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NHS Doctor Salary 2026/27 — FY1 to Consultant
Annual basic pay for every NHS doctor grade in England, effective 1 April 2026 (2026/27 pay year). Doctors are paid on separate medical & dental terms rather than Agenda for Change, with a 3.5% award for 2026/27.
How much do NHS doctors earn in England for 2026/27?
As of April 2026, NHS doctors in England earn, in basic pay: a foundation doctor £40,190 – £45,994, a resident doctor in training £54,499 – £76,582, and a consultant £113,565 – £150,569. The 2026/27 award was 3.5%. Actual earnings are higher with extra activity and on-call. Source: NHS Health Careers.
| Grade | Annual basic pay | Notes |
|---|---|---|
| Foundation doctor (FY1–FY2) | £40,190 – £45,994 | First two years after medical school. FY1 starts at £40,190; FY2 reaches £45,994. |
| Resident doctor in training (core & specialty) | £54,499 – £76,582 | Core and specialty training grades (formerly "junior doctor" / registrar), by nodal point. |
| Specialty doctor (SAS) | £63,696 – £102,689 | Specialist and associate specialist (2021 contract) — an experienced non-training career grade. |
| Specialist grade (SAS) | £104,401 – £115,341 | The senior SAS grade introduced under the 2021 contract. |
| Consultant | £113,565 – £150,569 | Basic pay rises with years of service; excludes clinical excellence / local awards. |
| Salaried GP | £78,699 – £118,759 | Salaried general practitioner (the DDRB range); many GPs are partners with different profit-share pay. |
These are basic pay figures. A doctor's actual earnings are usually materially higher once additional NHS activity, out-of-hours and on-call supplements, and (for consultants) local or national clinical excellence awards are included. Figures are annual gross pay before tax, National Insurance and pension.
Related pay references
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Sources
Source: NHS Health Careers — Pay for doctors (2026/27) (April 2026).
Contains public sector information published by Department of Health and Social Care and licensed under the Open Government Licence v3.0. Source: NHS pay award 2026 to 2027 (3.5% for doctors and dentists) — DHSC (April 2026).
England only — Scotland, Wales and Northern Ireland set their own medical pay scales. Informational reference; not financial or employment advice, and not an offer of employment.