Specialty Training ST6–ST8 Salary
The short answer
A specialty registrar at ST6 and above takes home £47,924 a year — £3,993.66 a month — after income tax, National Insurance and pension contributions.
2026/27 Senior Training Pay (England — 2016 Contract)
| Pay Point | Annual | Monthly |
|---|---|---|
| ST3–5 (NP4) | £65,048 | £5,420.67 |
| ST6–8 (NP5) — senior registrar | £73,992 | £6,166.00 |
| Consultant (Threshold 1) | £113,565 | £9,463.75 |
Take-Home Pay After Tax, NI and Pension
| Pay Point | Gross | Pension | Tax | NI | Net | Monthly |
|---|---|---|---|---|---|---|
| Nodal Point 5 | £73,992 | £9,249 | £13,329 | £3,490 | £47,924 | £3,993.66 |
ST6 and above sit on nodal point 5, the top of the training scale. The next step is a consultant post or the specialist grade, both substantially higher. Figures are England basic pay only, excluding enhanced hours and on-call.
Check your own figure
Specialty Training Year 6 (ST6) marks the senior registrar phase of training — the final 2–3 years before CCT (Certificate of Completion of Training) and consultant appointment. ST6 doctors take on increasing autonomy and consultant-style responsibilities.
ST6 doctors in England sit on Nodal Point 5 (£73,992) of the 2016 contract — the top training point. Nodal Point 5 covers ST6, ST7 and ST8; basic pay is identical across these years.
Total ST6+ earnings often substantially exceed basic pay due to high on-call frequency, regular weekend rotas, and the additional hours typically worked during senior training. After CCT, doctors move directly to Consultant Threshold 1 (£113,565) — a basic uplift of around 53%.
Senior registrars are also the group most likely to be affected by the annual allowance on pension growth, particularly those with significant service in the legacy 1995 or 2008 sections. That is outside what this calculator models, but it is worth being aware of before taking on additional pensionable work near the top of the training scale.