ODS: BHSCTNorthern Ireland2026/27 Agenda for Change (+3.3%) Verified

Belfast Health and Social Care TrustSalary Scales, London Weighting & Monthly Take-Home Pay (2026/27)

Official Agenda for Change pay bands, High Cost Area Supplement (HCAS) weighting, and estimated net monthly pay for clinical and non-clinical healthcare staff across Belfast Trust (HSC).

2026/27 Verified Pay Summary · Belfast Trust (HSC)

Under the 2026/27 NHS Agenda for Change pay deal (+3.3%), healthcare staff at Belfast Health and Social Care Trust receive HSC Northern Ireland Standard. A newly qualified Band 5 nurse starts at £32,073/year gross (approx. £2,080 net/month in take-home pay after PAYE tax, National Insurance, and 8.3% NHS CARE pension deductions).

HMRC & NHSBSA Audited•Locations: Belfast, Northern Ireland
Allowance Zone
HSC Northern Ireland Standard
High Cost Area Supplement
Band 5 Starting Take-Home
~£2,080/mo
£32,073/yr gross
Clinical Workforce
20,000+ staff
ODS Code: BHSCT
Hospital Sites
4 Campuses
Royal Victoria Hospital (Belfast)

2026/27 Pay Scales at Belfast Trust (HSC) (Bands 2–8a)

Basic Agenda for Change pay plus HSC Northern Ireland Standard showing entry and top spine points.

+3.3% AfC Uplift Applied
Pay BandSpine PointBasic GrossHCAS AllowanceTotal GrossEstimated Net/MoHourly RateAction
Band 2Healthcare AssistantEntry (Step 0)£25,272+£0£25,272~£1,700/mo£12.92/hrCalculate →
↳ Top of Band 2Top (Single point)£25,272+£0£25,272~£1,700/mo£12.92/hrCalculate →
Band 3Senior Healthcare AssistantEntry (Step 0)£25,760+£0£25,760~£1,727/mo£13.17/hrCalculate →
↳ Top of Band 3Top (2 yrs)£27,476+£0£27,476~£1,823/mo£14.05/hrCalculate →
Band 4Nursing AssociateEntry (Step 0)£28,392+£0£28,392~£1,874/mo£14.52/hrCalculate →
↳ Top of Band 4Top (3 yrs)£31,157+£0£31,157~£1,990/mo£15.93/hrCalculate →
Band 5Staff Nurse (RN)Entry (Step 0)£32,073+£0£32,073~£2,040/mo£16.40/hrCalculate →
↳ Top of Band 5Top (4 yrs)£39,043+£0£39,043~£2,381/mo£19.97/hrCalculate →
Band 6Junior Sister / Charge NurseEntry (Step 0)£39,959+£0£39,959~£2,430/mo£20.44/hrCalculate →
↳ Top of Band 6Top (5 yrs)£48,117+£0£48,117~£2,866/mo£24.61/hrCalculate →
Band 7Ward Manager / SisterEntry (Step 0)£49,387+£0£49,387~£2,934/mo£25.26/hrCalculate →
↳ Top of Band 7Top (5 yrs)£56,515+£0£56,515~£3,309/mo£28.90/hrCalculate →
Band 8aMatronEntry (Step 0)£57,528+£0£57,528~£3,353/mo£29.42/hrCalculate →
↳ Top of Band 8aTop (5 yrs)£64,750+£0£64,750~£3,663/mo£33.11/hrCalculate →

*Net pay calculations assume standard 2026/27 PAYE personal allowance (1257L tax code), standard National Insurance, and 2015 NHS CARE Pension scheme member contribution tiers. Excludes student loan deductions and overtime.

Hospital Sites & Clinical Facilities (4)

Agenda for Change staff at any of the following Belfast Trust (HSC) facilities receive the HSC Northern Ireland Standard allowance:

Royal Victoria Hospital (Belfast)
Belfast Trust (HSC)
Belfast City Hospital
Belfast Trust (HSC)
Mater Infirmorum Hospital
Belfast Trust (HSC)
Musgrave Park Hospital
Belfast Trust (HSC)
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