Doctor salary and take-home pay

What matters in this pay comparison?

Contractual pay, rota enhancements and extra work

Start with the salary and contracted rota for your grade and nation. Night, weekend and on-call payments can have different pensionability and should not be assumed from job title alone.

Keep locum or private-practice receipts separate from employed NHS salary. Confirm whether extra work is payroll employment, self-employment or through another arrangement before comparing net income.

Check the basis before comparing offers

• Use the same year, working hours and paid weeks. An hourly rate, full-time equivalent salary, day rate and actual annual receipts are different inputs.
• Check pension method and pensionable pay. Net-pay pensions generally reduce Income Tax but do not reduce employee NI or student-loan earnings; salary sacrifice can affect all three.
• Separate cash received from non-cash benefits, reimbursements and deferred awards. Eligibility for a tax deduction is a separate question from whether a payment is taxable.

A reproducible reference calculation

This is an illustrative annual employment salary of £40,000.00, not a typical salary for this occupation or the specialist calculator’s default. It assumes England, Wales or Northern Ireland, the standard Personal Allowance, no other income, no pension contribution and no student loan.

Annual gross salary

£40,000.00

Income Tax

£5,486.00

Employee National Insurance

£2,194.40

Annual net estimate

£32,319.60

Monthly average

£2,693.30

Increasing the annual salary by £1,000 in this reference case increases annual net income by £720.00. This change is calculated from both complete estimates, so it captures any allowance taper or tax-band crossing.

The reference uses annualised employee NI thresholds. Your actual pay-period NI and payroll rounding can differ. Scotland requires its devolved Income Tax calculation.

Sources and checks for your own contract

Use the tax sources for the calculation rules and the role or scheme authority for the applicable working arrangement. A link to tax guidance does not verify an employer salary, a market median or every preset.

• HMRC 2026/27 employer rates and thresholds
• Student-loan repayment thresholds
• NHS pay review publications
• NHS pension member information
• Doctors’ and dentists’ remuneration reports

Rates are labelled for 2026/27; pay awards and scheme rules can have different effective dates. For a discrepancy, send the page and calculation assumptions to our corrections contact.