Quick Answer — 2026-27

NHS Band 5 entry take-home (£29,970 gross): £22,748/year (£1,896/month) after income tax, NI and 9.8% NHS pension. Top of Band 5 (£36,483 gross): £26,927/year (£2,244/month). London Inner HCAS adds £5,132 to gross.

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NHS Band 5 Take-Home Pay 2026-27

Agenda for Change 2026-27. Take-home after income tax, National Insurance and 9.8% NHS pension. Updated April 2026.

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NHS Band 5 Pay — 2026-27 Take-Home

England outside London. After income tax, NI and 9.8% NHS pension.

Pay PointGross SalaryAnnual Take-HomeMonthly Take-HomePension
Entry£29,970£22,748£1,8969.8%
Top£36,483£26,927£2,2449.8%

London High Cost Area Supplement (HCAS)

NHS staff working in or around London receive a High Cost Area Supplement added to their gross salary. These supplements increase take-home proportionally after tax.

Fringe
+£1,478 gross
Outer London
+£4,271 gross
Inner London
+£5,132 gross

NHS Pension Scheme — Band 5 Contribution

Band 5 employees contribute 9.8% to the NHS Pension Scheme 2015 — a defined benefit CARE (Career Average Revalued Earnings) scheme. The employer contributes approximately 23.7%. Despite the 9.8% cost, this is one of the most valuable pension arrangements available in the UK.

Employee contribution
9.8% of pensionable pay
Employer contribution
~23.7% of salary
Scheme type
Defined Benefit CARE
Normal Pension Age
State Pension Age
Accrual rate
1/54 per year
Revaluation
CPI + 1.5%
Salary sacrifice top-ups further reduce tax. Use our Salary Sacrifice Calculator to model the impact on your Band 5 pay.

Frequently Asked Questions

Common questions about NHS Band 5 take-home pay.

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Band 5 entry take-home
£1,896/mo
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