Specialty Training ST6–ST8 Salary

£73,992
2026/27 — Nodal Point 5 (top of training) of the 2016 hospital doctor contract
Calculate Your Take-Home Pay

2026/27 Senior Training Pay (England — 2016 Contract)

Pay PointAnnualMonthly
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

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%.

Frequently Asked Questions

What is the ST6 salary in the UK?
In England under the 2016 contract, ST6 basic salary is £73,992 at Nodal Point 5. This is the top of the training scale; ST7 and ST8 are paid the same basic.
Is ST6 the same pay as ST7 and ST8?
Yes — all three years are at Nodal Point 5 (£73,992) under the 2016 contract. Total earnings typically increase via more on-call, more weekend work and more out-of-hours rota.
How much does pay increase from ST6 to Consultant?
Basic pay rises from £73,992 (ST6/NP5) to £113,565 (Consultant Threshold 1) — an uplift of around 53%. Consultants also get programmed activities, on-call availability and potential Clinical Excellence Awards.
How do supplements affect ST6 total earnings?
Significantly. A typical senior registrar with 1-in-4 weekends (7.5% of basic = £5,549), resident on-call (8% = £5,919), 30 night hours/month (£8,212/year non-pensionable), and 8 additional hours/month (£5,476/year) can add £25k+ on top of basic.
Is ST6 pay pensionable?
Yes. Basic pay, weekend allowance and on-call availability are all pensionable under the NHS Pension Scheme (2015 CARE for most active doctors). Night enhancement and additional hours payments are not pensionable.

Stay up to date with doctor pay

Get notified when new BMA / DDRB pay awards, NHS pension tiers and tax/NI thresholds are released. No spam, unsubscribe anytime.

Doctor pay by grade

Topics