalesBand 6 Specialist Radiographer — Northern IrelandBand 6 Specialist Midwife — Inner LondonBand 6 Specialist Midwife — Outer LondonBand 6 Specialist Midwife — Fringe BorderBand 6 Specialist Midwife — Birmingham & SolihullBand 6 Specialist Midwife — Greater ManchesterBand 6 Specialist Midwife — Leeds & West YorkshireBand 6 Specialist Midwife — Newcastle & North EastBand 6 Specialist Midwife — Bristol & SevernBand 6 Specialist Midwife — Liverpool & MerseysideBand 6 Specialist Midwife — Sheffield & South YorkshireBand 6 Specialist Midwife — Southampton & HampshireBand 6 Specialist Midwife — Nottingham & East MidlandsBand 6 Specialist Midwife — ScotlandBand 6 Specialist Midwife — WalesBand 6 Specialist Midwife — Northern IrelandBand 7 Ward Manager / Sister — Inner LondonBand 7 Ward Manager / Sister — Outer LondonBand 7 Ward Manager / Sister — Fringe BorderBand 7 Ward Manager / Sister — Birmingham & SolihullBand 7 Ward Manager / Sister — Greater ManchesterBand 7 Ward Manager / Sister — Leeds & West YorkshireBand 7 Ward Manager / Sister — Newcastle & North EastBand 7 Ward Manager / Sister — Bristol & SevernBand 7 Ward Manager / Sister — Liverpool & MerseysideBand 7 Ward Manager / Sister — Sheffield & South YorkshireBand 7 Ward Manager / Sister — Southampton & HampshireBand 7 Ward Manager / Sister — Nottingham & East MidlandsBand 7 Ward Manager / Sister — ScotlandBand 7 Ward Manager / Sister — WalesBand 7 Ward Manager / Sister — Northern IrelandBand 7 Advanced Clinical Practitioner (ACP) — Inner LondonBand 7 Advanced Clinical Practitioner (ACP) — Outer LondonBand 7 Advanced Clinical Practitioner (ACP) — Fringe BorderBand 7 Advanced Clinical Practitioner (ACP) — Birmingham & SolihullBand 7 Advanced Clinical Practitioner (ACP) — Greater ManchesterBand 7 Advanced Clinical Practitioner (ACP) — Leeds & West YorkshireBand 7 Advanced Clinical Practitioner (ACP) — Newcastle & North EastBand 7 Advanced Clinical Practitioner (ACP) — Bristol & SevernBand 7 Advanced Clinical Practitioner (ACP) — Liverpool & MerseysideBand 7 Advanced Clinical Practitioner (ACP) — Sheffield & South YorkshireBand 7 Advanced Clinical Practitioner (ACP) — Southampton & HampshireBand 7 Advanced Clinical Practitioner (ACP) — Nottingham & East MidlandsBand 7 Advanced Clinical Practitioner (ACP) — ScotlandBand 7 Advanced Clinical Practitioner (ACP) — WalesBand 7 Advanced Clinical Practitioner (ACP) — Northern IrelandBand 7 Advanced Paramedic — Inner LondonBand 7 Advanced Paramedic — Outer LondonBand 7 Advanced Paramedic — Fringe BorderBand 7 Advanced Paramedic — Birmingham & SolihullBand 7 Advanced Paramedic — Greater ManchesterBand 7 Advanced Paramedic — Leeds & West YorkshireBand 7 Advanced Paramedic — Newcastle & North EastBand 7 Advanced Paramedic — Bristol & SevernBand 7 Advanced Paramedic — Liverpool & MerseysideBand 7 Advanced Paramedic — Sheffield & South YorkshireBand 7 Advanced Paramedic — Southampton & HampshireBand 7 Advanced Paramedic — Nottingham & East MidlandsBand 7 Advanced Paramedic — ScotlandBand 7 Advanced Paramedic — WalesBand 7 Advanced Paramedic — Northern IrelandBand 7 Lead Clinical Pharmacist — Inner LondonBand 7 Lead Clinical Pharmacist — Outer LondonBand 7 Lead Clinical Pharmacist — Fringe BorderBand 7 Lead Clinical Pharmacist — Birmingham & SolihullBand 7 Lead Clinical Pharmacist — Greater ManchesterBand 7 Lead Clinical Pharmacist — Leeds & West YorkshireBand 7 Lead Clinical Pharmacist — Newcastle & North EastBand 7 Lead Clinical Pharmacist — Bristol & SevernBand 7 Lead Clinical Pharmacist — Liverpool & MerseysideBand 7 Lead Clinical Pharmacist — Sheffield & South YorkshireBand 7 Lead Clinical Pharmacist — Southampton & HampshireBand 7 Lead Clinical Pharmacist — Nottingham & East MidlandsBand 7 Lead Clinical Pharmacist — ScotlandBand 7 Lead Clinical Pharmacist — WalesBand 7 Lead Clinical Pharmacist — Northern IrelandBand 7 Clinical Team Leader — Inner LondonBand 7 Clinical Team Leader — Outer LondonBand 7 Clinical Team Leader — Fringe BorderBand 7 Clinical Team Leader — Birmingham & SolihullBand 7 Clinical Team Leader — Greater ManchesterBand 7 Clinical Team Leader — Leeds & West YorkshireBand 7 Clinical Team Leader — Newcastle & North EastBand 7 Clinical Team Leader — Bristol & SevernBand 7 Clinical Team Leader — Liverpool & MerseysideBand 7 Clinical Team Leader — Sheffield & South YorkshireBand 7 Clinical Team Leader — Southampton & HampshireBand 7 Clinical Team Leader — Nottingham & East MidlandsBand 7 Clinical Team Leader — ScotlandBand 7 Clinical Team Leader — WalesBand 7 Clinical Team Leader — Northern IrelandBand 8a Matron — Inner LondonBand 8a Matron — Outer LondonBand 8a Matron — Fringe BorderBand 8a Matron — Birmingham & SolihullBand 8a Matron — Greater ManchesterBand 8a Matron — Newcastle & North EastBand 8a Matron — Liverpool & MerseysideBand 8a Matron — Southampton & HampshireBand 8a Matron — ScotlandBand 8a Matron — Northern IrelandBand 8a Advanced Nurse Consultant — Inner LondonBand 8a Advanced Nurse Consultant — Outer LondonBand 8a Advanced Nurse Consultant — Fringe BorderBand 8a Advanced Nurse Consultant — Birmingham & SolihullBand 8a Advanced Nurse Consultant — Greater ManchesterBand 8a Advanced Nurse Consultant — Newcastle & North EastBand 8a Advanced Nurse Consultant — Liverpool & MerseysideBand 8a Advanced Nurse Consultant — Southampton & HampshireBand 8a Advanced Nurse Consultant — ScotlandBand 8a Advanced Nurse Consultant — Northern IrelandBand 8a Principal Clinical Psychologist — Inner LondonBand 8a Principal Clinical Psychologist — Outer LondonBand 8a Principal Clinical Psychologist — Fringe BorderBand 8a Principal Clinical Psychologist — Birmingham & SolihullBand 8a Principal Clinical Psychologist — Greater ManchesterBand 8a Principal Clinical Psychologist — Newcastle & North EastBand 8a Principal Clinical Psychologist — Liverpool & MerseysideBand 8a Principal Clinical Psychologist — Southampton & HampshireBand 8a Principal Clinical Psychologist — ScotlandBand 8a Principal Clinical Psychologist — Northern IrelandBand 8a Operational Service Manager — Inner LondonBand 8a Operational Service Manager — Outer LondonBand 8a Operational Service Manager — Fringe BorderBand 8a Operational Service Manager — Birmingham & SolihullBand 8a Operational Service Manager — Greater ManchesterBand 8a Operational Service Manager — Newcastle & North EastBand 8a Operational Service Manager — Liverpool & MerseysideBand 8a Operational Service Manager — Southampton & HampshireBand 8a Operational Service Manager — ScotlandBand 8a Operational Service Manager — Northern IrelandBand 8b Senior Matron — Inner LondonBand 8b Senior Matron — Outer LondonBand 8b Senior Matron — Fringe BorderBand 8b Senior Matron — Birmingham & SolihullBand 8b Senior Matron — Greater ManchesterBand 8b Senior Matron — Newcastle & North EastBand 8b Senior Matron — Liverpool & MerseysideBand 8b Senior Matron — Southampton & HampshireBand 8b Senior Matron — ScotlandBand 8b Senior Matron — Northern IrelandBand 8b Consultant Clinical Psychologist — Inner LondonBand 8b Consultant Clinical Psychologist — Outer LondonBand 8b Consultant Clinical Psychologist — Fringe BorderBand 8b Consultant Clinical Psychologist — Birmingham & SolihullBand 8b Consultant Clinical Psychologist — Greater ManchesterBand 8b Consultant Clinical Psychologist — Newcastle & North EastBand 8b Consultant Clinical Psychologist — Liverpool & MerseysideBand 8b Consultant Clinical Psychologist — Southampton & HampshireBand 8b Consultant Clinical Psychologist — ScotlandBand 8b Consultant Clinical Psychologist — Northern IrelandBand 8b Head of Clinical Services — Inner LondonBand 8b Head of Clinical Services — Outer LondonBand 8b Head of Clinical Services — Fringe BorderBand 8b Head of Clinical Services — Birmingham & SolihullBand 8b Head of Clinical Services — Greater ManchesterBand 8b Head of Clinical Services — Newcastle & North EastBand 8b Head of Clinical Services — Liverpool & MerseysideBand 8b Head of Clinical Services — Southampton & HampshireBand 8b Head of Clinical Services — ScotlandBand 8b Head of Clinical Services — Northern IrelandBand 8c Head of Nursing — Inner LondonBand 8c Head of Nursing — Outer LondonBand 8c Head of Nursing — Fringe BorderBand 8c Head of Nursing — Birmingham & SolihullBand 8c Head of Nursing — Greater ManchesterBand 8c Head of Nursing — Newcastle & North EastBand 8c Head of Nursing — Liverpool & MerseysideBand 8c Head of Nursing — Southampton & HampshireBand 8c Head of Nursing — ScotlandBand 8c Head of Nursing — Northern IrelandBand 8c Associate Director of Operations — Inner LondonBand 8c Associate Director of Operations — Outer LondonBand 8c Associate Director of Operations — Fringe BorderBand 8c Associate Director of Operations — Birmingham & SolihullBand 8c Associate Director of Operations — Greater ManchesterBand 8c Associate Director of Operations — Newcastle & North EastBand 8c Associate Director of Operations — Liverpool & MerseysideBand 8c Associate Director of Operations — Southampton & HampshireBand 8c Associate Director of Operations — ScotlandBand 8c Associate Director of Operations — Northern IrelandBand 8c Consultant Clinical Scientist — Inner LondonBand 8c Consultant Clinical Scientist — Outer LondonBand 8c Consultant Clinical Scientist — Fringe BorderBand 8c Consultant Clinical Scientist — Birmingham & SolihullBand 8c Consultant Clinical Scientist — Greater ManchesterBand 8c Consultant Clinical Scientist — Newcastle & North EastBand 8c Consultant Clinical Scientist — Liverpool & MerseysideBand 8c Consultant Clinical Scientist — Southampton & HampshireBand 8c Consultant Clinical Scientist — ScotlandBand 8c Consultant Clinical Scientist — Northern IrelandBand 8d Deputy Director of Nursing — Inner LondonBand 8d Deputy Director of Nursing — Outer LondonBand 8d Deputy Director of Nursing — Fringe BorderBand 8d Deputy Director of Nursing — Birmingham & SolihullBand 8d Deputy Director of Nursing — Greater ManchesterBand 8d Deputy Director of Nursing — Newcastle & North EastBand 8d Deputy Director of Nursing — Liverpool & MerseysideBand 8d Deputy Director of Nursing — Southampton & HampshireBand 8d Deputy Director of Nursing — ScotlandBand 8d Deputy Director of Nursing — Northern IrelandBand 8d Director of Operations — Inner LondonBand 8d Director of Operations — Outer LondonBand 8d Director of Operations — Fringe BorderBand 8d Director of Operations — Birmingham & SolihullBand 8d Director of Operations — Greater ManchesterBand 8d Director of Operations — Newcastle & North EastBand 8d Director of Operations — Liverpool & MerseysideBand 8d Director of Operations — Southampton & HampshireBand 8d Director of Operations — ScotlandBand 8d Director of Operations — Northern IrelandBand 8d Chief Pharmacist — Inner LondonBand 8d Chief Pharmacist — Outer LondonBand 8d Chief Pharmacist — Fringe BorderBand 8d Chief Pharmacist — Birmingham & SolihullBand 8d Chief Pharmacist — Greater ManchesterBand 8d Chief Pharmacist — Newcastle & North EastBand 8d Chief Pharmacist — Liverpool & MerseysideBand 8d Chief Pharmacist — Southampton & HampshireBand 8d Chief Pharmacist — ScotlandBand 8d Chief Pharmacist — Northern IrelandBand 9 Director of Nursing — Inner LondonBand 9 Director of Nursing — Outer LondonBand 9 Director of Nursing — Fringe BorderBand 9 Director of Nursing — Birmingham & SolihullBand 9 Director of Nursing — Greater ManchesterBand 9 Director of Nursing — Newcastle & North EastBand 9 Director of Nursing — Liverpool & MerseysideBand 9 Director of Nursing — Southampton & HampshireBand 9 Director of Nursing — ScotlandBand 9 Director of Nursing — Northern IrelandBand 9 Chief Operating Officer (COO) — Inner LondonBand 9 Chief Operating Officer (COO) — Outer LondonBand 9 Chief Operating Officer (COO) — Fringe BorderBand 9 Chief Operating Officer (COO) — Birmingham & SolihullBand 9 Chief Operating Officer (COO) — Greater ManchesterBand 9 Chief Operating Officer (COO) — Newcastle & North EastBand 9 Chief Operating Officer (COO) — Liverpool & MerseysideBand 9 Chief Operating Officer (COO) — Southampton & HampshireBand 9 Chief Operating Officer (COO) — ScotlandBand 9 Chief Operating Officer (COO) — Northern IrelandBand 9 National Clinical Specialist Advisor — Inner LondonBand 9 National Clinical Specialist Advisor — Outer LondonBand 9 National Clinical Specialist Advisor — Fringe BorderBand 9 National Clinical Specialist Advisor — Birmingham & SolihullBand 9 National Clinical Specialist Advisor — Greater ManchesterBand 9 National Clinical Specialist Advisor — Newcastle & North EastBand 9 National Clinical Specialist Advisor — Liverpool & MerseysideBand 9 National Clinical Specialist Advisor — Southampton & HampshireBand 9 National Clinical Specialist Advisor — ScotlandBand 9 National Clinical Specialist Advisor — Northern Ireland

Frequently Asked Questions

Key guidance on NHS Agenda for Change payroll, taxation, and pension mechanics

UK Payroll FAQs
The official 2026/27 NHS Agenda for Change pay settlement delivers a 3.3% consolidated uplift across all standard pay bands (Bands 2 through 9), establishing a new national starting wage of £25,272 (£12.92/hour) for Band 2 healthcare assistants and clinical support staff.