Interactive NHS Doctor Payslip Explainer

This is Dr A Farm's August payslip: a full-time FY1 on 44 hours a week, 1 in 6 weekends and 8 hours of nights a week, at a London trust, in the NHS pension, on a Plan 2 student loan, paying £98 a month to park. Point at any part of the payslip to understand what it means.

Correct as of

ASSIGNMENT NUMBER20461137EMPLOYEE NAMEDR. A. FARMLOCATIONSt Bleep's Hospital
DEPARTMENTAcute MedicineJOB TITLEFoundation Year 1 (FY1)PAYSCALE DESCRIPTIONFoundation Doctor Year 1
NHSSAL/WAGE41226.00INC. DATE04 AUG 2027STANDARD HRS.40.00PT SAL/WAGE41226.00
TAX OFFICE NAMENowhere and DistrictTAX OFFICE REF000/X00000TAX CODE1257LNI NUMBERQQ123456C
PAY AND ALLOWANCES (- = MINUS AMOUNT)DEDUCTIONS (R INDICATES REFUND)
DESCRIPTIONWKD/EARNEDPAID/DUERATEAMOUNTDESCRIPTIONAMOUNTBALANCE C/F
Basic PayAddn Roster Hours NPNight Duty 37%Weekend <1in5-1in6Ldn Zone173.8117.3834.76173.8117.3812.8619.765819.765819.76583435.50343.55254.23171.78180.17PAYENI ANHS Pension 9.8%Student LoanCar ParkingDoctors Mess596.68255.25354.34174.2898.0020.00
Year To Date Balances (This Employment Only)This Period Summary
GROSS PAY21926.15TAXABLE PAY20154.45PENSIONABLE PAY3615.67TAXABLE PAY4030.89
NI LETTERATAX PAID2983.40TAX PERIOD5NON-TAXABLE PAY0.00
NI PAY21926.15OTHER NI PAY PREVIOUS TAXABLE PAY0.00FREQUENCYMonthlyTOTAL PAYMENTS4385.23
NI CONTS1276.25OTHER NI CONTS PREVIOUS TAX PAID0.00PERIOD END DATE31 AUG 2026TOTAL DEDUCTIONS1498.55
PENSIONABLE PAY18078.35PENSION CONTS1771.70PAY DATE26 AUG 2026NET PAY2886.68
MEMBERSHIP REF NUMBER EMPLOYEE NO.20461137PAY METHODBACS

Lines you might have that this example does not

Flex PT Trans 2019
The less-than-full-time allowance. A flat £1,000 a year, split across the months you are LTFT. It is the same cash whether you work 60% or 80%.
NROC Availability
Paid for being available on call from home, at 8% of your basic salary. Registrar level in practice.
Flexible Pay Premium
Extra pay for a hard-to-fill specialty, printed with the specialty in the name, so a core psychiatry trainee sees Flex Pay Psych Core. GP, emergency medicine, psychiatry, histopathology, oral and maxillofacial surgery and academic posts have one.
Cash Floor / Pay Protection
A top-up for anyone who moved from the old contract to the 2016 one and would otherwise have been paid less. It protects your old pay rate rather than adding to it.
Bank / Locum
Extra shifts through the trust's own bank. Taxed as normal pay, and it does not count towards your pension.

A finances crash course for resident doctors

Nobody actually teaches you any of this. I am putting together a short course on how your money works as a doctor: reading your own payslip, why your tax code goes wrong, what the pension is really worth, what changes if you go less than full time, and what to do with whatever is left over. Tick what you want covered and I will get it to you first.

What do you most want covered?