NHS Take-Home Pay Calculator 2026/27

Updated 23 September 2026

Work out take-home pay for any NHS Agenda for Change band, from £25,272 to £129,783 gross: income tax, NI, pension and student loan, for all four UK nations.

See what a bigger pension contribution, salary sacrifice or part-time hours cost you each month. It applies the right tax rules for all four UK nations.

Enter your band and it shows the tax, National Insurance, pension and student loan coming off your pay. You can set two choices side by side and compare them.

The figures are built from the official Agenda for Change pay scales and HMRC rates. Every rate is dated. Every rule is sourced.

Work out your take-home pay

Pick your band, pay point and region. The figure updates as you change them. Open the full calculator for the line-by-line breakdown and to model a decision.

Year 1

HCAS zone: None

Take-home pay

£20,401/ yr

Gross £25,272 / yr

What this calculator does

It covers Agenda for Change staff across the UK. Set a band and pay point, choose your region, and add anything that changes your pay. The result is your take-home, broken down, not a single headline figure.

  • Take-home pay for any band and pay point
  • Income tax, National Insurance, pension and student loan, line by line
  • England, Scotland, Wales and Northern Ireland rules
  • High Cost Area Supplement for London and the fringe
  • Part-time hours and salary sacrifice
  • Opting out of the pension, and what that adds to your pay

Pay now, pension later

A take-home figure on its own tells you half the story. A bigger pension contribution lowers your pay this month but builds the pension you retire on. Going part-time changes both.

This calculator shows the pay side: what a decision costs you now. The NHS Pension Calculator shows what it is worth later. The tax and pension logic comes from a public library we maintain, checked against real NHS payslips.

See your own numbers

Set your band, pension and hours once, then compare two choices side by side and see what each means for your pay.

Open calculator

How your take-home is worked out

Your gross salary goes in at the top. Pension comes off, then income tax on what is left, then National Insurance, then any student loan. What remains is your take-home. The order matters: where pension is deducted changes every number after it. We walk through the full chain in how UK take-home pay is calculated.

Take-home pay by band

Each Agenda for Change band has its own pay points, and you move up one a year. To read the figures for a single band, start here:

Different rules by nation

Where you work changes the result. Scotland sets its own income tax bands. Wales and Northern Ireland follow the rest-of-UK tax rates but run their own pay deals. England adds a High Cost Area Supplement in and around London. The calculator applies the right set for you.

How accurate is it?

We tested seven NHS calculators against five real pay scenarios. Most got pension tiers or part-time hours wrong. Ours is checked against actual payslips, and the tax and pension logic is open source, so anyone can inspect it. See how the NHS calculators compare.

Frequently Asked Questions

Yes. It is free to use and there is no sign-up. We do not sell your data or take commission.

Yes. Pick your Agenda for Change band and it works from that salary to show what lands in your pocket after tax, National Insurance, pension and student loan.

Yes. It uses the 2015 NHS Pension Scheme contribution tiers and shows what they cost each month. For the pension they build, use the NHS Pension Calculator. New to the schemes? See the three NHS pension schemes.

Yes. Set your hours and the figures scale to the part of full-time you actually work.

Yes. Choose your trust or zone and it adds the High Cost Area Supplement for London and the surrounding area.

Yes. It applies the right income tax bands and the pay deal for your nation.

The 2026/27 tax year. We update the rates and pay scales each April when they change.