# NHS Advanced Paramedic Salary 2026/27 (Band 7) — Pay Scale, Hourly Rate & Take-Home Pay

> Official 2026/27 NHS Advanced Paramedic (Band 7) salary UK: £49,387 to £56,515 gross per year (£25.26/hr). Monthly net take-home pay is £2,934/mo at entry and £3,309/mo at top step after PAYE tax, NI, and 9.8% CARE pension.

Canonical: https://netpayscale.uk/roles/advanced-paramedic/
Last updated: 2026-10-26

## 1. Key 2026/27 Pay Facts for NHS Advanced Paramedic (Band 7)
- **Agenda for Change Band:** Band 7
- **Starting Gross Salary:** £49,387/yr (£25.26/hr)
- **Top Step Gross Salary:** £56,515/yr (£28.90/hr)
- **Basic Daytime Hourly Rate:** £25.26/hr | **Night/Saturday Rate:** £32.84/hr | **Sunday/BH Rate:** £40.42/hr
- **Monthly Net Take-Home (National):** **£2,934/mo** (Entry) to **£3,309/mo** (Top Step)
- **Regional Entry Net Pay:** Inner London (+20%): **£3,405/mo** | Outer London (+15%): **£3,288/mo** | Fringe (+5%): **£3,062/mo** | Scotland: **£2,905/mo**

## 2. Advanced Paramedic (Band 7) Pay Step Progression Table (2026/27)

| Experience Step | Annual Gross | Hourly Rate | 2015 CARE Pension | Monthly Net Take-Home |
| :--- | :--- | :--- | :--- | :--- |
| Entry (0 yrs) | £49,387 | £25.26/hr | 9.8% (£403/mo) | **£2,934/mo** (£35,206/yr) |
| After 2 years (Mid) (2 yrs) | £51,932 | £26.56/hr | 9.8% (£424/mo) | **£3,078/mo** (£36,939/yr) |
| After 5 years (Top) (5 yrs) | £56,515 | £28.90/hr | 10.7% (£504/mo) | **£3,309/mo** (£39,708/yr) |

## 3. Related Links
- [NHS Advanced Paramedic Interactive Salary Calculator (HTML)](https://netpayscale.uk/roles/advanced-paramedic/)
- [All 41 NHS Job Roles Directory](https://netpayscale.uk/roles/)
- [NHS Band 7 Pay Scale Guide](https://netpayscale.uk/bands/band-7/)