2026/27 Master Hourly Reference • 1,955.36 Annual Hours • AfC Section 2 Uplifts

NHS Hourly Pay Rates 2026/27: Basic, Night, Sunday, Overtime & Bank Master Chart

Every 2026/27 NHS Agenda for Change hourly rate across all 25 spine points from Band 2 to Band 9 in one verified table—comparing Basic Day Rate (1.0x), Night & Saturday (+44% / +30%), Sunday & Bank Holiday (+88% / +60%), Overtime (1.5x), NHS Bank (+12.07% WTR), and Net Hourly Take-Home.

Direct Answer · 2026/27 NHS Hourly Rate Formula & Key Benchmarks

NHS hourly pay is calculated by dividing your annual basic salary by 1,955.36 hours (`37.5 hrs/wk × 52.143 wks`) in England, Wales, and Northern Ireland—or by 1,825.00 hours (`35.0 hrs/wk × 52.143 wks`) in NHS Scotland. In 2026/27, Band 2 pays £12.92/hr (up to £24.29/hr on Sundays), Band 5 starts at £16.40/hr (£21.32/hr nights / £26.24/hr Sundays), Band 6 starts at £20.44/hr, and Band 7 starts at £25.26/hr.

Band 2 Spot Rate£12.92/hrNight: £18.60/hr • Sun: £24.29/hr
Band 5 Entry Rate£16.40/hrNight: £21.32/hr • Sun: £26.24/hr
Band 6 Entry Rate£20.44/hrNight: £26.57/hr • Sun: £32.70/hr
Band 7 Entry Rate£25.26/hrNight: £32.84/hr • Sun: £40.42/hr
Share 2026/27 NHS Hourly Rate Chart with Ward / Team
Share to WhatsApp

1. Complete 2026/27 NHS Hourly Pay Rates Master Table (Bands 2 to 9 — All Spine Points)

Includes standard 37.5h basic rate, Night/Saturday Section 2 rate, Sunday/Bank Holiday Section 2 rate, 1.5x Overtime, +12.07% Bank WTR, and Net Hourly Pay.

Unsocial Shift Calculator →
Band & StepAnnual BasicBasic Day (1.0x)Night / SatSunday / BHOvertime (1.5x)Bank (+12.07%)Net Hourly
Band 2 Single Point (0y)£25,272£12.92/hr£18.60/hr (+44%)£24.29/hr (+88%)£19.38/hr£14.48/hr£10.43/hr
Band 3 Entry (0y)£25,760£13.17/hr£18.96/hr (+44%)£24.76/hr (+88%)£19.76/hr£14.76/hr£10.60/hr
Band 3 After 2 years (Top) (2y)£27,476£14.05/hr£20.23/hr (+44%)£26.41/hr (+88%)£21.08/hr£15.75/hr£11.19/hr
Band 4 Entry (0y)£28,392£14.52/hr£18.88/hr (+30%)£23.23/hr (+60%)£21.78/hr£16.27/hr£11.50/hr
Band 4 After 3 years (Top) (3y)£31,157£15.93/hr£20.71/hr (+30%)£25.49/hr (+60%)£23.90/hr£17.85/hr£12.22/hr
Band 5 Entry (0y)£32,073£16.40/hr£21.32/hr (+30%)£26.24/hr (+60%)£24.60/hr£18.38/hr£12.52/hr
Band 5 After 2 years (Mid) (2y)£34,592£17.69/hr£23.00/hr (+30%)£28.30/hr (+60%)£26.54/hr£19.83/hr£13.36/hr
Band 5 After 4 years (Top) (4y)£39,043£19.97/hr£25.96/hr (+30%)£31.95/hr (+60%)£29.96/hr£22.38/hr£14.61/hr
Band 6 Entry (0y)£39,959£20.44/hr£26.57/hr (+30%)£32.70/hr (+60%)£30.66/hr£22.91/hr£14.91/hr
Band 6 After 2 years (Mid) (2y)£42,170£21.57/hr£28.04/hr (+30%)£34.51/hr (+60%)£32.36/hr£24.17/hr£15.64/hr
Band 6 After 5 years (Top) (5y)£48,117£24.61/hr£31.99/hr (+30%)£39.38/hr (+60%)£36.92/hr£27.58/hr£17.59/hr
Band 7 Entry (0y)£49,387£25.26/hr£32.84/hr (+30%)£40.42/hr (+60%)£37.89/hr£28.31/hr£18.01/hr
Band 7 After 2 years (Mid) (2y)£51,932£26.56/hr£34.53/hr (+30%)£42.50/hr (+60%)£39.84/hr£29.77/hr£18.89/hr
Band 7 After 5 years (Top) (5y)£56,515£28.90/hr£37.57/hr (+30%)£46.24/hr (+60%)£43.35/hr£32.39/hr£20.31/hr
Band 8a Entry (0y)£57,528£29.42/hr£38.25/hr (+30%)£47.07/hr (+60%)N/A (B8+)£32.97/hr£20.58/hr
Band 8a After 2 years (Mid) (2y)£60,417£30.90/hr£40.17/hr (+30%)£49.44/hr (+60%)N/A (B8+)£34.63/hr£21.34/hr
Band 8a After 5 years (Top) (5y)£64,750£33.11/hr£43.04/hr (+30%)£52.98/hr (+60%)N/A (B8+)£37.11/hr£22.48/hr
Band 8b Entry (0y)£66,582£34.05/hr£44.27/hr (+30%)£54.48/hr (+60%)N/A (B8+)£38.16/hr£22.96/hr
Band 8b After 2 years (Mid) (2y)£70,896£36.26/hr£47.14/hr (+30%)£58.02/hr (+60%)N/A (B8+)£40.64/hr£23.71/hr
Band 8b After 5 years (Top) (5y)£77,368£39.57/hr£51.44/hr (+30%)£63.31/hr (+60%)N/A (B8+)£44.35/hr£25.38/hr
Band 8c Entry (0y)£79,504£40.66/hr£52.86/hr (+30%)£65.06/hr (+60%)N/A (B8+)£45.57/hr£25.93/hr
Band 8c After 2 years (Mid) (2y)£84,346£43.14/hr£56.08/hr (+30%)£69.02/hr (+60%)N/A (B8+)£48.35/hr£27.18/hr
Band 8c After 5 years (Top) (5y)£91,609£46.85/hr£60.91/hr (+30%)£74.96/hr (+60%)N/A (B8+)£52.50/hr£29.06/hr
Band 8d Entry (0y)£94,356£48.26/hr£62.74/hr (+30%)£77.22/hr (+60%)N/A (B8+)£54.08/hr£29.77/hr
Band 8d After 2 years (Mid) (2y)£100,140£51.21/hr£66.57/hr (+30%)£81.94/hr (+60%)N/A (B8+)£57.39/hr£31.26/hr
Band 8d After 5 years (Top) (5y)£108,814£55.65/hr£72.35/hr (+30%)£89.04/hr (+60%)N/A (B8+)£62.37/hr£33.50/hr
Band 9 Entry (0y)£112,782£57.68/hr£74.98/hr (+30%)£92.29/hr (+60%)N/A (B8+)£64.64/hr£34.53/hr
Band 9 After 2 years (Mid) (2y)£119,583£61.16/hr£79.51/hr (+30%)£97.86/hr (+60%)N/A (B8+)£68.54/hr£35.81/hr
Band 9 After 5 years (Top) (5y)£129,783£66.37/hr£86.28/hr (+30%)£106.19/hr (+60%)N/A (B8+)£74.38/hr£37.53/hr

Interactive Hourly Shift, Night & Weekend Pay Modeler

2026/27 Section 2 Unsocial Hours Engine
Auto-configures band & standard terms
Popular:
England & Wales 2026/27 (+3.3%)
timelineExperience Progression StepAnnex 2 Incremental Pay Scale
scheduleContracted Weekly Hours

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

37.5 hrs/wk (1.00 FTE)
location_onWork Location & London Weighting (HCAS)Section 4 AfC
nightlightUnsocial Hours & Night Shifts (Section 2)

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

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

+£232.46 / 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 Monthly Take-Home
Pay Date: 28th
Estimated Monthly Take-Home
£2,237/ mo
Annual Net Take-Home:£26,842 / yrNet Hourly Rate:£13.73/hr
Gross Basic Salary

£36,501

Total Deductions

−£805 / mo

Proportional Distribution73.5% kept in pocket
Estimated Monthly Take-Home£2,237
NHS Pension Contribution (8.3%)−£222
PAYE Income Tax−£354
National Insurance (8%)−£160
shareShare Breakdown to WhatsApp
codeEmbed Calculator Widget on Your Website
shield

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

Band 5•Entry
£2,236.83/mo
Keep 74p in £1

Complete NHS Agenda for Change Calculator Suite & Financial Toolkit

Specialist interactive calculators for NHS promotion traps, unsocial night shifts, pensions, trusts, maternity, sick pay, and back-pay arrears

2026/27 AfC Handbook
Promotion • Pension TrapPension Cliff & Shift Check

⚡ Band 5 → 6 Promotion & Pension Bracket Trap Tool

The £50/month marginal deduction trap solved. Model pension tier jumps (8.3% to 9.8%), tax creep, and the net cash impact of dropping ward night shifts.

Shift Work • IR35 UmbrellaInside IR35 vs +12.07% WTR

⚖️ NHS Staff Bank vs. Agency vs. Substantive Net Pay Comparator

The Inside IR35 umbrella trap exposed. Compare actual net take-home pay: NHS Staff Bank (+12.07% WTR holiday uplift & pension) vs Agency (deducting 13.8% Employer NI & umbrella margins).

Shift Pay • Section 2+30% to +88% AfC Uplift

🌙 Section 2 Unsocial Hours & Night Shift Pay Calculator

Calculate gross enhancement vs. net cash in bank across Nights (+30%/+44%), Saturdays, and Sundays (+60%/+88%). Includes interactive rota builder.

Hospitals • HCAS Zones50 Verified NHS Trusts

🏥 Top 50 NHS Trusts & Hospital Pay Directory

Explore starting and top pay across 50 major UK NHS Trusts and Health Boards with hospital site mappings, ODS codes, and London Weighting allowances.

Retirement • CARE 1/54thUp to 40% HMRC Tax Relief

NHS 2015 CARE Pension, AVCs & Lump Sum Calculator

NHS employees bank 1/54th of pensionable pay every year (+23.78% employer contribution) with 20% to 40% automatic PAYE tax relief and £12:£1 lump sum commutation.

Extra Shifts • Sec 2 & 3+12.07% WTR Holiday Uplift

NHS Bank Shifts & Overtime Net Cash Calculator

Calculate your exact marginal take-home pay per 7.5h, 11.5h, or 12h shift across Weekday, Night/Saturday (+30%/+44%), Sunday/BH (+60%/+88%), and 1.5x Overtime rates.

Pay Award • Apr Arrears+3.3% Backdated Lump Sum

NHS 3.3% Pay Rise & Back-Pay Arrears Calculator

Calculate your exact backdated 2026/27 NHS Agenda for Change lump-sum arrears from 1 April after PAYE tax, National Insurance, NHS Pension, and Student Loan.

Family Leave • Sec 15Equalised 9/12-Mo Spread

NHS Occupational Maternity Pay (OMP + SMP) Planner

Model your 8 weeks 100% full pay, 18 weeks 50% half pay + SMP (£187.18/wk), and compare phased monthly payslips against equalised 9 or 12 month spread pay.

Income Protection • Sec 14Up to 6m Full + 6m Half Pay

NHS Sick Pay Entitlement & Half-Pay Calculator

Check your 1 to 6 months Full Pay and Half Pay + Statutory Sick Pay (£118.75/wk) entitlement by years of service, and see why half pay preserves ~65% of net income.

Severance • Sec 16First £30,000 Tax-Free

NHS Redundancy & MARS Severance Calculator

Calculate your contractual NHS Section 16 redundancy (1 month per year up to 24 years, £80k cap) or MARS payout after the £30,000 HMRC tax-free allowance.

Global • Relocation8 Languages Supported

🌍 Overseas Recruits Visa & Relocation Hub (8 Languages)

Dedicated guide for international healthcare workers entering the UK NHS on Health & Care Worker Visas. Translated into 8 languages with take-home pay models.

HealthRoster • Sec 13262.5h to 307.5h FTE

NHS Annual Leave & Bank Holiday Hours Converter

Convert your 27, 29, or 33 days of Agenda for Change annual leave plus 8 UK Bank Holidays into combined HealthRoster hours and 11.5-hour or 12-hour shift equivalents.

Webmasters • Backlink EngineFree Iframe Generator

🔗 Embed Free NHS Calculator Widget for Your Site

Add a responsive, zero-maintenance 2026/27 NHS Pay Calculator to your nursing blog, trust intranet, or recruitment portal in 30 seconds with 1-click HTML code.

Statutory Notice: NetPayScale UK provides independent computational models synchronised with the 2026/27 NHS Terms and Conditions of Service (Agenda for Change) Handbook and HMRC PAYE regulations.

Statutory Provenance & Audit Trail

How We Calculate & Verify NHS 2026/27 Hourly Pay Spine & Section 2 Shift Multipliers

Tax Year: 2026/27 (6 Apr 2026 – 5 Apr 2027)
Last Statutory Audit: October 2026 • Methodology →
1. Pay Spine Authority

NHS Employers 2026/27 Pay Circular

Implements the official 2026/27 Agenda for Change (+3.3%) consolidated pay spine across Bands 2 to 9 (NHS Terms & Conditions Handbook Annex 2 & Annex 3).

2. Allowances & Shifts

NHS T&C Handbook (Sec 2 & Annex 9)

Applies statutory Section 2 unsocial hours multipliers (+44%/+88% Bands 2–3; +30%/+60% Bands 4–9) and Annex 9 HCAS London Weighting caps (20% Inner, 15% Outer, 5% Fringe).

3. Tax & National Insurance

HMRC PAYE Specifications 2026/27

Computes UK PAYE Income Tax (£12,570 Personal Allowance, 20%/40%/45% bands, and £100k PA taper) plus Class 1 Employee National Insurance (8% PT–UEL, 2% above £50,270).

4. Pension & Net-Pay Relief

NHSBSA 2015 CARE Scheme Rules

Deducts 2026/27 tiered employee contributions (5.2% to 12.5%) from pensionable pay (basic + HCAS) before Income Tax under HMRC Net-Pay arrangements, with 1/54th CARE accrual.

Deterministic Calculation Formulas (Zero Rounding Drift)Standard WTE: 37.5h/wk = 1,955.36 hrs/yr • Scotland WTE: 35.0h/wk = 1,825.00 hrs/yr
1. Pensionable & Taxable BaseTaxable = Gross − ((Basic + HCAS) × Tier%)
2. Pro-Rata WTE & HCAS BoundsFTE = Hours ÷ 37.5 | HCAS = clamp(Basic×%, Min×FTE, Max×FTE)
3. Monthly Net In-BankNet/mo = (Gross − Pension − PAYE − NI − Loan) ÷ 12