NHS Band 7 Salary 2026/27 — Pay & Take-Home by Step

Band 7 take-home calculator

Band 7 pay at every step — England

Full-time (37.5 hours), NHS Pension member, no London weighting or student loan, standard tax code 1257L. Source: NHS Employers 2026/27.

Band 7 in Scotland

Full-time (36 hours), Scottish income tax bands and SPPA pension tiers applied. Source: Scottish Government 2026/27.

Band 7 with London weighting

At the entry step in England, London weighting (HCAS) lifts Band 7 pay — and because it is pensionable, your pension builds on the higher amount too:

Band 7 part-time

Part-time pay is the same band and step, pro-rata. At 22.5 hours a week (0.6 WTE) on the entry step, gross pay is £29,632.20 — and there is a quiet bonus most calculators miss: because pension tiers are set by your actual pay, the contribution rate drops from 9.8% to 8.3%, giving take-home of £1,907.27 a month. Use the calculator above with your own hours for your exact figures.

Moving up from Band 6

The top of Band 6 (£48,117) pays take-home of £2,865.96 a month. Promotion to Band 7 entry (£49,387) adds £1,270 a year in gross pay — £67.90 a month in take-home on day one, with headroom to £3,308.99 a month at the top of Band 7. Compare all bands on the pay bands page.

Which jobs are Band 7?

Band 7 is where senior clinical and leadership roles sit: ward managers and senior sisters, advanced nurse practitioners, matrons, advanced paramedics, lead and advanced practitioners in the therapies, senior radiographers and sonographers, experienced clinical pharmacists in specialist roles, and senior midwives. Most Band 7 postholders have several years at Band 6 behind them — see the promotion box above for what the move itself is worth. Role-specific pages: paramedic salary and pharmacist salary show their ladders into this band.

Worked example — Band 7 entry point, full-time (England)

Gross pay of £49,387.00 a year becomes £2,933.86 a month in your bank account. Across the year, NHS pension £4,839.93 (9.8%), income tax £6,395.41 and National Insurance £2,945.36 come off, leaving £35,206.30 of take-home pay. London weighting, part-time hours and student loans change the picture — the calculator above runs your exact position.

How Band 7 take-home pay is worked out

The method is the same for every band. Start with gross pay, plus any London weighting. Your NHS pension contribution comes off first and reduces the pay that income tax is charged on. Income tax is then charged above the £12,570 personal allowance — 20% up to £50,270 and 40% above it, with the allowance itself reducing by £1 for every £2 earned over £100,000. National Insurance is charged on your full pay at 8% between £12,570 and £50,270 and 2% above that — the pension does not reduce NI. Student loan repayments, if you have one, are worked out on pay before the pension deduction. The full method, with sources, is on our methodology page.

Band 7 in Wales and Northern Ireland — and last year's comparison

Wales 2026/27 (AfC(W) 02/2026)

Welsh take-home from this site's engine: UK income tax and National Insurance with NHSBSA pension tiers (the same as England), full-time, pension member, no London weighting or student loan, standard tax code 1257L.

Northern Ireland

Northern Ireland's 2026/27 award has not been implemented (Department of Health NI, October 2026), so Band 7 there remains on the 2025/26 scale: £47,810 / £50,273 / £54,710 (entry / intermediate / top).

2025/26 vs 2026/27 at Band 7

Scottish 2025/26 figures are the revised rates after that year's settlement was lifted to 4.4%. Sources: NHS Employers pay scales 2025/26 and 2026/27; PCS(AFC)2026/1; AfC(W) 02/2026 (see Sources).