Band 7 NHS pay 2026/27
Band 7 covers ward managers, advanced practitioners and team leaders. It has three pay steps across roughly five years.
Band 7 pay steps
Full-time annual salary (37.5 hours/week, England). The 2026/27 rates include the 3.3% award effective 1 April 2026.
| Pay step | 2025/26 | 2026/27 | Increase | Hourly (26/27) |
|---|---|---|---|---|
| Entry (< 2 years) | £47,810 | £49,387 | +£1,577 | £25.26 |
| 2+ years | £50,273 | £51,932 | +£1,659 | £26.56 |
| Top (5+ years) | £54,710 | £56,515 | +£1,805 | £28.90 |
Band 7 take-home pay 2026/27
Estimated deductions at each pay step, assuming NHS Pension membership, standard tax code (1257L), no student loan and no other deductions.
| Pay step | Gross | Pension | Income tax | Nat. Insurance | Take-home / year | Take-home / month |
|---|---|---|---|---|---|---|
| Entry (< 2 years) | £49,387 | £4,840 (9.8%) | £6,395 | £2,945 | £35,206 | £2,934 |
| 2+ years | £51,932 | £5,089 (9.8%) | £6,855 | £3,049 | £36,939 | £3,078 |
| Top (5+ years) | £56,515 | £6,047 (10.7%) | £7,619 | £3,141 | £39,708 | £3,309 |
Add student loan, switch tax year or turn pension off in the calculator.
Band 7 pay: quick answers
How much does a Band 7 earn in the NHS in 2026/27?+
In England, NHS Band 7 pay in 2026/27 runs from £49,387 at entry to £56,515 at the top step (full-time, 37.5 hours a week), including the 3.3% Agenda for Change pay award.
What is the monthly take-home pay for a Band 7 in 2026/27?+
Estimated take-home pay for a full-time Band 7 is roughly £2,934 to £3,309 a month depending on pay step, assuming NHS Pension membership, tax code 1257L and no student loan.
What is the Band 7 hourly rate in 2026/27?+
The full-time equivalent hourly rate for Band 7 ranges from £25.26 to £28.90 before deductions, based on 37.5 hours a week.
Sources & data checks
Salaries on this page are the official Agenda for Change pay scales for England published by NHS Employers. Deductions are calculated from HMRC 2026/27 tax and National Insurance thresholds and the NHS Pension member contribution tiers. Every figure is re-checked by an independent calculation before publication — last reviewed 17 July 2026.