Compare NHS Pay Bands Side by Side (2026/27)

Pick a country and two bands to see their pay points, take home, pension rates and unsocial hours rates side by side, then add your monthly shifts to see what a promotion is really worth.

All four countriesEvery pay pointPromotion with your shiftsOvertime and unsocial rates
Band 5Band 6
Pay points£32,073, £34,592, £39,043£39,959, £42,170, £48,117
Take home a month, bottom of band£2,040.21£2,429.77
Take home a month, top of band£2,380.80£2,865.96
Hourly rate, bottom of band£16.40£20.44
Years from bottom to top45
Pension rate, bottom of band8.3%9.8%
Saturday and night hours+30%+30%
Sunday and public holiday hours+60%+60%
Overtime paymentsYesYes

Take home is for a full-time England contract with the NHS pension, before London weighting, shifts or student loan.

Promoted from the top of Band 5 to Band 6

On promotion your basic pay starts at the bottom of the new band. Add the unsocial hours you work in a typical month to see what the move is really worth.

Pay before deductions

+£916 a year

Take home

+£48.98 a month

Promotion is worth less than the pay scales suggest

On promotion your basic pay starts at the bottom of the new band, so what you gain depends on where you are in your current band. In England, up to Band 8a, the top of each band is no more than £1,270 below the bottom of the next: from the top of Band 2 to the bottom of Band 3 it's £488 a year, and the biggest gap between neighbouring bands is Band 8d to Band 9 at £3,968. From the top of Band 5, a move to Band 6 adds £48.98 a month in take home; from the top of Band 7 to 8a, £43.54.

Shifts can make a promotion a pay cut

Band 2 gets higher unsocial hours rates than Band 3, and Bands 4 to 9 all share the same lower rates. Bands 8a to 9 get no overtime pay. If you work lots of nights and weekends, or regular overtime, add them to the promotion section above. If the bottom of the new band pays less basic plus unsocial hours than you had before, the handbook says you keep your previous pay until the new band overtakes it.

Countries differ

Scotland, Wales and Northern Ireland have their own pay points, so the same two bands can be further apart or closer together depending on where you work. In Scotland, the top of each band from 2 to 7 is only £115 to £241 below the bottom of the next, so promotion from the top adds very little at first. Wales starts Band 3 at the same pay as Band 2. Pick your country at the top of the tool.

How This Calculator Works

Take home uses the same 2026/27 tax, National Insurance and NHS pension engine as the main calculator for a full-time contract without London weighting or student loan. The promotion figures compare the top point of the lower band with the bottom point of the higher one, with the monthly unsocial hours you enter paid at each band's rates.

Checked 18 October 2026

Frequently Asked Questions

Your basic pay starts at the bottom point of the new band and your pay step date resets to the date you start. If that gives you less than before, counting unsocial hours payments, your previous pay is protected until the new band overtakes it.

Sources (checked 18 October 2026)