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📅 Updated with 2026/27 Agenda for Change rates — effective 1 April 2026.

NHS Tool

Salary Comparison Calculator

Compare take-home pay across two Agenda for Change pay bands or contracted hours. Based on 2026/27 pay scales.

Option A
Option B

Estimates based on 2026/27 England AfC pay scales, standard income tax and NI rates. Does not include student loans or salary sacrifice.

How comparison works

This tool calculates the net take-home pay for two different NHS pay options and shows the difference. Both options use the same 2026/27 tax, NI, and pension rates.

It's useful when considering a promotion, band change, or adjusting your contracted hours. The comparison accounts for how higher pay bands push earnings into higher tax brackets.

Note: NHS pension contributions are tiered — moving to a higher band may also increase your pension contribution percentage, which affects the net difference.

Can I compare different hours?

Yes — each option has its own weekly hours selector, so you can compare full-time at one band against part-time at another.

Is pension included?

Yes, both options include NHS pension by default using the tiered rates based on whole-time equivalent salary.

Why is the net difference smaller than gross?

Higher earners pay more tax, NI, and pension. A £5,000 gross increase might only yield £3,000 extra take-home.

Does this include unsocial hours pay?

No — this covers basic AfC salary only. Enhancements for nights, weekends, and overtime are not included.

Why you can trust this tool

Official Pay Scales

Uses 2026/27 AfC pay points published by NHS Employers.

Fair Comparison

Both options use identical tax, NI, and pension formulas for a true like-for-like comparison.

No Data Stored

All calculations run locally in your browser. Nothing is sent to any server.

Sources & references

Figures are estimates. Always verify with your payroll department before making career decisions.

Other NHS tools