NHS Doctor Pay Scales 2026/27
The short answer
A hospital doctor in England takes home £28,434 to £81,237 a year — £2,369.51 to £6,769.74 a month — after income tax, National Insurance and pension contributions.
England 2026/27 — All Grades (2016 Hospital Contract + 2003 Consultant)
| Grade | Annual Basic | Monthly |
|---|---|---|
| F1 (Nodal Point 1) | £38,831 | £3,235.92 |
| F2 (Nodal Point 2) | £44,439 | £3,703.25 |
| Core / IMT / ST1–2 (NP3) | £52,656 | £4,388.00 |
| ST3–5 (NP4) | £65,048 | £5,420.67 |
| ST6+ (NP5) | £73,992 | £6,166.00 |
| Specialty Doctor (SAS) Year 1 | £63,696 | £5,308.00 |
| Specialty Doctor (SAS) Year 12+ | £102,689 | £8,557.42 |
| Specialist (SAS) Year 1 | £104,401 | £8,700.08 |
| Specialist (SAS) Year 7+ | £115,341 | £9,611.75 |
| Consultant (Threshold 1) | £113,565 | £9,463.75 |
| Consultant (Threshold 4 — 14yr) | £150,569 | £12,547.42 |
| Salaried GP — Minimum (FT 9 sessions) | £78,699 | £6,558.25 |
| Salaried GP — Maximum (FT 9 sessions) | £118,759 | £9,896.58 |
Take-Home Pay After Tax, NI and Pension
| Pay Point | Gross | Pension | Tax | NI | Net | Monthly |
|---|---|---|---|---|---|---|
| Foundation Year 1 | £38,831 | £3,805 | £4,491 | £2,100 | £28,434 | £2,369.51 |
| Foundation Year 2 | £44,439 | £4,355 | £5,503 | £2,549 | £32,032 | £2,669.35 |
| Core training CT1-CT2 | £52,656 | £5,160 | £6,985 | £3,063 | £37,447 | £3,120.62 |
| Specialty registrar ST3-ST5 | £65,048 | £6,960 | £10,667 | £3,311 | £44,110 | £3,675.82 |
| Specialty registrar ST6+ | £73,992 | £9,249 | £13,329 | £3,490 | £47,924 | £3,993.66 |
| Consultant (entry) | £113,565 | £14,196 | £27,180 | £4,281 | £67,908 | £5,659.02 |
| Consultant (top) | £150,569 | £18,821 | £45,490 | £5,021 | £81,237 | £6,769.74 |
Basic pay by nodal point for the 2016 contract, plus the consultant scale. Trainees additionally receive enhanced pay for nights, weekends and on-call, which varies by rota and is not included. NHS Pension is deducted before income tax.
Check your own figure
UK doctor pay is governed by several separate contracts, varied by country:
- 2016 contract (resident / "junior" doctors in England): 5 Nodal Points covering F1 through ST6+
- 2021 SAS contract: Specialty Doctor (12 points) and Specialist (7 points) — career-grade doctors not in training
- 2003/2004 Consultant contract: 5 pay thresholds, progression by years of service
- BMA Salaried GP model contract: a recommended salary range, with 9 sessions/week being full-time
Each country has its own pay scales — Scotland uses a 10-point system, Wales is transitioning to a new spine system from 1 August 2026, and Northern Ireland uses the legacy 2002 contract. The figures above are for England, 2026/27. The calculator supports all four nations — select your country in the calculator to see nation-specific rates.
On top of basic pay, the 2016 contract pays: weekend allowance, 37% night enhancement, on-call availability allowance (8% resident / 3% non-resident), and additional hours. Weekend and on-call are pensionable; night and additional hours are not.