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NHS Band 7 (Advanced Practitioner) on £45,000 - Take-home pay & payslip breakdown

Monthly net pay for a UK nhs band 7 (advanced practitioner) 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 is essentially in line with the UK median for a nhs band 7 (advanced practitioner) (£46,148), so a payslip at this gross is what most peers in the role would expect to see.

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

For context, the 25th percentile for nhs band 7 (advanced practitioner)s sits at £46,148 and the 75th at £52,809 (ONS ASHE 2024). Quirk specific to this occupation: Band 7 covers Advanced Practitioners, Ward Managers, Clinical Specialists. Pension tier 11.6%. HCAS for inner London adds £8,000+ to basic.

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.