In the 12-month period ending *********, the mean basic salary for a FTE consultant was approximately ****** British pounds a year, one of the highest pay out of all NHS hospital and community health services (HCHS) doctors. The actual earnings of a doctor depend also on non-basic pay components due to overtime, on call, shift work, geographic allowances etc. and are, therefore, usually higher than the basic pay.

This report shows average annual earnings for the following four earnings measures, provisionally showing overall figures for the NHS HCHS workforce (excluding primary care staff) in England in NHS Trusts and other core organisations in England and NHS Support Organisations and Central Bodies. Mean annual basic pay per FTE – is the mean amount of basic pay paid per 1 full-time equivalent post in a 12-month period. Mean annual earnings per person – is the mean amount paid to an individual in a 12-month period, regardless of the contracted FTE. Mean annual basic pay per person – is the mean amount of basic pay paid to an individual in a 12-month period, regardless of the contracted FTE. Mean annual non-basic pay per person – is the mean amount, over and above basic pay, paid to an individual in a 12 month period, regardless of the contracted FTE (this is further split into ten separate measures – see Appendix A for a list and descriptions) These figures are based on the most recent twelve months of data and are presented by staff group in the publication (Tables 1 & 2). This publication also includes tables which examine the non-basic pay elements in greater details (Table 3). Data are available every month from 30 September 2009 onwards. We have created a repository of the code used to produce the NHS Staff Earnings publication which is available on GitHub via the Related Links section below. Following the introduction of the Reproducible Analytical Pipeline (RAP) process, improvements have been made to the calculation of earnings for Professionally Qualified Clinical Staff. Also, a change previously introduced to Basic Pay Per Full Time Equivalent (BPPFTE) in December 2018 has been extended to all prior dates. Data back to September 2009 have been revised. Therefore users are encouraged to use the latest published data. Monthly NHS Workforce Statistics and monthly NHS Staff Sickness Absence reports and data relating to the General Practice workforce and the Independent Healthcare Provider workforce are also available via the Related Links below. We welcome feedback on the methodology and tables within this publication. Please email us with your comments and suggestions, clearly stating Monthly HCHS Workforce as the subject heading, via enquiries@nhsdigital.nhs.uk or 0300 303 5678.

In the ** month period ending September 2022, the mean salary for a nurse or health visitor working full-time was **** thousand British pounds a year, while midwives on average earned some **** thousand British pounds. This statistic displays the mean annual basic salary for nurses, midwives, and support staff in NHS England in 2021/22, by staff group.

For NHS staff in May 2020, Black men were paid 84p for every £1 paid to White men. Black women were paid 93p for every £1 paid to White women.

In the 12-month period ending June 2024, the mean earnings of a consultant were approximately ******* British pounds, the highest pay out of all NHS hospital and community health services (HCHS) doctors. The actual earnings of a doctor also depend on non-basic pay components due to overtime, on call, shift work, geographic allowances etc. and are, therefore, usually higher than the basic pay.

GP Earnings and Expenses Estimates, 2022/23 presents earnings and expenses information for full and part-time GPs working in the UK as either a contractor or salaried GP during the 2022/23 financial year. The findings in this report are based upon anonymised tax data from HM Revenue and Customs' Self Assessment tax records and cover both NHS/Health Service and private income. Earnings and expenses information is published for contractor, salaried and combined (contractor and salaried) GPs at country level, with a regional breakdown where available. Figures are also given by contract type for GPs working under a General Medical Services (GMS) or a Primary Medical Services (PMS) contract as well as combined (GPMS). The report is primarily used as evidence in remuneration negotiations and by the Review Body for Doctors' and Dentists' Remuneration (DDRB). It has been agreed by the Technical Steering Committee (TSC), which is chaired by NHS England and has representation from the four UK Health Departments and, representing the interests of GPs, the British Medical Association. The Covid-19 pandemic is likely to have impacted on earnings and expenses during 2020/21 and 2021/22. Please refer to the reports for these years for further details of Covid-19 arrangements.

The General Medical Practices industry’s revenue is anticipated to stay flat overall during the five years through 2025-26. However, in 2025-26, revenue is estimated to edge up by 1% to £16.6 billion. The industry has faced numerous pressures that have led it to stagnate. Despite high demand from an ageing population, coupled with a rise in chronic illnesses like obesity and diabetes leading to a surge in demand for healthcare services, long waiting lists, chronic underfunding and staff shortages persist. There has been a notable decline in the number of qualified GPs in recent years – according to the British Medical Association, there were 1,115 fewer fully qualified GPs in April 2025 than in September 2015. In 2024, collective action from GPs against NHS contracts, partly due to only 8.1% of total NHS funding being spent on primary care, according to the NHS Confederation, led to services faltering and backlogs increasing. As reported by NHS England, backlogs have been rising by an average of 18,751 patients each month in early 2025. In recent years, the emergence of private-sector providers as a competitive alternative for patients seeking faster access to healthcare services has started to reshape the industry. Low disposable income hinders individual household demand for private healthcare, but corporations continue to invest in it for employee benefits. More private providers are being handed NHS contracts, helping a struggling NHS stay on its feet. Such partnerships are changing revenue and profit patterns within the industry. Typically, publicly backed GPs are not for profit and any surplus is reinvested back into the system, but privately backed GPs keep hold of their profit for shareholders and management. Over the five years through 2030-31, revenue is forecast to expand at a compound annual rate of 3.6% to reach £19.9 billion. The Labour government’s £29 billion transformation plan is looking to revitalise the NHS over the 10 years through 2035, improving GP infrastructure, patient handling and contractual models. This aims to enhance patient access, while alleviating administrative burdens and should help to bolster general medical practices' revenue. The new 2025-26 NHS GP contract looks to enhance the digitisation of the NHS, cutting back time spent on admin and freeing up more time for consultations, bolstering productivity.

The 2004 earnings survey is based on a one month sample (August) of 51% of NHS trusts that use a specific common payroll system. The system includes information for each individual directly employed by the trust. Information on basic pay, allowances and other payments is calculated to provide average annual salary (basic pay) and average annual earnings (amount paid including allowances, overtime, etc.) for NHS workers within their particular staff groups. These broad staff groups are largely the same as the previous earnings survey from 2002. This is the last earnings survey before Agenda for Change is fully implemented. Supported by the NHS job evaluation scheme, Agenda for Change promises fair pay for all non-medical NHS staff based on the principle of equal pay for work of equal value.

This report presents the final range of results from the GP Earnings and Expenses Enquiry for the financial year 2005/06. It expands on the report published in October 2007. The new sections are Detailed Results for Contracted GPs (Section E), Headline Figures Time Series for Contracted GPs (Section F) and Accounting year-end analysis (Section G). The Distributional Results for Contracted GPs (Section C) and the Glossary have been expanded. The results for contracted GPs are based on a sample of 17,581 GPs who report one or more sources of self-employment income with accounting year ending in the final quarter (1st January 2006 to 5th April 2006). Figures for contracted GPs relate to earnings, expenses and income derived from all self-employed sources, as reported on tax returns, and so include private as well as NHS work. The results for salaried GPs are based on a sample of 2,743 salaried GPs who were identified as being salaried (i.e. submitted a self-assessment tax return for the year 2005/06 and were found to have more income from employment than self-employment). Figures for salaried GPs relate to earnings, expenses and income derived from all employed and self-employed sources, as reported on tax returns, and so include private as well as NHS work. For both full-time and part-time contractor GPs the results do not include earnings from employment (as a salaried employee) and relate to NHS and private work. The estimates of earnings exclude an estimate of employer's superannuation contributions in the tax year, which will include any Primary Care Organisation (PCO) clawback for previous years. For salaried GPs the results presented include both full- and part-time GPs, and refer only to those salaried GPs who submitted a self-assessment tax return for the year 2005/06 and have been identified as being salaried (see Annex A for further details). The data source for the survey is HM Revenue and Customs' (HMRC's) tax self-assessment (SA) database and reflects the data held at May 2007. Analyses were run on an anonymised dataset by statisticians in HMRC Knowledge, Analysis and Intelligence. This enquiry is the second to be affected by the new General Medical Services (nGMS) contract. As with the results relating to 2004/05, there have been some changes in methodology compared to that used under the old contract, which are discussed further in Annex A. This report has been agreed by the Technical Steering Committee (TSC), which has representation from the four UK Health Departments, NHS Employers and the British Medical Association. For 2005/6, £11,764 has been deducted from average earnings figures for UK GPMS GPs as an estimate of the amount included on tax returns in respect of employer's superannuation contributions paid in 2005/06. It should be noted that this figure is higher than that deducted in 2004/05, which was £6,234. There are a number of reasons for the £5,530 increase in the adjustment, which include: increases in net income wider compliance with HMRC guidance on the tax treatment of superannuation contributions on tax returns clawback by PCOs for superannuation contributions not withheld from global sum payments in 2004/5, because the GP/PCO had underestimated predicted earnings for the year. It is not possible to quantify the relative effects of the different factors. Provided the HMRC guidance for reporting superannuation contributions are, and continue to be, followed at a similar level to 2005/6, there will be no large changes in the average level of the adjustment from improved compliance. Year on year variation in the adjustment will continue to be affected by increases in net income and the effect of clawback. A range of estimates of the effect of pension clawback is given in Annex B. It is possible that the effect of the issues is greater this year than it will be in subsequent years, and it will be necessary to consider future impact once 2006/7 data is available in 2008.

Dental Earnings and Expenses Estimates, 2020/21, provides a detailed study of the earnings and expenses of self-employed primary care dentists who undertook some NHS/Health Service work during the financial year. Figures relate to both NHS/Health Service and private dentistry and are shown for full-time and part-time dentists. Although the report contains analysis for England, Wales, Northern Ireland and Scotland, the values are not directly comparable between countries; this is due to differing contractual arrangements as well as the use of different methods to derive dental type in each country. The analyses throughout this report are based on anonymised tax data for dentists with accounting periods ending in the fourth quarter of 2020/21 and effective as of the end of March 2021. The tax data cover self-employed dental income from all sources, including from private dental practice. Data on earnings from employment or for those dentists in private practice only are not included. The report is primarily used as evidence in remuneration negotiations and by the Review Body for Doctors' and Dentists' Remuneration. It has been produced by NHS Digital in consultation with the Dental Working Group which includes representatives from the Department of Health and Social Care, NHS England and NHS Improvement, Welsh Government, Department of Health Northern Ireland, the Northern Ireland Health and Social Care Business Services Organisation, Scottish Government, NHS National Services Scotland: Information Services Division, NHS Business Services Authority Information Services, HMRC: Knowledge, Analysis and Intelligence Division, the National Association of Specialist Dental Accountants and Lawyers and the British Dental Association representing the views and interests of dentists. The first cases of COVID-19 in the UK were confirmed late January 2020 and the first UK-wide lockdown was announced in March 2020. Most routine dentistry was paused between April and June 2020. This was followed by a period of recovery and restoration of services throughout the remainder of 2020/21. Differing but similar arrangements were put in place across England, Scotland, Wales and Northern Ireland to support dental practice income during this period. In addition, Self-Employment Income Support Scheme (SEISS) payments were made by the government to eligible businesses that had been adversely affected by the coronavirus pandemic. The pandemic is also likely to have impacted on expenses incurred during this period. Details can be found in the results chapters for each country and the Interpreting Results sections of this publication. Analysis shown in the timeseries files for previous years includes breakdowns by weekly working hours bandings using information from the biennial Dental Working Patterns Survey, however the Dental Working Patterns Survey was not run for 2020/21 due to the COVID-19 pandemic, and these data are not available for 2020/21. We welcome feedback on all of our publications. Please contact us with any comments and suggestions by email to PrimaryCareWorkforce@nhs.net stating Dental Earnings and Expenses Estimates in the subject line, or by telephone on 0300 303 567.