NHS Job Roles & Clinical Career Salary Directory (2026/27)
Explore official 2026/27 NHS gross pay scales, basic and unsocial hourly rates, 2015 CARE Pension deductions, London Weighting (HCAS), and exact monthly net take-home pay for 41 clinical, allied health, scientific, and leadership job titles from Band 2 to Band 9.
Under the 2026/27 NHS Agenda for Change pay structure (+3.3% consolidated award), clinical support staff (Healthcare Assistants, Phlebotomists) earn £25,272/yr (£1,700/mo net); Nursing Associates & Pharmacy Technicians (Band 4) earn £28,392–£31,157/yr (£1,874–£1,990/mo net); newly qualified Nurses, Midwives, Paramedics, Physiotherapists & Radiographers (Band 5) earn £32,073–£39,043/yr (£2,040–£2,381/mo net); Junior Sisters & Senior Paramedics (Band 6) earn £39,959–£48,117/yr (£2,430–£2,866/mo net); and Ward Managers, Pharmacists & ACPs (Band 7) earn £49,387–£56,515/yr (£2,934–£3,309/mo net).
Nursing & Midwifery — 2026/27 NHS Salary & Take-Home Pay
Click any job title below for its complete step progression, Section 2 night/weekend rates, London HCAS table, and interactive calculator.
NHS Nursing Associate
Registered Nursing Associates (RNAs) bridge the clinical gap between Healthcare Support Workers and Registered Nurses, holding their own NMC registration to administer medications, perform clinical assessments, and deliver care across acute, mental health, and community settings.
NHS Staff Nurse (RN)
Band 5 Staff Nurses (Registered Nurses - Adult, Children's, Mental Health, and Learning Disability) represent the largest single clinical profession in the NHS, assessing, planning, and delivering acute, emergency, surgical, and community nursing care.
NHS Midwife
Newly Qualified Midwives enter the NHS at Band 5 during their preceptorship year, providing antenatal care, intrapartum labour ward delivery support, and postnatal care for mothers and newborns.
NHS Junior Sister / Charge Nurse
Band 6 Junior Sisters, Charge Nurses, and Clinical Nurse Specialists (CNS) lead shift-by-shift clinical operations on acute hospital wards, coordinate emergency patient flow, mentor Band 5 nurses, and run specialist outpatient clinics.
NHS Specialist Midwife
Band 6 Rotational and Specialist Midwives form the core autonomous midwifery workforce across NHS delivery suites, birth centres, antenatal triage, fetal medicine, safeguarding, and bereavement care.
NHS Ward Manager / Sister
Band 7 Ward Managers, Senior Sisters, and Delivery Suite Coordinators hold 24-hour operational, budgetary, rostering, and patient safety accountability for an entire NHS inpatient ward or clinical department.
NHS Matron
Band 8a Modern Matrons oversee a group of inpatient wards or an entire clinical directorate (such as Emergency Medicine, Surgery, or Maternity), driving infection prevention, CQC quality compliance, workforce retention, and patient experience.
NHS Advanced Nurse Consultant
Band 8a Advanced Nurse Practitioners and Associate Nurse Consultants lead autonomous nurse-led services, complex diagnostic clinics, and clinical research across oncology, cardiology, emergency care, and mental health.
NHS Senior Matron
Band 8b Senior Matrons and Lead Nurses direct nursing workforce strategy, safe staffing establishment reviews, and clinical governance across large multi-site hospital divisions.
NHS Head of Nursing
Band 8c Divisional Heads of Nursing and Midwifery hold professional and operational accountability for hundreds of nursing staff across a major clinical group (such as Unscheduled Care, Surgery, or Women & Children's Services).
NHS Deputy Director of Nursing
Band 8d Deputy Directors of Nursing (Deputy Chief Nurses) deputise for the Executive Chief Nurse across the entire NHS Trust, leading statutory patient safety, CQC regulatory readiness, and nursing workforce strategy.
NHS Director of Nursing
Band 9 Executive Directors of Nursing and Regional Chief Nurses represent the pinnacle of the Agenda for Change nursing career structure, holding Board-level accountability for clinical quality, patient safety, and professional regulation.
Paramedics & Emergency Care — 2026/27 NHS Salary & Take-Home Pay
Click any job title below for its complete step progression, Section 2 night/weekend rates, London HCAS table, and interactive calculator.
NHS Emergency Care Assistant
Emergency Care Assistants (ECAs) respond to 999 emergencies alongside Qualified Paramedics, operating blue-light emergency ambulances, assisting with pre-hospital trauma care, airway management, and resuscitation.
NHS Newly Qualified Paramedic
Newly Qualified Paramedics (NQPs) respond autonomously to life-threatening 999 calls across NHS Ambulance Trusts, performing advanced life support, ECG interpretation, intravenous drug administration, and pre-hospital triage.
NHS Senior Paramedic
Band 6 Experienced Paramedics and Senior Paramedic Team Leaders act as the senior clinical decision-makers at complex pre-hospital incidents, supervise NQPs and ECAs, and manage solo rapid-response vehicles (RRVs).
NHS Advanced Paramedic
Band 7 Advanced Paramedic Practitioners (APPs) in Critical Care (HEMS/Air Ambulance, Hazardous Area Response Teams) or Urgent & Primary Care manage either high-acuity pre-hospital trauma/resuscitation or autonomous community admission avoidance.
Allied Health Professionals (AHPs) — 2026/27 NHS Salary & Take-Home Pay
Click any job title below for its complete step progression, Section 2 night/weekend rates, London HCAS table, and interactive calculator.
NHS Assistant Practitioner
Assistant Practitioners (APs) work at a higher level of clinical autonomy than traditional support workers across physiotherapy, diagnostic radiography, occupational therapy, speech therapy, and acute rehabilitation units.
NHS Physiotherapist
Band 5 NHS Physiotherapists complete structured clinical rotations (typically 4 to 6 months each) across musculoskeletal outpatients, respiratory ICU/ITU, neuro-rehabilitation, orthopaedics, and care of the elderly.
NHS Radiographer
Band 5 Diagnostic and Therapeutic Radiographers deliver plain-film X-ray imaging, trauma emergency diagnostics, mobile theatre fluoroscopy, CT/MRI scanning, and oncology radiation therapy across NHS acute hospitals.
NHS Occupational Therapist
Band 5 Occupational Therapists (OTs) assess functional independence, cognitive rehabilitation, home adaptation requirements, and safe hospital discharge pathways across physical health, mental health, and community teams.
NHS Specialist Physiotherapist
Band 6 Specialist Physiotherapists hold autonomous clinical caseloads within a dedicated specialty such as MSK outpatients, critical care respiratory on-call, stroke neuro-rehabilitation, paediatrics, or pelvic health.
NHS Specialist Radiographer
Band 6 Specialist Radiographers lead complex diagnostic imaging modalities including multi-slice CT trauma scanning, MRI sequences, interventional cardiology/angiography suites, and senior radiotherapy planning.
Pharmacy & Advanced Clinical Practice — 2026/27 NHS Salary & Take-Home Pay
Click any job title below for its complete step progression, Section 2 night/weekend rates, London HCAS table, and interactive calculator.
NHS Pharmacy Assistant
NHS Hospital Pharmacy Assistants manage inpatient ward stock top-ups, automated robotic dispensing systems, controlled drug receipt logs, and outpatient prescription assembly within acute hospital dispensaries.
NHS Pharmacy Technician
Registered NHS Pharmacy Technicians perform medicines reconciliation on hospital admissions, final accuracy checking (ACT), aseptic chemotherapy preparation, and patient counselling on discharge medications.
NHS Advanced Clinical Practitioner (ACP)
Trainee and Newly Credentialed Advanced Clinical Practitioners (ACPs) from nursing, paramedic, pharmacy, or AHP backgrounds work on medical tier rotas—taking clinical histories, ordering diagnostics, performing invasive procedures, and prescribing independently.
NHS Lead Clinical Pharmacist
Band 7 Rotational and Specialist Clinical Pharmacists lead ward-based medicines optimisation, antimicrobial stewardship, critical care parenteral nutrition, oncology verification, and independent prescribing across NHS Hospital Trusts.
NHS Chief Pharmacist
Band 8d Trust Chief Pharmacists and Directors of Pharmacy & Medicines Optimisation serve as the statutory Controlled Drugs Accountable Officer (CDAO) and direct all clinical pharmacy services, aseptic manufacturing, and high-cost medicines budgets.
Clinical Support & Phlebotomy — 2026/27 NHS Salary & Take-Home Pay
Click any job title below for its complete step progression, Section 2 night/weekend rates, London HCAS table, and interactive calculator.
NHS Healthcare Assistant
Healthcare Assistants (HCAs) form the frontline backbone of NHS inpatient wards, emergency departments, and community clinics, delivering personal care, physiological observations, and direct patient support under Registered Nurse supervision.
NHS Clinical Support Worker
Clinical Support Workers (CSWs) work alongside multi-disciplinary nursing and allied health teams in acute hospitals, theatres, and outpatient clinics to prepare clinical environments, assist with patient mobility, and record baseline observations.
NHS Phlebotomist
NHS Phlebotomists perform routine and specialist venepuncture across hospital outpatient blood clinics, inpatient wards, GP hubs, and domiciliary community visits, ensuring strict specimen labelling and infection control compliance.
NHS Senior Healthcare Assistant
Senior Healthcare Assistants at Band 3 undertake delegated clinical tasks including venepuncture, cannulation, 12-lead ECG recording, complex wound dressings, and mentoring newly appointed Band 2 support staff.
Psychology, Healthcare Science & Leadership — 2026/27 NHS Salary & Take-Home Pay
Click any job title below for its complete step progression, Section 2 night/weekend rates, London HCAS table, and interactive calculator.
NHS Clinical Team Leader
Band 7 Clinical Team Leaders and Service Delivery Managers oversee multi-disciplinary community teams, diagnostic modalities, or surgical theatre suites, managing 18-week RTT waiting list targets, governance, and staffing budgets.
NHS Principal Clinical Psychologist
Band 8a Principal Clinical Psychologists deliver highly specialist psychological formulation, trauma therapy, neuropsychological assessment, and clinical supervision across NHS CAMHS, adult mental health, and acute health psychology services.
NHS Operational Service Manager
Band 8a Operational Service Managers hold P&L budget accountability, cancer and elective recovery performance targets, and multi-million-pound capacity planning across clinical divisions within NHS Hospital Trusts.
NHS Consultant Clinical Psychologist
Band 8b Consultant Clinical Psychologists serve as clinical leads for psychological therapies across NHS Mental Health Trusts, directing complex care pathways, service governance, and doctoral supervision.
NHS Head of Clinical Services
Band 8b Heads of Clinical Services and Divisional General Managers lead multi-specialty hospital directorates, controlling clinical capital programmes, consultant job planning, and Trust-wide service transformation.
NHS Associate Director of Operations
Band 8c Associate Directors of Operations and Strategy lead hospital-wide operational performance, Integrated Care System (ICS) commissioning interfaces, and major clinical reconfiguration programmes.
NHS Consultant Clinical Scientist
Band 8c Consultant Clinical Scientists head NHS pathology, clinical biochemistry, genomics, medical physics, and bioinformatics departments, providing consultant-level diagnostic interpretation and scientific direction.
NHS Director of Operations
Band 8d Hospital Directors of Operations oversee acute site delivery, urgent and emergency care (UEC) four-hour standards, elective surgical hubs, and multi-hundred-million-pound divisional budgets.
NHS Chief Operating Officer (COO)
Band 9 Chief Operating Officers (COOs) and Group Hospital Managing Directors command full operational delivery across major NHS Foundation Trusts and Integrated Care Systems.
NHS National Clinical Specialist Advisor
Band 9 National Clinical Specialist Advisors and Clinical Directors lead national NHS clinical networks, specialist commissioning frameworks, genomics hubs, and multi-professional clinical directorates.
Complete 2026/27 NHS Job Role Salary & Net Take-Home Master Table (All 41 Roles)
Calculated for full-time (37.5 hrs/wk) standard national Agenda for Change contracts (and Inner London +20% HCAS comparison) after PAYE tax, Class 1 NI, and 2015 CARE Pension deductions.
| Job Role | AfC Band | Starting Gross | Top Step Gross | Basic Hourly | Starting Net/Mo | Top Step Net/Mo | Inner London Net/Mo |
|---|---|---|---|---|---|---|---|
| Healthcare Assistant | Band 2 | £25,272 | £25,272 | £12.92/hr | £1,700/mo | £1,700/mo | £1,985/mo |
| Clinical Support Worker | Band 2 | £25,272 | £25,272 | £12.92/hr | £1,700/mo | £1,700/mo | £1,985/mo |
| Phlebotomist | Band 2 | £25,272 | £25,272 | £12.92/hr | £1,700/mo | £1,700/mo | £1,985/mo |
| Senior Healthcare Assistant | Band 3 | £25,760 | £27,476 | £13.17/hr | £1,727/mo | £1,823/mo | £2,012/mo |
| Emergency Care Assistant | Band 3 | £25,760 | £27,476 | £13.17/hr | £1,727/mo | £1,823/mo | £2,012/mo |
| Pharmacy Assistant | Band 3 | £25,760 | £27,476 | £13.17/hr | £1,727/mo | £1,823/mo | £2,012/mo |
| Nursing Associate | Band 4 | £28,392 | £31,157 | £14.52/hr | £1,874/mo | £1,990/mo | £2,155/mo |
| Assistant Practitioner | Band 4 | £28,392 | £31,157 | £14.52/hr | £1,874/mo | £1,990/mo | £2,155/mo |
| Pharmacy Technician | Band 4 | £28,392 | £31,157 | £14.52/hr | £1,874/mo | £1,990/mo | £2,155/mo |
| Staff Nurse (RN) | Band 5 | £32,073 | £39,043 | £16.40/hr | £2,040/mo | £2,381/mo | £2,351/mo |
| Newly Qualified Paramedic | Band 5 | £32,073 | £39,043 | £16.40/hr | £2,040/mo | £2,381/mo | £2,351/mo |
| Physiotherapist | Band 5 | £32,073 | £39,043 | £16.40/hr | £2,040/mo | £2,381/mo | £2,351/mo |
| Radiographer | Band 5 | £32,073 | £39,043 | £16.40/hr | £2,040/mo | £2,381/mo | £2,351/mo |
| Occupational Therapist | Band 5 | £32,073 | £39,043 | £16.40/hr | £2,040/mo | £2,381/mo | £2,351/mo |
| Midwife | Band 5 | £32,073 | £39,043 | £16.40/hr | £2,040/mo | £2,381/mo | £2,351/mo |
| Junior Sister / Charge Nurse | Band 6 | £39,959 | £48,117 | £20.44/hr | £2,430/mo | £2,866/mo | £2,857/mo |
| Senior Paramedic | Band 6 | £39,959 | £48,117 | £20.44/hr | £2,430/mo | £2,866/mo | £2,857/mo |
| Specialist Physiotherapist | Band 6 | £39,959 | £48,117 | £20.44/hr | £2,430/mo | £2,866/mo | £2,857/mo |
| Specialist Radiographer | Band 6 | £39,959 | £48,117 | £20.44/hr | £2,430/mo | £2,866/mo | £2,857/mo |
| Specialist Midwife | Band 6 | £39,959 | £48,117 | £20.44/hr | £2,430/mo | £2,866/mo | £2,857/mo |
| Ward Manager / Sister | Band 7 | £49,387 | £56,515 | £25.26/hr | £2,934/mo | £3,309/mo | £3,379/mo |
| Advanced Clinical Practitioner (ACP) | Band 7 | £49,387 | £56,515 | £25.26/hr | £2,934/mo | £3,309/mo | £3,379/mo |
| Advanced Paramedic | Band 7 | £49,387 | £56,515 | £25.26/hr | £2,934/mo | £3,309/mo | £3,379/mo |
| Lead Clinical Pharmacist | Band 7 | £49,387 | £56,515 | £25.26/hr | £2,934/mo | £3,309/mo | £3,379/mo |
| Clinical Team Leader | Band 7 | £49,387 | £56,515 | £25.26/hr | £2,934/mo | £3,309/mo | £3,379/mo |
| Matron | Band 8a | £57,528 | £64,750 | £29.42/hr | £3,353/mo | £3,663/mo | £3,728/mo |
| Advanced Nurse Consultant | Band 8a | £57,528 | £64,750 | £29.42/hr | £3,353/mo | £3,663/mo | £3,728/mo |
| Principal Clinical Psychologist | Band 8a | £57,528 | £64,750 | £29.42/hr | £3,353/mo | £3,663/mo | £3,728/mo |
| Operational Service Manager | Band 8a | £57,528 | £64,750 | £29.42/hr | £3,353/mo | £3,663/mo | £3,728/mo |
| Senior Matron | Band 8b | £66,582 | £77,368 | £34.05/hr | £3,742/mo | £4,136/mo | £4,050/mo |
| Consultant Clinical Psychologist | Band 8b | £66,582 | £77,368 | £34.05/hr | £3,742/mo | £4,136/mo | £4,050/mo |
| Head of Clinical Services | Band 8b | £66,582 | £77,368 | £34.05/hr | £3,742/mo | £4,136/mo | £4,050/mo |
| Head of Nursing | Band 8c | £79,504 | £91,609 | £40.66/hr | £4,226/mo | £4,735/mo | £4,594/mo |
| Associate Director of Operations | Band 8c | £79,504 | £91,609 | £40.66/hr | £4,226/mo | £4,735/mo | £4,594/mo |
| Consultant Clinical Scientist | Band 8c | £79,504 | £91,609 | £40.66/hr | £4,226/mo | £4,735/mo | £4,594/mo |
| Deputy Director of Nursing | Band 8d | £94,356 | £108,814 | £48.26/hr | £4,851/mo | £5,459/mo | £5,219/mo |
| Director of Operations | Band 8d | £94,356 | £108,814 | £48.26/hr | £4,851/mo | £5,459/mo | £5,219/mo |
| Chief Pharmacist | Band 8d | £94,356 | £108,814 | £48.26/hr | £4,851/mo | £5,459/mo | £5,219/mo |
| Director of Nursing | Band 9 | £112,782 | £129,783 | £57.68/hr | £5,626/mo | £6,115/mo | £5,888/mo |
| Chief Operating Officer (COO) | Band 9 | £112,782 | £129,783 | £57.68/hr | £5,626/mo | £6,115/mo | £5,888/mo |
| National Clinical Specialist Advisor | Band 9 | £112,782 | £129,783 | £57.68/hr | £5,626/mo | £6,115/mo | £5,888/mo |
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
⚡ 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.
⚖️ 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).
🌙 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.
🏥 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.
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.
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.
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.
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.
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.
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.
🌍 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.
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.
🔗 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.