NHS Pay Calculator 2026/27 — Agenda for Change (AfC) & Pension Take-Home

Calculate your exact 2026/27 NHS England net monthly and annual take-home pay across Agenda for Change (AfC) Bands 2 to 9. Automatically applies High Cost Area Supplements (Inner London 20%, Outer London 15%, Fringe 5%), mandatory NHS Pension Scheme member tiers (5.2% to 12.5% via Net Pay arrangement before Income Tax), and Class 1 National Insurance.

NHS Agenda for Change Band (2026/27 England) Gross Spine Salary & NHS Pension Tier Net Monthly Take-Home (After Pension, Tax & NI)
Band 5 Entry (Newly Qualified Nurse / Paramedic) £29,970 / yr (8.3% Pension: £2,487.51) £1,942.25 / month (£23,306.99/yr)
Band 5 Top (4+ Years Experience) £36,483 / yr (9.8% Pension: £3,575.33) £2,267.76 / month (£27,213.13/yr)
Band 6 Entry (Senior Nurse / Specialist AHP) £37,338 / yr (9.8% Pension: £3,659.12) £2,314.03 / month (£27,768.39/yr)
Band 6 Top (5+ Years Experience) £44,962 / yr (9.8% Pension: £4,406.28) £2,726.64 / month (£32,719.72/yr)
Band 7 Entry (Ward Manager / Advanced Practitioner) £46,148 / yr (9.8% Pension: £4,522.50) £2,790.83 / month (£33,489.96/yr)
Band 7 Top (5+ Years Experience) £52,809 / yr (10.7% Pension: £5,650.56) £3,122.81 / month (£37,473.67/yr)

Frequently Asked Questions (2026/27 & 2027/28 UK Rules)

How is NHS take-home pay calculated across Agenda for Change (AfC) Bands 2 to 9?

NHS Agenda for Change pay consists of your Band and experience step spine point (e.g. Band 5 Entry £29,970 rising to £36,483 Top) plus any regional High Cost Area Supplement (HCAS). Your NHS Pension contribution (5.2% to 12.5%) is deducted from gross pensionable pay under a Net Pay arrangement before HMRC Income Tax is calculated, while Class 1 National Insurance is assessed on full gross pay.

What are the 2026/27 NHS Pension Scheme member contribution tiers?

For 2026/27, NHS Pension member contribution rates are tiered by actual annual pensionable pay: up to £13,259 (5.2%), £13,260–£27,288 (6.5%), £27,289–£33,247 (8.3%), £33,248–£49,913 (9.8%), £49,914–£63,994 (10.7%), and £63,995+ (12.5%). Meanwhile, the NHS employer contributes 23.7% toward your CARE defined-benefit pension.

How does NHS London Weighting (HCAS) work for Inner, Outer, and Fringe zones?

High Cost Area Supplements (HCAS) add a pensionable regional supplement to basic pay: Inner London pays 20% of basic salary (minimum £5,138, maximum £8,282), Outer London pays 15% (minimum £4,313, maximum £5,436), and London Fringe pays 5% (minimum £1,192, maximum £2,011).

Authoritative UK Calculators & 2027/28 Early Access