AGENDA FOR CHANGE SECTION 14 • FULL & HALF PAY ENTITLEMENTS

NHS Sick Pay & Sickness Entitlement Calculator

This NHS sick pay calculator is for Agenda for Change employees checking Section 14 occupational sick pay entitlement against an absence in 2026/27. Enter band or salary, continuous NHS service tier, contracted hours, days off and prior sickness already used in the rolling year. It splits full pay, half pay and no-pay days, shows Statutory Sick Pay context, pay loss versus normal earnings and an estimated net comparison. Use it before long-term absence, phased return or Bradford Factor reviews. Figures follow AfC reckonable service bands so sickness pay planning matches NHS occupational sick pay rules.

Calculate full pay, half pay, Statutory Sick Pay (SSP) top-ups, and net pay loss for sickness absence

🩺 Sickness Absence Details
Section 14 Entitlement Tier: 5 Months Full Pay, then 5 Months Half Pay
ESTIMATED SICKNESS ABSENCE PAY
£3,208.99
Estimated Pay Loss: £0.00
Statutory Sick Pay (SSP): £116.75 / wk
Full Pay Days: 30 Days
Half Pay Days: 0 Days
No Pay Days: 0 Days
📋 AfC Section 14 Entitlement Scale
Continuous Service Full Pay Entitlement Half Pay Entitlement
Up to 4 Months 1 Month 2 Months
4 Months to 1 Year 2 Months 2 Months
1 to 2 Years 2 Months 2 Months
2 to 3 Years 4 Months 4 Months
3 to 5 Years 5 Months 5 Months
After 5 Years 6 Months 6 Months

NHS sick pay entitlement at a glance

For employees covered by the national Agenda for Change sickness provisions, contractual sick pay increases with reckonable service. The standard national pattern is:

Reckonable serviceFull payHalf pay
During first year1 month2 months
During second year2 months2 months
During third year4 months4 months
During fourth and fifth years5 months5 months
After 5 years6 months6 months

Source: NHS Terms and Conditions of Service

Direct answer: Band does not determine the number of months of sick pay. Reckonable service and the applicable sickness rules are the central attributes. Band/pay matters when working out the amount of full or half pay.

What the sick-pay calculator should ask for

  • reckonable service;
  • first day of sickness and expected/actual absence duration;
  • current basic/regular pay;
  • prior sickness that affects the contractual allowance where applicable;
  • whether the user is in a special circumstance covered by the TCS/local policy;
  • tax/pension implications if modelling take-home.

Do not let the calculator diagnose whether an absence is “authorised” or whether formal HR action should occur. That is an employment-policy decision, not an arithmetic output.

Full pay vs half pay

Half pay means the contractual sick-pay component changes; it does not necessarily mean every payslip line simply divides by two. Statutory Sick Pay, pensionable treatment and local payroll coding can interact with the final payslip. Show assumptions clearly.

Sickness and annual leave

Sick leave and annual leave are separate entitlements. Users searching “do I lose NHS annual leave when off sick?” should be directed to current contractual/legal guidance rather than having leave deleted automatically by this calculator.

Key points

  • Service length, not AfC band, sets the national sick-pay duration.
  • After five years' service the national pattern is up to six months full pay and six months half pay, subject to the scheme conditions.
  • Calculator output should estimate pay, not make capability/absence-management decisions.
  • Use the current TCS as the primary source.

Sources

  • https://www.nhsemployers.org/publications/tchandbook

This NHS sick pay calculator estimates Occupational Sick Pay under Agenda for Change based on your reckonable service and length of absence. AfC sick pay scales up with continuous service — from one month’s full pay (and two months’ half pay) in the first year, through to six months’ full pay and six months’ half pay after five years’ service. Local trust policies and previous sickness in the rolling period can change the remaining entitlement.

AfC sickness absence: NHS Terms and Conditions Handbook.

Agenda for Change Sick Pay Entitlement

Infographic explaining Agenda for Change Sick Pay Entitlement for NHS pay and benefits — covers: Agenda for Change Sick Pay Entitlement.
Visual: agenda for Change Sick Pay Entitlement.

Occupational Sick Pay is separate from Statutory Sick Pay (SSP). Most NHS employees receive OSP, which is usually more generous than SSP alone. Entitlement depends on continuous reckonable service at the start of the absence and how much OSP you have already used in the relevant period.

  • During first year: typically 1 month full pay + 2 months half pay
  • During second year: 2 months full + 2 months half
  • During third year: 4 months full + 4 months half
  • During fourth and fifth years: 5 months full + 5 months half
  • After five years: 6 months full + 6 months half

How to Use This Calculator

Enter your service length, salary and absence duration to estimate remaining full-pay and half-pay weeks. Results are indicative — managers and Occupational Health decisions, phased returns and disability-related absences follow trust procedure. For absence scoring used in some trusts, see the Bradford Factor calculator.

Take-Home Pay While Off Sick

Infographic explaining Take-Home Pay While Off Sick for NHS pay and benefits — covers: Take-Home Pay While Off Sick.
Visual: take-Home Pay While Off Sick.

Half pay still attracts tax, NI and (where applicable) pension on the pensionable elements. If you need a normal-duty payslip estimate before absence, use your band calculator from the calculators hub. Related leave tools include the annual leave calculator and maternity pay calculator.