In England (Agenda for Change / AfC), NHS Band 7 pay for 2025/26 is £47,810 → £50,273 → £54,710 (Entry / Intermediate / Top). The Band 7 hourly rate is £24.45 → £25.71 → £27.98. These figures are published by NHS Employers as part of the official AfC pay scales for 2025/26.
Calculate Your Exact Band 6 Take-Home Pay
This guide explains the full Band 7 picture: gross salary, hourly pay, pay progression, overtime, unsocial hours, London weighting (HCAS), part‑time pro‑rata pay, what determines take‑home pay (net pay / after tax), and how Band 7 compares across Scotland, Wales, and Northern Ireland.
Explore All NHS Pay Bands 2025/26 → NHS Pay Bands 2025/26
How we source these figures:
- Pay points + hourly rates + HCAS-inclusive values (England): NHS Employers AfC pay scales page for 2025/26.
- Pay award + back pay timing (England): NHS Employers pay award announcement (3.6% backdated to 1 April 2025; paid in August salaries).
- Overtime + unsocial hours rules: NHS Employers TCS Handbook (Section 2 and Section 3).
- Pension tier thresholds (from 1 April 2025): NHSBSA “Pay and contributions” technical guidance.
- Tax/NI/Student loan thresholds: GOV.UK (income tax bands; NI rates; student loan thresholds).
- Scotland AfC pay table (Band 7): Scottish Government “Agenda for Change staff pay” page.
- Wales 2025–26 acceptance: Welsh Government written statement (NHSPRB 3.6% consolidated uplift backdated to 1 April 2025).
- Northern Ireland baseline table + parity implementation timing: HSCNI Jobs pay bands (updated 04/04/2025) and DoH NI parity statement (6 Nov 2025).
- Why are roles Band 7 (job evaluation): NHS Employers / NHS Staff Council Job Evaluation Group (JEG) explanation of how AfC pay bands are set.
Read our Band 6 Pay Guide → NHS Band 6 Pay 2025/26
NHS Band 7 salary 2025/26 (England – official AfC pay scale)
NHS Employers publishes the official AfC pay band 7 salary scale for England (2025/26), including “years until eligible for pay progression”.
Band 7 pay points (annual salary + hourly rate)
| Band 7 pay point | Years until eligible for pay progression | Annual salary (gross) | Hourly rate |
| Entry | 2 years | £47,810 | £24.45 |
| Intermediate | 3 years | £50,273 | £25.71 |
| Top of Band 7 | — | £54,710 | £27.98 |
These figures are basic pay (gross pay) and exclude enhancements such as overtime, unsocial hours, and HCAS (London weighting).
Read About: NHS Band 2 Pay 2025/26
Band 7 monthly pay (gross) and weekly pay (gross)
These are straightforward conversions (annual ÷ 12 and annual ÷ 52), included because users often search “Band 7 monthly pay”.
| Pay point | Monthly gross | Weekly gross |
| Entry (£47,810) | £3,984.17 | £919.42 |
| Intermediate (£50,273) | £4,189.42 | £966.79 |
| Top (£54,710) | £4,559.17 | £1,052.12 |
Band 7 pay progression: How Long to reach the Top of Band 7?
In England, Band 7 progresses through Entry → Intermediate → Top with the following standard eligibility periods:
- 2 years to move from Entry to Intermediate
- 3 years to move from Intermediate to Top
That’s 5 years total to reach the top of the band, assuming normal incremental pay progression.
“Pay step date” / “incremental date” (what users mean)
Your pay step date (sometimes called incremental date) is the date you become eligible to move to the next pay point—assuming the local pay progression standards are met. NHS Employers explains that AfC pay progression is underpinned by local appraisal policies and nationally agreed standards.
Read our Band 5 Pay Guide → NHS Band 5 Pay 2025/26
KSF (Knowledge and Skills Framework) entity (why it’s relevant)
Under Agenda for Change, pay progression is tied to demonstrating appropriate knowledge and skills/competencies and performance, assessed through local appraisal/development review processes. The AfC documentation and associated guidance commonly refer to the Knowledge and Skills Framework (KSF) as the framework linked to development and role requirements in many NHS organisations.
Band 7 hourly rate (per hour), Overtime, and Unsocial Hours
Band 7 hourly rate (England)
England Band 7 hourly rates (published by NHS Employers) are: £24.45 / £25.71 / £27.98 (Entry/Intermediate/Top).
Overtime rules (Bands 1–7) — AfC Section 3
Under the NHS TCS Handbook (Agenda for Change), overtime is defined as hours worked in excess of 37.5 per week and applies to Bands 1–7. Key rules:
- Single harmonised rate: time-and-a-half for overtime
- General public holidays: double time
- Part-time staff: additional hours are paid at plain timeuntil total weekly hours exceed 37.5
- TOIL (time off in lieu) can be agreed locally
Read About: NHS Band 2 Pay 2025/26
Unsocial hours for Band 7 (Band 7 is in “Bands 4–9”)
Band 7 uses the unsocial hours rates for Bands 4–9 in the TCS Handbook:
- Saturday + weekday nights (8 pm–6 am): time plus 30%
- Sundays + public holidays: time plus 60%
Worked example (Band 7 Entry £24.45/hour):
- Saturday/night: £24.45 × 1.30 = £31.79/hour
- Sunday/public holiday: £24.45 × 1.60 = £39.12/hour
Important: unsocial hours enhancements are calculated from basic pay and do not use HCAS-inclusive pay.
Read About: NHS Band 3 Pay 2025/26
Band 7 take‑home pay (net pay / after tax): what changes it (100% factual)
Many people search for “Band 7 take-home pay” or “Band 7 after tax”. The only fully accurate answer is: it depends on your personal deductions. What we can state 100% factually is the set of rules and thresholds that determine net pay.
The main deductions from Band 7 pay
- NHS Pension (tiered % based on your actual annual pensionable pay)
- Income Tax (PAYE) — rates and bands for England/Wales/NI
- Employee National Insurance (Class 1) — depends on NI category letter; category A is common
- Student loan (Plan 1/2/4/5, postgraduate), if applicable
- Any salary sacrifice and other payroll deductions (varies by employer)
NHS Pension tier thresholds (from 1 April 2025)
NHSBSA sets member contribution tiers from 1 April 2025 (selected relevant tiers shown):
- £33,869 to £50,845 → 9.8%
- £50,846 to £65,190 → 10.7%
With England Band 7 basic pay:
- Entry (£47,810) is in 9.8%
- Intermediate (£50,273) is in 9.8%
- Top (£54,710) is in 10.7%
Back pay + pension arrears (important): NHSBSA warns that backdated pay awards can move members into a different tier and create arrears of contributions payable at the revised rate from 1 April 2025.
Income tax bands (England, Wales, Northern Ireland) — 2025/26
GOV.UK lists these 2025–26 bands on taxable income after allowances:
- Basic rate: 20% up to £37,700
- Higher rate: 40% £37,701 to £125,140
- Additional rate: 45% over £125,140
Employee NI rates (6 Apr 2025 to 5 Apr 2026)
GOV.UK lists employee NI rates by category letter. For category A (common):
- 0% up to the threshold band
- 8% in the main band
- 2% above the upper band
Student loan thresholds (April 2025)
GOV.UK employer guidance lists thresholds (annual):
- Plan 1: £26,065
- Plan 2: £28,470
- Plan 4: £32,745
- Postgraduate: £21,000
Practical takeaway: Band 7 take‑home pay is mainly driven by (1) your pension tier (9.8% vs 10.7% at the top point), (2) whether you cross higher‑rate tax thresholds once all taxable pay is considered, and (3) whether you have student loan deductions.
Band 7 part‑time pay (pro‑rata) — including 30 hours/week
This section directly satisfies “Band 7 part-time pay” and “Band 7 30 hours” intent with transparent, checkable maths.
Assumptions:
- Full-time = 37.5 hours/week
- Pro‑rata basic pay = full-time salary × (your hours ÷ 37.5)
- Excludes overtime, unsocial hours and HCAS
Band 7 part-time examples (England 2025/26)
| Hours/week | FTE | Entry annual | Entry monthly | Top annual | Top monthly |
| 37.5 | 1.0 | £47,810 | £3,984.17 | £54,710 | £4,559.17 |
| 30 | 0.8 | £38,248 | £3,187.33 | £43,768 | £3,647.33 |
| 22.5 | 0.6 | £28,686 | £2,390.50 | £32,826 | £2,735.50 |
| 18.75 | 0.5 | £23,905 | £1,992.08 | £27,355 | £2,279.58 |
Overtime and additional hours for part-time staff follow the AfC Section 3 rule: extra hours are at plain time until weekly hours exceed 37.5, then overtime applies.
Band 7 London weighting / HCAS (High Cost Area Supplement)
HCAS (High Cost Area Supplement), often called London weighting, is set out in the TCS Handbook Annexe 9 and published in “HCAS-inclusive” tables by NHS Employers.
Band 7 pay with HCAS (HCAS-inclusive values published by NHS Employers)
Inner London (Band 7): £56,276 / £58,739 / £63,176 (Entry/Mid/Top)
Outer London (Band 7): £53,751 / £56,214 / £60,651
Fringe (Band 7): £50,008 / £52,471 / £56,908
HCAS rules and caps (from 1 April 2025)
NHS TCS Handbook Annexe 9 sets the 2025/26 HCAS rules and the minimum/maximum caps:
- Inner London: 20% of basic salary (min £5,609; max £8,466)
- Outer London: 15% (min £4,714; max £5,941)
- Fringe: 5% (min £1,303; max £2,198)
Band 7 pay in Scotland vs England vs Wales vs Northern Ireland (UK comparison)
Scotland (confirmed pay points + hourly for 2025–26)
Scottish Government AfC Band 7 (2025–26):
- Point 1: £50,861 (hourly £26.36)
- Point 2: £52,804 (hourly £27.37)
- Point 3: £59,159 (hourly £30.66)
Scotland’s AfC deal is 4.25% from 1 April 2025 and 3.75% from 1 April 2026, backdated to 1 April 2025.
Wales (confirmed policy: 3.6% uplift to all AfC pay points, backdated)
Welsh Government accepted NHSPRB recommendations for 2025–26: a 3.6% consolidated uplift for all AfC pay points, backdated to 1 April 2025.
To remain strictly factual without guessing Wales’ final post-implementation Band 7 table on your page: state the uplift policy and advise users to confirm the implemented pay points via NHS Wales payroll/circulars when applied locally.
Northern Ireland (published pay table + parity restoration + timing)
HSCNI Jobs publishes AfC pay points (updated 04/04/2025) — Band 7 shown as: £46,148 / £48,526 / £52,809 (Entry/Intermediate/Top).
Northern Ireland Department of Health confirmed restoration of pay parity: uplifts backdated to 1 April 2025, and expected uplift + back pay in February 2026 pay packets.
What jobs are NHS Band 7? (and why banding can vary)
Common Band 7 roles often include:
- Ward Manager / Ward Sister / Senior Sister
- Team Leader / Clinical Team Leader
- Clinical Lead (post-dependent)
- Specialist Nurse (e.g., diabetes, tissue viability, IPC, safeguarding)
- Advanced Nurse Practitioner (ANP) (often Band 7; sometimes Band 8a depending on the post)
- Senior Midwife
- Senior Paramedic / Team Leader Paramedic
- Senior AHP roles such as Senior Physiotherapist, Senior Occupational Therapist, Senior Radiographer
Important (100% factual): AfC banding is determined using the NHS Job Evaluation Scheme, maintained by the NHS Staff Council Job Evaluation Group (JEG), typically by matching roles to national profiles or evaluating locally.
Band 6 vs Band 7: Is the promotion worth it? (England)
A common hidden intent is: “Band 6 vs Band 7 pay”.
England (2025/26):
- Band 6 top: £46,580
- Band 7 entry: £47,810 Difference: £1,230/year gross
Whether it’s “worth it” depends on:
- your shift pattern (overtime/unsocial hours)
- pension tier impact (Band 7 top usually at 10.7%, see NHSBSA tiers)
- leadership/management responsibilities
NHS Band 7 pay rise 2025/26 + back pay (England)
NHS Employers states:
- AfC staff receive a 3.6% consolidated uplift
- uplifts are backdated to 1 April 2025
- ESR confirmed that uplift + retrospective pay would be paid in August salaries
FAQs:
What is NHS Band 7 pay in 2025/26 (England)?
£47,810 / £50,273 / £54,710 per year, and £24.45 / £25.71 / £27.98 per hour.
How long does it take to reach the top of Band 7?
Typically 5 years (2 years to intermediate, then 3 years to top), assuming normal pay step progression.
What is Band 7 pay with Inner London weighting (HCAS)?
£56,276 / £58,739 / £63,176 (Entry/Mid/Top) in Inner London (HCAS-inclusive), per NHS Employers.
When will the 2025/26 back pay be paid (England)?
NHS Employers said the uplift and retrospective pay (backdated to 1 April 2025) would be paid in August salaries.
Last updated: January 4, 2026 (using NHS Employers, NHS Terms and Conditions of Service (TCS) Handbook, NHSBSA, GOV.UK, gov. scot, GOV.WALES, Department of Health NI, and HSCNI Jobs).