Senior Nurse / Specialist Practitioner. Gross salary £42,044. Net take-home after pension: £2,473/month. Solo 1-bed living is tight — rent takes 38% of take-home.
Most NHS staff joined the 2015 scheme. Your payslip will show which scheme applies to you. Contribution rates from NHS Employers 2026/27.
Tax computed using HMRC 2025/26 rates. AfC salaries: NHS Employers pay circular 2026/27. Rent = Rightmove Q4 2025 median. All figures rounded to nearest £1.
Progression based on NHS Agenda for Change 2026/27 pay scales. Monthly take-home calculated after tax, NI, and 2015 CARE scheme pension at applicable tier rate. Moving to the next band requires applying for a higher-band post — progression is not automatic.
Opting out increases take-home by £343/month, but you permanently lose the NHS employer contribution of £830/month and the security of a defined-benefit guarantee. The 2015 CARE scheme provides an inflation-linked pension for life with no investment risk. For most NHS staff, staying enrolled is strongly recommended. If short-term cash flow is the concern, explore salary sacrifice for other costs (e.g. cycle-to-work, car leasing) before opting out.
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Data sources & methodology
NHS Employers Agenda for Change Pay Scales 2026/27 · HMRC Income Tax Rates 2025/26 · Rightmove Rental Trends Tracker Q1 2026
Analysis by the SalaryDex data team · May 2026 · Corrections: [email protected] · Full methodology · Data transparency pledge
Contains public sector information licensed under the Open Government Licence v3.0