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NHS Consultant Anaesthetist on £45,000 - Take-home pay & payslip breakdown

Monthly net pay for a UK nhs consultant anaesthetist earning £45,000 gross, calculated against HMRC 2026/27 PAYE bands, Class 1 employee National Insurance and a 5% auto-enrolment pension contribution.

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Estimated take-home

£2,831.80/month

£33,982 per year · £653.49 per week

Full deduction breakdown

Tax code 1257L cumulative; 2026/27 HMRC rates; 5% auto-enrolment pension on qualifying earnings.

ItemAnnualMonthly
Gross salary£45,000£3,750.00
Personal Allowance£12,570£1,047.50
Income Tax (PAYE)6,486.00540.50
National Insurance2,594.40216.20
Pension (5%)1,938.00161.50
Net take-home£33,982£2,831.80

How does £45,000 compare?

£45,000 sits about 64% below the ONS ASHE 2024 median for a nhs consultant anaesthetist (£124,800). This typically corresponds to early-career, part-time or trainee positions in the occupation.

It is also above the UK full-time national median of £37,430 (ONS ASHE 2024).

For context, the 25th percentile for nhs consultant anaesthetists sits at £109,475 and the 75th at £152,000 (ONS ASHE 2024). Quirk specific to this occupation: Anaesthetist payslips show 10 PA basic plus high additional PA volume for theatre lists and ICU sessions. Cat A on-call supplement common. Private practice income usually highest of any specialty given theatre dependency. Expect K-coded tax adjustments mid-year if private income flagged to HMRC.

Effective deduction rate at this gross: 24.49%. Marginal rate (next pound earned): 32%.

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Salary estimates: ONS Annual Survey of Hours and Earnings (ASHE) 2024, full-time gross annual pay by SOC 2020 occupation. Figures rounded to nearest £100.