BAND 5 PAY SCALE • £32,073–£39,043/YR

NHS Band 5 Salary & Take Home Pay 2026/27

This NHS Band 5 salary calculator estimates Agenda for Change Band 5 take-home pay for 2026/27 — the main newly qualified nurse and allied health band. Enter entry, intermediate or top pay point, hours, High Cost Area Supplement, tax nation, NHS Pension and student loan plan. It returns gross, tax, NI, pension and net monthly and annual pay, plus hourly basic. Use it for NQN offers, preceptorship planning, or England versus Scotland tax comparisons. Figures follow AfC Band 5 scales so newly registered staff see real take-home, not just the headline salary.

More options — FTE, pension, student loan, unsocial hours

Estimated net monthly pay

£0.00/mo

Calculation Detail: Hourly Rate: £0.00/hr

Gross (inc. HCAS / unsocial)£0
NHS Pension £0
Income Tax£0
National Insurance£0
Net annual£0
Pay stepBasicHourlyEst. net / mo
Entry Level£32,073£16.40
Intermediate (2 yrs)£34,592£17.69
Top of Band (4 yrs)£39,043£19.97

Figures use NHS Employers AfC 2026/27 scales, HMRC tax/NI/student loan rules and NHS Pension tiers from 1 April 2026. Estimate only — your payslip is authoritative.

An NHS Band 5 salary in England for 2026/27 runs from £32,073 at entry to £39,043 at the top of the band. That range covers three pay points under the 3.3% Agenda for Change award from 1 April 2026. After tax, National Insurance and the NHS Pension, take-home pay is about £2,040 monthly at entry and £2,381 at the top.

What Is the NHS Band 5 Salary in 2026/27?

An NHS Band 5 salary in England for 2026/27 is £32,073 at entry, £34,592 at the intermediate point, and £39,043 at the top of the band. NHS Employers confirms these 2026/27 pay points, effective from 1 April 2026 under the Agenda for Change (AfC) contract.

Pay point

Annual

Monthly gross

Hourly

Years

Entry

£32,073

£2,672.75

£16.40

0–2

Intermediate

£34,592

£2,882.67

£17.69

2–4

Top of band

£39,043

£3,253.58

£19.97

4+

The 3.3% award lifted the entry point up from £31,049 in 2025/26. UNISON records the 3.3% pay award for 2026/27, paid from April 2026.

Band 5 covers newly qualified registered staff such as staff nurses, paramedics and allied health professionals. The AfC guide lists these as typical Band 5 roles. The hourly rates rest on the standard 37.5-hour full-time week.

How Much Is Band 5 Take Home Pay After Tax and Deductions?

Band 5 take-home pay in 2026/27 is roughly £2,040 a month at entry and £2,381 a month at the top, after the NHS Pension, income tax and National Insurance. The exact figure depends on your pay point, tax code, pension tier, student loan and any London weighting.

Band 5 point

Gross

NHS Pension

Income tax

National Insurance

Net monthly

Entry (£32,073)

£2,673

−£222 (8.3%)

−£281

−£130

£2,040

Intermediate (£34,592)

£2,883

−£239 (8.3%)

−£319

−£147

£2,177

Top (£39,043)

£3,254

−£319 (9.8%)

−£377

−£176

£2,381

How Band 5 take-home pay is calculated:

  1. Start with the gross annual salary at your pay point.
  2. Deduct the NHS Pension — 8.3% at entry and intermediate, 9.8% at the top.
  3. Deduct income tax at 20% on pay above the £12,570 personal allowance (tax code 1257L).
  4. Deduct National Insurance at 8% on pay above £12,570.
  5. Deduct any student loan to reach net take-home pay.

The inputs are confirmed: employee National Insurance is 8% and the personal allowance is £12,570 for 2026/27, and the NHS Pension tiers sit at 8.3% and 9.8%.

Newly qualified nurses often open their first payslip expecting close to the £2,673 monthly gross, then find roughly £630 has gone to pension, tax and National Insurance before the money lands.

Common mistakes when estimating Band 5 take-home:

  • Assuming gross equals take-home. Deductions remove about 24–27% of gross.
  • Forgetting the pension tier jumps to 9.8% at the top, which slows the net rise.
  • Comparing bank and substantive roles on gross alone. Bank pay carries no sick pay or pension by default.
  • Treating London weighting as tax-free. HCAS is both taxable and pensionable.

Estimates across the web differ by a few pounds depending on whether a calculator reduces National Insurance for pension contributions.

How Much Do Unsocial Hours and Overtime Add to Band 5 Pay?

Unsocial hours add 30% to the hourly rate for nights and Saturdays and 60% for Sundays and bank holidays, paid on top of basic pay. nurses.co.uk states the AfC enhancements run from 30% to 60% for evening, night, weekend and bank-holiday work.

Shift type

Enhancement

Entry hourly

Top hourly

Standard

base

£16.40

£19.97

Night / Saturday

+30%

£21.32

£25.96

Sunday / Bank holiday

+60%

£26.24

£31.95

Overtime

×1.5

£24.60

£29.96

Worked example: a Band 5 entry nurse works 30 extra unsocial hours a month at the +30% rate. They earn £21.32 an hour instead of the standard £16.40. The enhancement adds about £178 a month gross, or roughly £130 a month net after tax and National Insurance. Nurses who pick up two weekend shifts a week routinely see their monthly pay sit well above the basic point. Every Sunday hour pays 60% more than the standard rate.

How Long Does It Take to Reach the Top of Band 5?

It takes a minimum of four years to reach the top of Band 5: two years from entry to the intermediate point, then two more years to the top. NHS Employers lists the two-year and two-year progression steps. Each step needs a satisfactory annual appraisal, and progression is time-based rather than merit-based, so there is no faster route for strong performance. Once you reach the top, pay only rises through the annual national award or by moving to Band 6.

How Much Is Band 5 Pay in London and Across the UK?

Band 5 pay rises in and around London through the High Cost Area Supplement (HCAS). NHS Employers publishes the HCAS rates and caps. The supplement adds 20% in Inner London, 15% in Outer London, and 5% in the Fringe, each capped at a minimum and maximum.

HCAS zone

Uplift

Minimum

Maximum

Band 5 entry incl. HCAS

Inner London

20%

£5,794

£8,746

£38,488

Outer London

15%

£4,870

£6,137

£36,943

Fringe

5%

£1,346

£2,270

£33,677

Because HCAS is pensionable, a London Band 5 salary can push you into the higher 9.8% pension tier even at entry.

Outside England the picture differs. Scotland runs a separate multi-year deal with a 36-hour standard week and Scottish income tax bands. NHS Scotland's 36-hour week and different tax bands change Band 5 pay. Both the salary and the take-home diverge from England as a result. For exact figures outside England, use our Scotland, Wales and Northern Ireland calculators.

How Do the NHS Pension and a Student Loan Change Your Take-Home?

The NHS Pension Scheme (2015 CARE) and a student loan both cut take-home, but by very different amounts. The pension is the larger deduction: 8.3% at entry and intermediate, rising to 9.8% at the top of the band. The 2026/27 pension tiers place Band 5 entry and intermediate in the 8.3% band and the top point in the 9.8% band.

Band 5 point

Salary

Pension tier

Monthly contribution

Entry

£32,073

8.3%

£222

Intermediate

£34,592

8.3%

£239

Top

£39,043

9.8%

£319

The jump to 9.8% happens because the top salary of £39,043 crosses the £35,156 pension-tier threshold. The higher rate then applies to your whole salary, not just the amount above the line. That is why net pay rises more slowly at the top. On the employer side, the trust pays 23.7% into the scheme. NHS BSA confirms employers actually pay 14.38% directly, with the rest centrally funded. Part-time staff are often surprised that the 8.3% percentage stays fixed when they drop to 30 hours. The pounds deducted fall sharply, because the tier follows annual salary, not hours worked.

A Plan 2 student loan is the smaller deduction. You repay 9% of pay above the £29,385 threshold, so at entry the loan removes only about £20 a month, rising to about £72 at the top. The Plan 2 threshold rises to £29,385 for 2026/27.

Salary sacrifice can also change your net figure. It swaps part of your pay for benefits such as extra pension before tax and National Insurance are applied. Model it with our salary sacrifice calculator.

What Is the 2026/27 Band 5 Pay Rise Worth?

The 3.3% award is worth about £1,025 a year at entry and £1,247 at the top of the band. UNISON confirms the 3.3% award for 2026/27, paid from April 2026.

Band 5 point

2025/26

2026/27

Annual increase

Monthly increase

Entry

£31,049

£32,073

+£1,024

+£85

Intermediate

£33,487

£34,592

+£1,105

+£92

Top

£37,796

£39,043

+£1,247

+£104

The 2025/26 figures — £31,049 at entry, £33,487 intermediate, £37,796 top — are shown alongside the 2026/27 rates on nhsbands.co.uk. UNISON describes the 3.3% rise as below inflation.

Band 5 Pay per Hour, per Week and per Month

Band 5 pay breaks down to £16.40 an hour at entry and £19.97 at the top, based on the 37.5-hour week. Monthly gross runs from £2,672.75 to £3,253.58, and net monthly from £2,040 to £2,381.

Band 5 point

Hourly

Weekly gross

Weekly net

Monthly gross

Monthly net

Entry

£16.40

£616.79

£470.82

£2,672.75

£2,040.21

Intermediate

£17.69

£665.23

£502.48

£2,882.67

£2,177.41

Top

£19.97

£750.83

£549.41

£3,253.58

£2,380.80

For part-time staff, gross and net scale with your hours: multiply by your hours divided by 37.5. A Band 5 entry nurse on 30 hours a week earns about £25,658 gross and takes home around £1,690 a month.

Frequently Asked Questions

How Much Is Band 5 Take-Home with a Plan 2 Student Loan?

A Plan 2 loan adds about £20 a month at entry and £72 at the top, because you repay 9% of pay above the £29,385 threshold. Net pay falls from about £2,040 to £2,020 at entry and from £2,381 to £2,309 at the top.

Why Is My Take-Home at the Top of Band 5 Lower than Expected?

The top salary of £39,043 crosses the £35,156 pension-tier threshold, lifting your pension rate from 8.3% to 9.8% on your whole salary. That extra deduction slows the net rise, so take-home grows less than the gross jump suggests.

How Much Do Unsocial Hours Add to Band 5 Pay?

Unsocial hours add 30% for nights and Saturdays and 60% for Sundays and bank holidays. Thirty extra unsocial hours a month at entry adds roughly £130 to net pay, on top of the basic £2,040.

What Is the Band 5 Hourly Rate?

The Band 5 hourly rate is £16.40 at entry, £17.69 at intermediate, and £19.97 at the top of the band, based on the standard 37.5-hour week. Enhanced shift rates push these figures higher.

How Long Does It Take to Reach the Top of Band 5?

It takes a minimum of four years to reach the top of Band 5. You move from entry to the intermediate point after two years, then to the top after two more years, with each step gated by a satisfactory annual appraisal.

Is Band 5 Pay the Same in Scotland, Wales and Northern Ireland?

No. Scotland runs a separate deal, a 36-hour week, and Scottish income tax. Wales and Northern Ireland run separate awards. Use our Scotland, Wales and Northern Ireland calculators for exact figures.