If you work in the NHS, you already know your
Agenda for Change band. But knowing your band
is very different from knowing what you
actually take home each month after tax,
National Insurance and your NHS pension
contribution.
This guide breaks it down for every AfC band
in England for 2026/27 — including the impact
of London weighting and the NHS 2015 pension
scheme.
What is Agenda for Change?
Agenda for Change (AfC) is the pay framework
that covers the majority of NHS staff in the
UK — from healthcare assistants to senior
nurses, allied health professionals and
managers. It sets nationally agreed pay bands
from Band 2 through to Band 9, with each band
having a minimum and maximum salary point.
Your progression through a band is based on
length of service, with most staff reaching
the top of their band over three to five years.
The NHS Pension: The Deduction Most
Calculators Get Wrong
Before we look at take-home pay by band,
it is worth understanding why standard salary
calculators give you the wrong answer for NHS
staff.
The NHS Pension Scheme 2015 uses a tiered
contribution rate that changes based on your
salary. Unlike most workplace pension schemes
where everyone pays the same percentage, NHS
employees pay different rates depending on
what they earn:
Up to £15,431: 5.1%
£15,432 to £21,477: 5.7%
£21,478 to £27,747: 6.1%
£27,748 to £51,023: 7.1%
£51,024 to £75,632: 9.8%
Above £75,632: 12.5%
A generic calculator that applies a flat 5%
pension deduction will significantly
overestimate your take-home pay, particularly
at Bands 6 and above.
Take-Home Pay by AfC Band (England, 2026/27)
These figures use the minimum salary point for
each band and apply the correct tiered NHS
pension contribution, income tax at HMRC
2026/27 rates and National Insurance.
Band 2 (£23,615):
Pension (5.7%): £1,346/yr
Income tax: £2,209/yr
National Insurance: £890/yr
Monthly take-home: approximately £1,598
Band 5 min (£28,407):
Pension (6.1%): £1,733/yr
Income tax: £3,167/yr
National Insurance: £1,264/yr
Monthly take-home: approximately £1,853
Band 5 max (£34,581):
Pension (7.1%): £2,455/yr
Income tax: £4,402/yr
National Insurance: £1,768/yr
Monthly take-home: approximately £2,163
Band 6 min (£35,392):
Pension (7.1%): £2,513/yr
Income tax: £4,566/yr
National Insurance: £1,815/yr
Monthly take-home: approximately £2,208
Band 6 max (£42,618):
Pension (7.1%): £3,026/yr
Income tax: £6,009/yr
National Insurance: £2,404/yr
Monthly take-home: approximately £2,598
Band 7 min (£43,742):
Pension (7.1%): £3,106/yr
Income tax: £6,234/yr
National Insurance: £2,494/yr
Monthly take-home: approximately £2,659
Band 7 max (£50,056):
Pension (7.1%): £3,554/yr
Income tax: £7,497/yr
National Insurance: £3,000/yr
Monthly take-home: approximately £2,917
Band 8a min (£50,952):
Pension (9.8%): £4,993/yr
Income tax: £7,676/yr
National Insurance: £3,031/yr
Monthly take-home: approximately £2,938
These figures are estimates based on standard
tax codes and assume no student loan
deductions. Use the free Payslp NHS calculator
to see your exact take-home for your specific
band and location.
London Weighting: How Much Extra Do You
Actually Take Home?
NHS staff working in London receive additional
pay on top of the national AfC rates. There
are three tiers:
Inner London: +20% on top of national rate
Outer London: +15% on top of national rate
High cost area supplement: +7.5%
However, because the additional pay is fully
taxable, the real take-home uplift is less
than the headline percentage suggests. A Band
6 nurse at the minimum pay point receives
approximately £7,078 extra per year gross in
inner London — but takes home around £4,200
of that after tax and NI.
The Payslp NHS calculator lets you select
your location weighting and see your exact
take-home with the supplement applied.
Is the NHS Pension Worth It?
Despite the significant contribution, the
NHS 2015 pension scheme is one of the best
remaining defined benefit schemes in the UK.
Your employer contributes 23.7% of your
salary into the scheme on top of your own
contribution — a benefit worth thousands of
pounds per year that does not appear on your
payslip.
For a Band 6 nurse at £35,392, the employer
contributes approximately £8,388 per year
into the pension on your behalf. That is
genuine compensation that takes your total
package well above the gross salary figure.
Opting out of the NHS pension to increase
your monthly take-home should be approached
with extreme caution and independent
financial advice.
Calculate Your Exact NHS Take-Home
Every AfC band, every location weighting,
NHS 2015 pension rates applied automatically.
Free, no sign-up required.
👉 Use the free Payslp NHS Salary Calculator
at payslp.com