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

NHS Band 7 Salary 2026/27

Band 7 pays £49,387–£56,515 a year under Agenda for Change in England from 1 April 2026. Full-time take-home pay is about £2,853 a month at entry, rising to £3,107 at the top.

Band 7 pay points and take-home pay

Pay pointAnnualMonthly grossHourlyTake-home / month
Entry£49,387£4,116£25.24£2,853
Intermediate£51,932£4,328£26.54£2,966
Top£56,515£4,710£28.88£3,107

Full-time 37.5 hours a week. Take-home after income tax (1257L), National Insurance and NHS pension. Excludes student loan and unsocial hours.

Band 7 deductions at entry

Income tax

£7,363

National Insurance

£2,945

NHS pension

£4,840

Take-home (year)

£34,238

Band 7 London weighting (HCAS)

AreaEntry with HCASTop with HCAS
Inner London£58,133£65,261
Outer London£55,524£62,652
Fringe£51,657£58,785

Who is on Band 7?

Typical Band 7 roles include advanced practitioners, ward managers, clinical nurse specialists and senior team leaders. Band 7 has three pay points: entry, after 2 years and after 5 years.

Calculate your exact Band 7 take-home pay

Band 7 pay questions

How much is NHS Band 7 pay in 2026/27?

Band 7 pays £49,387–£56,515 a year for a full-time (37.5 hour) role in England from 1 April 2026.

What is the Band 7 hourly rate?

The Band 7 hourly rate is £25.24 at entry, rising to £28.88 at the top pay point, before tax.

What is Band 7 take-home pay per month?

A full-time Band 7 employee takes home about £2,853 a month at entry and £3,107 at the top point, after tax, National Insurance and NHS pension (tax code 1257L, no student loan).

How do you progress through Band 7?

Band 7 has three pay points: entry, after 2 years and after 5 years.

NHS salary by band 2026/27

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