Consultant nurse take-home pay
Consultant nurse posts usually sit on Band 8B, which runs from £66,582 to £77,368 in 2026/27. Bandings vary between trusts, so check yours — but the arithmetic below holds for whichever band you are actually on.
That is £44,901 a year, after the NHS pension tier, income tax and National Insurance.
- Gross
- £66,582
- Pension tier
- 10.7%
- Income tax
- £11,215
- Marginal rate
- 42.0%
| A year | A month | |
|---|---|---|
| Basic pay | £66,582.00 | £5,548.50 |
| Gross pay | £66,582.00 | £5,548.50 |
| NHS pension at 10.7% | £-7,124.27 | £-593.69 |
| Income tax | £-11,215.09 | £-934.59 |
| National Insurance | £-3,341.64 | £-278.47 |
| Take-home pay | £44,901.00 | £3,741.75 |
Every pay point
| Pay point | Salary | Pension tier | Take-home a year | A month |
|---|---|---|---|---|
| Entry | £66,582 | 10.7% | £44,901 | £3,741.75 |
| 2 years | £70,896 | 12.5% | £46,360 | £3,863.37 |
| 5 years | £77,368 | 12.5% | £49,629 | £4,135.74 |
With unsocial hours
| Enhancement as % of basic | Worth | Gross | Pension tier | Take-home | A month |
|---|---|---|---|---|---|
| 0% | £0 | £77,368 | 12.5% | £49,629 | £4,135.74 |
| 5% | £3,868 | £81,236 | 12.5% | £51,582 | £4,298.53 |
| 10% | £7,737 | £85,105 | 12.5% | £53,536 | £4,461.33 |
| 15% | £11,605 | £88,973 | 12.5% | £55,489 | £4,624.12 |
| 20% | £15,474 | £92,842 | 12.5% | £57,443 | £4,786.92 |
If roughly a third of your hours attract the 30% Section 2 rate, your overall enhancement is about 10% of basic. The unsocial hours page has the real percentages and what an enhanced hour is worth after tax.
In and around London
| Area | Supplement | Gross | Take-home a month |
|---|---|---|---|
| Inner London | £8,746 | £86,114 | £4,503.80 |
| Outer London | £6,137 | £83,505 | £4,394.00 |
| London fringe | £2,270 | £79,638 | £4,231.27 |
| Outside a high cost area | £0 | £77,368 | £4,135.74 |
If you are looking at the band above or below, Band 8A and Band 8C. If a move would change your pension tier, the tier trap page lists every boundary and the size of rise needed to be no worse off across it.
Extra shifts are a separate question with a surprising answer: this page compares bank work, overtime and agency, and the deciding factor is usually the pension rather than the rate. If you are thinking about hours rather than pay, the part-time calculator prices each fraction, and this one sets out what the whole change costs.
These are the England Agenda for Change scales. Scotland received a different award (3.75%) applied to a re-based 2025/26 starting point and uses a different band point structure, so Scottish salaries are not England's figures plus a percentage. Wales received the same 3.3% headline but negotiates its own terms. Northern Ireland had not announced a 2026/27 award at the time of writing. We have not published Scottish, Welsh or Northern Irish scales here because we could not confirm them from a primary source, and a wrong salary is worse than no salary. Check your own nation's circular before relying on a figure.
Questions people actually ask
What band is a consultant nurse?
Usually Band 8B, though bandings vary between trusts and the same job title can sit differently in different places. Your own contract is the authority.
How much does a consultant nurse take home?
At the entry point of Band 8B, about £3,741.75 a month. At the top of the band, about £4,135.74. Both before any unsocial hours or high cost area supplement.
Figures on this page are for the 2026/27 tax year (6 April 2026 to 5 April 2027) and were last checked on 29 August 2026. Every rate we use is listed on the sources page.