Advanced Nurse Practitioner / Team Manager. Gross salary £50,056. Net take-home after pension: £2,888/month. Solo 1-bed living is comfortable at 26% RTI.
Tax computed using HMRC 2025/26 rates. Rent = Rightmove Q4 2025 median. All figures rounded to nearest £1.
Opting out increases take-home by £409/month, but you permanently lose the NHS employer contribution of £989/month and the security of a defined-benefit guarantee. The 2015 CARE scheme provides an inflation-linked pension for life with no investment risk. For most NHS staff, staying enrolled is strongly recommended. If short-term cash flow is the concern, explore salary sacrifice for other costs (e.g. cycle-to-work, car leasing) before opting out.