NHS Band 7 salary 2025/26

£46,148 – £52,809 a year

Advanced practice, team-lead and ward-management roles carrying clinical and operational responsibility. The figure above is the England national base pay for 2025/26; London and high-cost areas add a High Cost Area Supplement, and clinical roles often earn more through unsocial-hours and on-call enhancements.

Roles typically paid on Band 7

Advanced nurse practitionerWard managerClinical team leaderClinical specialistSenior pharmacist

Indicative only — each employer maps roles to bands through job evaluation, so the same job title can sit on different bands at different trusts.

Pay progression

Within Band 7 you move up the pay points over time through annual increments, from £46,148 up to £52,809. The next step up is Band 8a (£53,755 – £60,504).

Questions about Band 7

How much does NHS Band 7 pay in 2025/26?

NHS Band 7 pays from £46,148 to £52,809 a year in 2025/26 (England). You start near the bottom of the band and move up the pay points through annual increments; London and high-cost areas add a supplement on top.

What roles are NHS Band 7?

Advanced practice, team-lead and ward-management roles carrying clinical and operational responsibility. Typical Band 7 roles include Advanced nurse practitioner, Ward manager, Clinical team leader, Clinical specialist.

What is the next band up from Band 7?

The next band up is Band 8a, paying £53,755 – £60,504 a year in 2025/26.