What a Nurse payslip looks like
A typical UK nurse payslip is paid monthly and shows a basic pay line at the top. Registered nurses sit on the NHS Agenda for Change pay spine, with band-specific increments and a separate enhancement column. The line items below depend on grade, shift pattern and contractual additions, but the structure usually mirrors HMRC's recommended payslip layout: a payments block, a deductions block, a year-to-date column, and a net pay summary.
Common employers in this occupation include NHS England, Guy's and St Thomas' NHS Foundation Trust, BUPA. Each employer runs payroll slightly differently, but the underlying PAYE computation against tax code 1257L and Class 1 National Insurance is identical across the UK (excluding Scotland for income tax). The biggest variability between two nurse payslips at the same gross will be in the additions block: Nurses on Agenda for Change see basic pay, high-cost area supplement (HCAS) and unsocial hours uplift (sections 2/3) listed separately. Bank shifts appear under a second assignment line.
Year-to-date columns are critical to verify on this role because the additions and salary sacrifice items change month to month. If your YTD gross divided by months elapsed in the tax year does not match your expected annual run-rate, that is the single best signal that something is mis-coded.
Depends how you are engaged
Flat rate expenses for uniforms, work clothing and tools and nurse pay
£125 a year, agreed for nurses who must bear the cost of laundering their uniforms and unchanged since 2014/15, when it rose from £100. Two smaller allowances sit on top and are separately claimable: £12 a year for shoes and £6 a year for stockings, tights or socks, each due only where a prescribed style or colour is obligatory where you work. HMRC treats midwives, auxiliaries, students and healthcare assistants as nurses for all three. The row is headed by employer type, National Health Service, private hospitals, local authorities and independent care providers, so registration alone does not carry the £125; a nurse employed outside those four falls back to the £60 laundry figure.
- Standard rate where your trade has no agreed figure
- £60 a year
- What a £60 deduction is actually worth
- £12 a year at the 20% rate
Educational only. Whether this reaches your own pay turns on your contract and how you are engaged, and tribunal and claim time limits are short. Check the limit that applies to you before relying on a date.
Flat rate expenses for uniforms, work clothing and tools: the rates, the payslip lines, what goes wrong and the 27 primary sources. Income Tax (Earnings and Pensions) Act 2003, section 367 (fixed sum deductions for repairing and maintaining work equipment), sitting inside the general rule at section 336, with the agreed amounts published at EIM32712, in force for the tax years 2008 to 2009 onwards, the span the published table of amounts gives itself.
Nurse salary bands (UK 2024)
ONS ASHE 2024 full-time gross pay. Net figures use 2026/27 PAYE bands and assume 5% of qualifying earnings (£6,240–£50,270) under a net-pay arrangement — before income tax, but not before National Insurance.
| Band | Gross / year | Net / year | Net / month |
|---|---|---|---|
| 25th percentile | £31,100 | £24,917 | £2,076 |
| Median | £37,200 | £29,065 | £2,422 |
| 75th percentile | £44,800 | £34,233 | £2,853 |
Take-home by salary
Detailed monthly breakdowns for common nurse salary anchors:
Common deductions for a Nurse
- PAYE income tax.Calculated against tax code 1257L. Cumulative coding means refunds can appear if you start mid-year.
- National Insurance (Class 1).8% between £12,570 and £50,270 of annual earnings, then 2% above. Period-by-period method is standard.
- Pension.Auto-enrolment minimum 5% employee on qualifying earnings (£6,240 - £50,270), unless your employer runs a more generous scheme such as the NHS, Teachers Pension or Civil Service alpha.
- Salary sacrifice patterns.Common in this occupation: cycle-to-work, electric-car salary sacrifice, additional pension contributions, and where applicable workplace nursery vouchers (still tax-efficient via pre-existing schemes).
- Union or professional body.Tax-deductible for HMRC-listed bodies. Nurses commonly hold subscriptions covered by section 344 ITEPA 2003 (List 3).
Nurse payslip FAQ
What is the average Nurse salary in the UK in 2024?
According to ONS Annual Survey of Hours and Earnings (ASHE) 2024 for SOC code 2231, the median full-time gross annual salary for a Nurse in the UK is approximately £37,200. The 25th percentile sits at £31,100 and the 75th at £44,800.
What is take-home pay on a median Nurse salary?
On £37,200 gross with the standard 1257L tax code and 5% of qualifying earnings into a net-pay pension, monthly take-home is approximately £2,422 after PAYE income tax, Class 1 employee National Insurance and auto-enrolment pension. Actual figures vary if you have student loan, salary sacrifice or a non-cumulative tax code.
What is unusual about a Nurse payslip?
Nurses on Agenda for Change see basic pay, high-cost area supplement (HCAS) and unsocial hours uplift (sections 2/3) listed separately. Bank shifts appear under a second assignment line.
Which tax code should a Nurse typically be on?
Most people in this role on standard PAYE will see 1257L. Check the prefix and suffix carefully: a K-prefix means deductions exceed your allowance (often after a bonus or P11D benefit), 0T means you have no allowance left at this employer, and BR means basic rate on the whole job (common in second jobs).
Related roles
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.