Estimate resident doctor take-home pay for 2026/27: nodal point or grade basic pay, nights, weekends, on-call, London weighting, NHS pension and student loans, across England, Scotland, Wales and Northern Ireland.
Updated for 2026/27Rules last checked 13 July 2026
Basic pay covers a 40 hour week. In England, additional rostered hours between 40 and 48 a week (56 if you have opted out of the Working Time Regulations) are paid on top at your hourly rate, with a 37% enhancement for any of those hours worked between 21:00 and 07:00. The same 37% night enhancement also applies to night hours within your basic 40 hours. Weekend working is paid as a percentage of basic pay that rises with how often you work weekends, from 3% at 1 in 8 up to 15% at 1 in 2 or more often. Non-resident on-call availability adds a flat 8% of basic pay. London weighting for medical and dental staff is a fixed annual cash sum, not a percentage, frozen since 2005.
Not all of this is pensionable. Under the 2016 contract Terms and Conditions of Service, Schedule 2 makes only basic pay up to 40 hours a week and London weighting pensionable. Additional hours above 40, the night enhancement, the weekend allowance, the on-call availability allowance, Less Than Full Time allowances and Flexible Pay Premia are all non-pensionable.
The 2016 contract pays a fixed nodal point salary per training grade rather than annual increments. The DHSC nodal point reform agreed with the BMA on 18 June 2026 was accepted by ballot at the end of June 2026, backdated to 1 April 2026, but the official Pay and Conditions Circular (M&D) 1/2026R, republished 30 June 2026, still only carries the flat 3.5% DDRB uplift. The table below shows both: the officially circulated figure and the pending June 2026 offer figure, which the calculator lets you toggle between.
| Training grade | Official circular (1/2026R) | June 2026 offer (pending) |
|---|---|---|
| Foundation Year 1 (FY1) | £40,190 | £41,226 |
| Foundation Year 2 (FY2) | £45,994 | £47,610 |
| Core Training Year 1 (CT1) | £54,499 | £55,355 |
| Core Training Year 2 (CT2) | £54,499 | £55,355 |
| Core Training Year 3 (CT3) | £67,325 | £67,325 |
| Specialty Training Year 1 (ST1) | £54,499 | £55,355 |
| Specialty Training Year 2 (ST2) | £54,499 | £55,355 |
| Specialty Training Year 3 (ST3) | £67,325 | £67,325 |
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| Specialty Training Year 4 (ST4) | £67,325 | £67,998 |
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| Specialty Training Year 5 (ST5) | £67,325 | £67,998 |
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| Specialty Training Year 6 (ST6) | £76,582 | £76,582 |
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| Specialty Training Year 7 (ST7) | £76,582 | £77,348 |
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| Specialty Training Year 8 (ST8) | £76,582 | £77,348 |
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Scotland, Wales and Northern Ireland still use the older 2002 terms and conditions: a grade and pay point scale, with a banding percentage added on top to reflect rota intensity, rather than the separate nodal points and enhancements used in England.
+3.75% from 1 April 2026 (PCS(DD)2026/1). Banding percentages: 1C 20%, 1B 40%, 1A and 2B 50%, 2A 80%, Band 3 100%. Foundation House Officer 1 doctors without a formal band still receive a fixed 5% supplement.
| Grade | Point 1 | Point 2 | Point 3 | Point 4 | Point 5 | Point 6 | Point 7 | Point 8 | Point 9 | Point 10 |
|---|---|---|---|---|---|---|---|---|---|---|
| Foundation House Officer 1 (FHO1) | £37,316 | £39,649 | £41,977 | - |
It depends on your nation, rota and deductions. Choose Foundation Year 1 in the calculator above with your rota details, pension and student loan status to see your own estimated monthly take-home pay after Income Tax, National Insurance and NHS pension contributions.
Not yet. The DHSC nodal point reform was agreed with the BMA UK Resident Doctors Committee on 18 June 2026 and accepted by ballot at the end of June 2026, backdated to 1 April 2026. The official Pay and Conditions Circular (M&D) 1/2026R, republished 30 June 2026, still only carries the flat 3.5% DDRB uplift. Use the toggle in the calculator to compare both figures.
A percentage of basic pay based on how often you work weekends: 3% for 1 in 8, rising through 4%, 5%, 6%, 7.5% and 10%, up to 15% for 1 in 2 weekends or more frequently. This applies in England under the 2016 contract; Scotland, Wales and Northern Ireland use the 2002 banding system instead, which folds weekend and out-of-hours frequency into a single banding percentage.
Yes. England uses the 2016 contract with nodal point basic pay plus separate enhancements for nights, weekends and on-call. Scotland, Wales and Northern Ireland still use the older 2002 terms and conditions, where a single banding percentage on top of basic pay covers rota intensity. Wales is also moving new entrants to a new Framework Agreement contract from 1 August 2026.
Only part of it. Under the 2016 contract Terms and Conditions of Service, Schedule 2 makes basic pay up to 40 hours a week and London weighting pensionable. Additional rostered hours above 40, the 37% night enhancement, the weekend allowance, the on-call availability allowance, Less Than Full Time allowances and Flexible Pay Premia are all non-pensionable.
For Agenda for Change staff on non-medical pay bands, use the full NHS pay calculator instead.
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| Foundation House Officer 2 (FHO2) | £46,286 | £49,314 | £52,340 | - | - | - | - | - | - | - |
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| Senior House Officer / Dental Senior House Officer (SHO/DSHO) | £46,286 | £49,314 | £52,340 | £55,366 | £58,393 | £61,418 | £64,445 | - | - | - |
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| Specialty Registrar, full pathway (StR) | £49,217 | £52,229 | £56,435 | £58,978 | £62,044 | £65,112 | £68,184 | £71,251 | £74,318 | £77,389 |
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| Specialty Registrar, core / fixed-term (StR) | £49,217 | £52,229 | £56,435 | £58,978 | £62,044 | £65,112 | - | - | - | - |
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| Specialist Registrar (SpR) | £51,348 | £53,892 | £56,435 | £58,978 | £62,044 | £65,112 | £68,184 | £71,251 | £74,318 | £77,389 |
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+3.5% from 1 April 2026 (M&D(W) 01/2026 v2), shown below. This scale closes to new entrants from 1 August 2026, when a new Welsh Framework Agreement contract with its own pay spine (Foundation Year 1 and 2, then Registrar years 1 to 10) takes over. Existing doctors already on the 2002 terms and conditions stay on the scale shown here.
This calculator does not yet calculate the new Welsh Framework Agreement pay spine for entrants from 1 August 2026.
| Grade | Point 1 | Point 2 | Point 3 | Point 4 | Point 5 | Point 6 | Point 7 | Point 8 | Point 9 | Point 10 |
|---|---|---|---|---|---|---|---|---|---|---|
| Foundation House Officer 1 (FHO1, MN13) | £36,629 | £38,800 | £40,973 | - | - | - | - | - |
Latest confirmed scale, HSC (TC8) 05/2025. The 2026/27 DDRB uplift of 3.5% has been recommended but is not yet confirmed: the Department of Health said in June 2026 it could not proceed without an agreed budget, and BMA Northern Ireland resident doctors held a 24 hour strike on 29 June 2026.
| Grade | Point 1 | Point 2 | Point 3 | Point 4 | Point 5 | Point 6 | Point 7 | Point 8 | Point 9 | Point 10 |
|---|---|---|---|---|---|---|---|---|---|---|
| Foundation House Officer 1 (FHO1, M220) | £35,704 | £37,733 | £39,758 | - | - | - | - | - | - | - |
| Foundation House Officer 2 (FHO2, M230) |
LTFT doctors in England on the 2016 contract are paid pro rata for contracted hours below 40 a week, plus a flat annual LTFT training allowance. Check your latest payslip for the exact allowance amount, then enter your contracted hours in the calculator to see the pro-rata effect.
A nodal point is a fixed basic pay figure on the England 2016 contract pay scale, one for each training grade from Foundation Year 1 through to Specialty Training Year 8. Unlike the old annual increment system, doctors move to the next nodal point when they progress to the next training grade, not automatically each year.
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| Foundation House Officer 2 (FHO2, MN15) | £44,988 | £47,809 | £50,628 | - | - | - | - | - | - | - |
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| Specialty Registrar, full pathway (StR, MN37) | £47,946 | £50,763 | £54,703 | £57,088 | £59,957 | £62,831 | £65,704 | £68,579 | £71,451 | £74,328 |
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| Specialty Registrar, core / fixed-term (StR, MN39/MN35) | £47,946 | £50,763 | £54,703 | £57,088 | £59,957 | £62,831 | - | - | - | - |
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| £43,510 |
| £46,142 |
| £48,779 |
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| Specialty Registrar, full pathway (StR, M241) | £46,274 | £48,910 | £52,585 | £54,812 | £57,495 | £60,179 | £62,862 | £65,546 | £68,230 | £70,914 |
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| Specialty Registrar, core / fixed-term (StR, M240/M242) | £46,274 | £48,910 | £52,585 | £54,812 | £57,495 | £60,179 | - | - | - | - |
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