Proposed offer · subject to member vote

2026 Pay Offer Calculator

Estimate your prospective salary and backpay under the proposed BMA 2026 pay offer for NHS resident doctors in England.

Find out what this means for you

The UK Government made a revised offer to resolve the dispute over jobs and pay. Scheduled industrial action has been called off while this offer is considered. Members will decide whether sufficient progress has been made, and vote whether or not to accept this offer.

The referendum will open at 3pm on Thursday 18 June and will close at noon on Friday 26 June 2026.

Quick answer

What does this calculator do?

  • This is a free, independent calculator for NHS resident doctors in England, for the proposed 2026 pay offer.
  • It estimates your indicative April 2026 salary, April 2027 salary before the unknown 2027 DDRB award, and gross backpay.
  • You can switch between your confirmed and proposed uplifts using the Include pay offer toggle above the results boxes.
  • It uses published BMA pay offer information where available, but is not affiliated with the BMA.
  • It assumes backpay from 01 April 2026 to 30 September 2026 unless the final pay deal specifies otherwise.

What this calculator does

It estimates NHS resident doctor (formerly and misleadingly known as junior doctor) salary and backpay under the proposed 2026 pay offer, including indicative April 2026 and April 2027 annual salary figures.

Is the offer confirmed?

No. This is a proposed 2026 resident doctor pay offer currently subject to a member vote, so the final implementation details may change.

What backpay is assumed?

The NHS resident doctor backpay estimate assumes 01 April 2026 to 30 September 2026. The real lump sum may change significantly depending on the implementation date.

Is this a BMA pay calculator?

This is an independent calculator, unassociated with the BMA, and uses published BMA 2026 pay offer information where available. At the time of writing, we understand the BMA's own calculator may be error-prone in some scenarios, so we cannot recommend relying on it without independent checks.

Summary of the offer

+1.3% average uplift from April 2026 provided by the offer, excluding the agreed 3.5% 2026 DDRB uplift
+1.6% average uplift for 2027, dependent on grade
+3.0% total uplift provided by the pay offer across both 2026 and 2027

This offer builds on the already-confirmed 3.5% uplift, which comes into effect from 1 April 2026. In addition to this 3.5%, the offer increases pay by an average of:

  • +1.32% to 2026 pay (0.00% - 3.51%, depending on grade)
  • +1.62% to 2027 pay (0.00% - 5.03%, depending on grade)

Inclusive of all elements, doctors will see their pay rise by an average of 6.6% over 2026 and 2027, plus whatever is recommended by the DDRB for an additional 2027 uplift (currently unknown), with an average of +2.96% coming from the current voteable offer.

In addition, the current nodal pay point structure will see substantial changes, with each grade being affected differently by the uplift. The 5 current nodal pay points will split into 7 (effective 1 April 2026), and again into 10 (effective 1 April 2027).

This is a complex uplift. When implemented, it will most likely result in a substantial number of doctors experiencing incorrect pay. We strongly recommend checking your pay carefully once any uplift is applied.

This calculator shows the prospective annual salary values from April 2026 and April 2027, before any future 2027 DDRB award is known, and estimates backpay from 01 April 2026 to 30 September 2026. This backpay window may move depending on when or if the deal is implemented.

Read the BMA pay offer brief.

2026 pay offer by grade

In combination with the information outlined above, the following provides a full breakdown of the proposed pay offer.

Grade New nodal point Pre-uplift salary Confirmed 2026 uplift salary % 2026 offer salary % 2027 offer salary % Pay offer uplift Total 2026 & 2027 uplift
FY1 1 £38,831 £40,190 +3.5% £41,226 +2.6% £41,226 0.0% +2.6% +6.2%
FY2 2 £44,439 £45,994 +3.5% £47,610 +3.5% £47,610 0.0% +3.5% +7.1%
ST1/CT1 3a £52,656 £54,499 +3.5% £55,355 +1.6% £55,534 +0.3% +1.9% +5.5%
ST2/CT2 3b £52,656 £54,499 +3.5% £55,355 +1.6% £56,925 +2.8% +4.5% +8.1%
ST3/CT3 4a £65,048 £67,325 +3.5% £67,325 0.0% £67,325 0.0% 0.0% +3.5%
ST4/CT4 4b £65,048 £67,325 +3.5% £67,998 +1.0% £69,345 +2.0% +3.0% +6.6%
ST5 4c £65,048 £67,325 +3.5% £67,998 +1.0% £71,415 +5.0% +6.1% +9.8%
ST6 5a £73,992 £76,582 +3.5% £76,582 0.0% £76,582 0.0% 0.0% +3.5%
ST7 5b £73,992 £76,582 +3.5% £77,348 +1.0% £78,660 +1.7% +2.7% +6.3%
ST8 5c £73,992 £76,582 +3.5% £77,348 +1.0% £80,730 +4.4% +5.4% +9.1%
Basic pay by grade over time

Each point shows total basic pay at the true implementation date for each nodal point.

Chart series Click a grade to toggle it on or off.

Historic pay points are shown with dashed line segments. Uplift views are cumulative from the selected baseline date.

Clinical Academics Flexible Pay Premia

From April 2027, the academic FPP will increase to £10,000 (currently set at £5,614).

General Practice Registrar Enhancement

The GP flexible pay premia will be renamed to the General Practice Registrar Enhancement, and it will be separated from the hard-to-fill section of the pay circular, thereby decoupling it from GP-training fill-rates. It will keep all contractual pay protection and continue to be uplifted in line with DDRB recommendations.

Jobs – locally employed doctors

This offer includes 2016 terms and conditions adjusted to remove references to training, as part of a new national contract, being offered to all LEDs. It also includes substantive (permanent) contracts for LEDs to ensure job security.

From August 2026, employers shall transition LEDs to substantive contracts (i.e. not short, fixed-term contracts), except where there is a legitimate reason (e.g. employing cover for maternity, paternity, or adoption leave, or long-term sickness). New pay protection will be devised for residents who wish to transfer from 2002 terms to 2016 terms.

Exam fees

The first two attempts of each Royal College exam for resident doctors in training and LEDs in England will be funded. These include relevant dental exams for dentists and OMFS trainees, paid by reimbursement for exams sat from 1 April 2026.

Portfolio fees

Portfolio fees will be covered for doctors in training and for LEDs from April 2027, paid by reimbursement for fees from 1st April 2027.

Royal College membership and faculty fees

Royal College (membership) fees will be covered for doctors in training and for LEDs from April 2027. Where residents require multiple Royal College memberships they will both be covered.

LTFT progression

Less than full-time doctors will have ARCPs set at 12 months by default, with the ability to progress at the same rate as full-time doctors if they meet their competencies. Doctors have the decision to delay this if they do not feel ready to progress.

Additional specialty training posts

The offer includes additional specialty training posts, with a minimum of 4,000 jobs and a maximum of 4,500. None of the 4,500 jobs will be in general practice. A distribution group will decide the split of jobs geographically and in which specialties, and the BMA will be part of that group.

Future working arrangements

An Industrial Relations Committee (the RDIRC) will be set up to enforce all elements of the offer. The membership will comprise of DHSC, NHS England, NHS Employers and BMA UKRDC.

Read the BMA pay offer brief.

Disclaimer

This calculator is based on information available at the time it was published. Due to the dynamic nature of the pay offer, the figures shown may not be exactly correct.

In particular, the backpay date is not yet known. Backpay lump sums may change significantly depending on the date of implementation, and any backpay may be paid in up to 2 instalments. The 2027 uplift is also not yet known. The 2027 figures shown here are based on the most up to date information currently published, but are likely to change.

Which calculator do I need?

This page is for the proposed 2026 pay offer currently subject to a member vote. It has not been confirmed and the figures shown are indicative only.

If you are looking for the confirmed 2026 DDRB uplift already coming into effect from 01 Apr 2026, please use the 2026 Uplift Calculator.

Need to know Use this calculator
Confirmed 3.5% DDRB uplift from April 2026 2026 Uplift Calculator
Proposed BMA offer including nodal point reform 2026 Pay Offer Calculator
Backpay from confirmed June implementation 2026 Uplift Calculator
Indicative backpay under proposed offer 2026 Pay Offer Calculator

Calculator

Select the pay point that applies to you under the proposed new structure, then enter your current annual salary values from the 2025/26 payscale or work schedule. This calculator applies the exact basic salary changes set out in the offer table and uses the same ratio for basic-derived pay elements such as additional hours, enhanced hours, weekend allowance and on-call allowance.

Important caveats

This is a free prospective calculator for the 2026 pay offer only. It does not check whether your work schedule is correct, assumes backpay is paid from 01 April 2026 to 30 September 2026, and does not attempt to model a future 2027 DDRB award because that value is not yet known. Any backpay may be paid in up to 2 instalments. If you want to check your pay for accuracy, you can find out more here.

1
Your current grade
Choose the FY1, FY2, ST or CT nodal point that applies to you under the proposed structure.
2
Your current annual pay
Enter your 2025/26 annual values. Leave anything that doesn't apply to you as 0.00.
Only include the Clinical Academic Flexible Pay Premia here, not other hard-to-fill training posts or specialty premia.
For any other pay elements not uplifted by this offer.

2026 pay offer FAQs

Is this the BMA pay calculator?

No. This is an independent Doctors Paycheck calculator, not associated with the BMA. It uses published BMA 2026 pay offer information where available. At the time of writing, we understand the BMA's own calculator may be error-prone in some scenarios, so we cannot recommend relying on it without independent checks.

Is this calculator for junior doctors?

Yes. This calculator is for NHS resident doctors in England, the group often (erroneously) still referred to as junior doctors, using the proposed 2026 pay offer structure.

What is the 2026 resident doctor pay offer?

The 2026 resident doctor pay offer is a proposed settlement for resident doctors in England. It includes the 2026 DDRB award and additional investment into nodal point reform, with changes delivered across April 2026 and April 2027 if accepted and implemented.

Does this include the 2027 DDRB uplift?

No. The 2027 DDRB uplift is not yet known. The April 2027 figure shown by this calculator excludes any future 2027 DDRB award.

How is backpay estimated?

Backpay is estimated from 01 April 2026 to 30 September 2026 using the difference between your current annual salary and the calculated April 2026 salary. The real lump sum may change significantly depending on the implementation date, and any backpay may be paid in up to 2 instalments. This calculator will be updated as more information becomes available.

How much backpay will I get under the 2026 pay offer?

The amount depends on your current annual pay elements and proposed pay point. This calculator estimates gross backpay using the April 2026 calculated uplift and an assumed 01 April 2026 to 30 September 2026 backpay window.

How much will my pay increase under the 6.6% offer?

The offer is described as an average 6.6% pay uplift fully delivered by April 2027, but individual increases vary by proposed pay point and pay element. Use the calculator to estimate your own April 2026 and April 2027 figures.

What is nodal point reform in the 2026 pay offer?

Nodal point reform means the offer changes the resident doctor pay structure by introducing new pay bands and applying specific basic salary values rather than a single uniform percentage across all grades.

Which calculator should I use for the confirmed 2026 DDRB uplift?

Use the Doctors Paycheck 2026 Uplift Calculator if you are looking for the confirmed 2026 DDRB uplift already coming into effect from 01 April 2026.

Can this confirm whether my payslip is correct?

No. This calculator helps estimate the proposed pay offer, but it does not check your work schedule or confirm whether your payslip is correct. If you want to check your payslip for accuracy, please consider signing up to Doctors Paycheck.

Who is this not for?

This calculator is not for consultants, SAS doctors, Agenda for Change staff, doctors in Scotland, Wales or Northern Ireland unless explicitly supported, most doctors on the 2002 contract unless the offer detail is relevant to them, or final payslip validation.

What else might this calculator be called?

This page is for the resident doctor 2026 pay offer, which some people may still describe as the junior doctor 2026 pay offer. It may also be useful if you are looking for a resident doctor pay offer calculator 2026, junior doctor pay offer calculator 2026, BMA pay offer calculator 2026, NHS resident doctor pay calculator 2026, NHS junior doctor pay calculator 2026, 2026 resident doctor backpay calculator, or junior doctor backpay calculator 2026.

This calculator helps you understand the offer, but it does not determine whether you are being paid correctly. Pay errors, especially underpayments, are extremely common - even officially supported pay calculators get it wrong!

To check your pay for accuracy, please consider signing up to Doctors Paycheck.