RESIDENT DOCTOR • ENGLAND 2016 CONTRACT

NHS Junior Doctor Salary & Take Home Pay 2026/27

This NHS junior doctor salary calculator estimates resident doctor take-home pay under the 2016 Terms and Conditions for 2026/27. Enter grade, nodal point, average weekly hours, weekend and night frequency, flexible pay premia where relevant, pension and tax nation. It models basic pay, additional rostered pay, Income Tax, National Insurance and NHS Pension to show monthly and annual net. Use it for rota changes, lead employer moves, or comparing posts. Results keep junior doctor contract pay distinct from Agenda for Change band calculators while still showing real take-home.

Rota & deductions

Estimated net monthly pay

£0.00/mo

Gross annual: £0

Basic nodal£0
Additional rostered hours£0
Night enhancement (37%)£0
Weekend allowance£0
NROC / London£0
Pension / Tax / NI / Loan£0
Net annual£0

England 2016 contract estimate. Scotland/Wales/NI contracts differ. Your work schedule and ESR payslip remain authoritative.

NHS Junior Doctor Salary Calculator

Use this NHS junior doctor salary calculator to estimate your annual gross pay and monthly take-home pay in England. This page is built for doctors paid under the 2016 England resident doctor contract, not the Agenda for Change pay system. Official contract and BMA guidance now often use the term resident doctor, but most users still search for junior doctor salary calculator. This page uses both terms so the meaning is clear.
Source URLs:
https://www.nhsemployers.org/publications/faqs-2016-doctors-training-contracthttps://www.bma.org.uk/pay-and-contracts/pay/resident-doctors-pay-scales/pay-scales-for-resident-doctors-in-england

Your actual pay is not defined by grade alone. A junior doctor’s real earnings depend on five moving parts:

  • basic nodal salary
  • average weekly hours
  • weekend frequency
  • qualifying night work
  • London weighting where applicable

Your take-home pay then changes again after Income Tax, National Insurance, and NHS Pension deductions.

That is why two doctors on the same grade can receive different monthly pay. An FY2 on a lighter rota does not take home the same amount as an FY2 on a weekend-heavy rota with qualifying nights. A CT or ST doctor in London does not receive the same gross salary as the same grade outside London.

What This Calculator Is For

This calculator is for doctors who want a direct answer to one question:

“What is my likely NHS junior doctor take-home pay based on my grade and rota?”

Use it to:

  • estimate gross annual salary
  • compare monthly take-home pay
  • understand how weekends and nights change earnings
  • check how London weighting affects pay
  • sense-check a new job before your first payslip arrives

This tool is most useful when you are comparing rota patterns, planning a move between grades, or checking whether your expected post will materially change your net income.

What This Calculator Includes

This page is designed around the core pay elements that users ask about first:

Basic Nodal Pay

Under the 2016 England contract, resident doctor pay starts with a basic salary linked to a nodal point. Basic pay is built around an average 40-hour week.
Source URL:
https://www.nhsemployers.org/publications/faqs-2016-doctors-training-contract

Additional Rostered Hours

Hours above the standard 40-hour week are paid separately. Under the contract, additional rostered hours are paid at the doctor’s basic hourly rate.
Source URLs:
https://www.nhsemployers.org/publications/faqs-2016-doctors-training-contracthttps://www.nhsemployers.org/system/files/2026-06/Doctors-dentists-in-training-2016-TCS-version-14-June-2026.pdf

Weekend Allowance

Weekend allowance is not arbitrary. It is attached to how often you are rostered to work weekends across the rota cycle. Under the national contract framework, doctors rostered to work weekends at a minimum frequency of 1 in 8 receive a weekend allowance, with rates running from 3% to 15% of full-time basic salary depending on frequency.
Source URLs:
https://www.nhsemployers.org/system/files/2025-06/Pay-and-Conditions-Circular-MD-2-2025_0.pdfhttps://www.nhsemployers.org/system/files/2026-06/Doctors-dentists-in-training-2016-TCS-version-14-June-2026.pdf

Night Pay

Night pay is a defined contract element. BMA guidance for resident doctor payslips states that night duty includes:

  • hours worked between 9pm and 7am
  • hours worked until 10am in shifts of 8 hours or longer that start between 8pm and 11:59pm
  • any shift ending between midnight and 4am

That matters because qualifying night work can add a meaningful enhancement to gross pay.
Source URL:
https://www.bma.org.uk/pay-and-contracts/pay/payslips/understanding-your-payslip-resident-doctors-on-the-2016-contract

London Weighting

London weighting is a separate pay element under the resident doctor contract. The current contract states that London weighting is a fixed sum and is paid pro rata for doctors working less than full time.
Source URL:
https://www.nhsemployers.org/system/files/2026-06/Doctors-dentists-in-training-2016-TCS-version-14-June-2026.pdf

How to Use This Calculator Accurately

The quality of any pay estimate depends on the quality of the inputs. Use the calculator with your work schedule, not with guesses.

1) Select the Correct Grade

Choose the grade that matches your post: FY1, FY2, CT, or ST. Your grade determines the basic nodal salary.

2) Enter Average Weekly Hours from the Rota

Use the average weekly hours stated in your work schedule. Do not use a single busy week. The contract is built on an average across the rota cycle, not one-off peaks.

3) Enter Weekend Frequency Correctly

Weekend allowance is based on the frequency of weekends across the rota cycle. Use the actual rota pattern such as 1 in 8, 1 in 6, 1 in 4, or 1 in 3. Do not estimate this from memory.

4) Count Qualifying Night Work, Not Every Late Shift

A late finish does not automatically mean night pay. Use the contract definition of qualifying night duty. If your rota contains full night shifts, the pay treatment can be broader than simply counting hours after 9pm.

5) Apply London Weighting Only if Your Post Receives It

Use the London option only if your contract and payroll setup actually apply London weighting to your post.

How Take Home Pay Is Worked Out

Gross pay is not take-home pay. Once gross salary is calculated, payroll deductions reduce the amount that reaches your bank account.

Income Tax

For the 2026/27 tax year, the standard employee personal allowance in England is £12,570. The main PAYE tax rates for England and Northern Ireland are:

  • 20% on taxable income up to £37,700
  • 40% from £37,701 to £125,140
  • 45% above £125,140

Source URL:
https://www.gov.uk/guidance/rates-and-thresholds-for-employers-2026-to-2027

National Insurance

For 2026/27, the employee Primary Threshold is £12,570 and the Upper Earnings Limit is £50,270. For category A employees, the employee Class 1 National Insurance rate is 8% between the threshold and upper earnings limit, and 2% above that.
Source URL:
https://www.gov.uk/guidance/rates-and-thresholds-for-employers-2026-to-2027

NHS Pension

NHS Pension contributions are tiered. From 1 April 2026, employee contribution rates run from 5.2% to 12.5% depending on annual pensionable pay.
Source URL:
https://www.nhsbsa.nhs.uk/member-hub/cost-being-scheme

That means net pay varies not just by salary, but by pension band, tax position, and payroll settings.

What This Estimate Does Not Fully Personalise

A high-quality calculator page must state its limits clearly.

If your current tool does not ask for these items separately, your result remains an estimate and not a payroll-grade calculation:

  • tax code
  • student loan plan
  • pension opt-out status
  • salary sacrifice deductions
  • on-call availability allowance
  • flexible pay premia
  • LTFT percentage
  • transitional pay protection
  • arrears or back pay

These factors are all real reasons why a live payslip can differ from a calculator estimate.
Source URLs:
https://www.nhsemployers.org/publications/faqs-2016-doctors-training-contracthttps://www.bma.org.uk/pay-and-contracts/pay/payslips/understanding-your-payslip-resident-doctors-on-the-2016-contracthttps://www.nhsbsa.nhs.uk/member-hub/cost-being-scheme

Why Your Payslip May Be Different from the Calculator Result

This is the question that real users ask after every estimate.

Your actual payslip can differ because of:

  • a non-standard tax code
  • student loan deductions
  • NHS Pension opt-out or different contribution tier
  • salary sacrifice arrangements
  • on-call pay not entered in the tool
  • flexible pay premia not entered in the tool
  • LTFT pro-rating
  • back pay, arrears, or payroll corrections
  • rota changes after the original work schedule was built

The correct user expectation is this:

Use the calculator to estimate and compare pay. Use your payslip to verify the final number.

Who Should Use a Different Calculator

This page serves one contract and one intent. Use a different calculator if you are trying to estimate pay for:

  • Agenda for Change staff
  • consultants
  • GP partners
  • GP salaried doctors
  • locum-only income
  • Scotland, Wales, or Northern Ireland contracts
  • full pension modelling
  • student loan-specific net pay

That separation matters because mixing contracts produces bad answers.


FAQ Section

Is This Calculator for England Only?

Yes. This page is for doctors paid under the England 2016 resident doctor contract. NHS Employers states that the 2016 contract applies in England for doctors in approved postgraduate training posts and GP specialty training placements in England.
Source URL:
https://www.nhsemployers.org/publications/faqs-2016-doctors-training-contract

Is Junior Doctor Pay the Same as Agenda for Change Pay?

No. Resident doctors in England are not paid on Agenda for Change bands. They are paid under a separate contract with nodal-point basic pay plus rota-based additions such as additional hours, weekend allowance, and night enhancements.
Source URLs:
https://www.nhsemployers.org/publications/faqs-2016-doctors-training-contracthttps://www.bma.org.uk/pay-and-contracts/pay/resident-doctors-pay-scales/pay-scales-for-resident-doctors-in-england

How Is Weekend Allowance Calculated?

Weekend allowance is linked to how often you are rostered to work weekends across the rota cycle. The national framework starts at 1 in 8 weekends and uses percentage bands from 3% to 15% of full-time basic salary depending on frequency.
Source URL:
https://www.nhsemployers.org/system/files/2025-06/Pay-and-Conditions-Circular-MD-2-2025_0.pdf

Which Hours Count as Night Duty?

BMA payslip guidance states that night duty includes:

  • hours between 9pm and 7am
  • hours worked until 10am in shifts of 8 hours or longer starting between 8pm and 11:59pm
  • any shift ending between midnight and 4am

Source URL:
https://www.bma.org.uk/pay-and-contracts/pay/payslips/understanding-your-payslip-resident-doctors-on-the-2016-contract

Are Additional Hours Above 40 Pensionable?

No. NHS Employers contract guidance states that all hours worked up to 40 hours per week at the basic rate are pensionable, but payments for additional rostered hours above 40 are not pensionable.
Source URLs:
https://www.nhsemployers.org/publications/faqs-2016-doctors-training-contracthttps://www.nhsemployers.org/system/files/2026-06/Doctors-dentists-in-training-2016-TCS-version-14-June-2026.pdf

Is London Weighting Pensionable?

Yes. The 2016 contract states that London weighting is pensionable in the NHS Pension Scheme.
Source URL:
https://www.nhsemployers.org/system/files/2026-06/Doctors-dentists-in-training-2016-TCS-version-14-June-2026.pdf

Does This Calculator Show Exact Take Home Pay?

No. A calculator estimate is not the same as a processed payslip. Exact net pay depends on payroll-level variables such as tax code, pension settings, student loan deductions, arrears, and local adjustments.
Source URLs:
https://www.gov.uk/guidance/rates-and-thresholds-for-employers-2026-to-2027https://www.nhsbsa.nhs.uk/member-hub/cost-being-schemehttps://www.nhsemployers.org/publications/faqs-2016-doctors-training-contract

Why Do Two Doctors on the Same Grade Earn Different Amounts?

Because grade sets only the basic nodal salary. Actual gross and net pay change with rota intensity, additional hours, weekend frequency, qualifying nights, London weighting, tax position, and pension deductions.
Source URLs:
https://www.nhsemployers.org/publications/faqs-2016-doctors-training-contracthttps://www.bma.org.uk/pay-and-contracts/pay/payslips/understanding-your-payslip-resident-doctors-on-the-2016-contract