Frequently Asked Questions
What is the NHS Band 7 salary in 2026/27?
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The NHS Band 7 Agenda for Change salary for 2026/27 runs from £47,671 at the minimum to
£54,552 at the top of the band, with a mid-scale of £51,708.
Staff in Inner London also receive the High Cost Area Supplement of £5,570, making the London mid-scale gross £57,278.
How much does an NHS Band 7 take home after pension?
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At Band 7 mid-scale, the employee NHS pension contribution is 9.8%.
In London, at gross £57,278, take-home after income tax, NI, and pension is approximately
£3,180/month. Outside London (no HCAS), take-home will be lower — see the city table above.
What does an NHS Band 7 do?
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NHS Band 7 covers the Advanced Nurse Practitioner / Team Manager grade. Advanced nurse practitioner, team manager, lead allied health professional.
The AfC framework defines the band by the skills, responsibility, and knowledge required — not just the job title.
How does the NHS pension work for Band 7?
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NHS Band 7 staff are enrolled in the 2015 CARE (Career Average) scheme.
The employee contribution is 9.8% of pensionable pay. The NHS employer adds 23.7%.
Each year of service accrues a guaranteed, inflation-linked annual pension of 1/54th of that year's pensionable pay.
This is a defined-benefit scheme — your pension is not subject to investment risk.