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Clinical nurse specialist (Band 7) salary and take-home pay 2026/27

A typical clinical nurse specialist (band 7) salary of £49,387 takes home £39,078.24 a year (£3,256.52 a month) after income tax and National Insurance for 2026/27 in England, Wales or Northern Ireland, with no pension or student loan.

Gross
£49,387
Take-home
£39,078.24
Monthly
£3,256.52
Weekly
£751.50
Income Tax
£7,363.40
Employee NI
£2,945.36
Effective rate
20.9%
Marginal (IT+NI)
28.0%

Take-home at typical salaries

GrossTaxNIMonthlyTake-home
£45,000£6,486.00£2,594.40£2,993.30£35,919.60
£53,000£8,632.00£3,070.60£3,441.45£41,297.40

NHS pay bands — take-home

PointGrossTake-homePage
Band 5£32,073£26,612.16
Band 6£39,959£32,290.08
Band 7£49,387£39,078.24

2025/26 AfC entry-point working set. Confirm the live 2026/27 AfC pay scales (published by NHS Employers) at ship time — SERPs disagree on exact figures. The live scale wins. Source: NHS Employers.

Sources

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