NHS Cancer Clinical Nurse Specialist salary, 2026/27
Cancer Clinical Nurse Specialists (CNS) act as the key worker for a cohort of cancer patients, coordinating their care through diagnosis, treatment and follow-up. They run nurse-led clinics, prescribe within their scope of practice, support patients with symptom management and side effects, and act as the link between the patient and the multidisciplinary team. The role typically sits at Band 7, with some senior posts at Band 8a.
- Range (England)
- £39,959 to £56,515
- Typical bands
- Band 6, Band 7
- Hourly entry
- £20.44
- Hourly top
- £28.90
Cancer Clinical Nurse Specialist pay by band, England 2026/27
The table below shows the entry and top step at each band Cancer Clinical Nurse Specialists are typically paid on. Most Cancer Clinical Nurse Specialists move through the bands over the course of their career as they take on more senior or specialist responsibilities.
Cancer Clinical Nurse Specialist salary after tax, 2026/27
The figures below show Cancer Clinical Nurse Specialist take-home pay — the cash that lands in your bank account after income tax, employee National Insurance and the NHS pension contribution on the 2026/27 England scale. They exclude London weighting, unsocial hours and overtime. The band-level take-home pages have the full step-by-step breakdown and London weighting variants.
Gross vs net at the top of each band on the 2026/27 England scale
| Band | Entry net | Top net | Monthly at top | |
|---|---|---|---|---|
| Band 6 | £29,157 | £34,391 | £2,866 | Full breakdown |
| Band 7 | £35,206 | £39,708 | £3,309 | Full breakdown |
Assumes full-time pay, standard NHS Pension membership and no student loan. Open the band's take-home page for London weighting variants, or use the calculator to add part-time hours, student loan, or HCAS.
Cancer Clinical Nurse Specialist career pay progression
Most Cancer Clinical Nurse Specialists progress through more than one band over their career. The path below shows the typical pay journey on the 2026/27 England scale, from entry at the lowest banding to the top step at the highest. Promotion between bands depends on additional qualifications, experience or moving into a more senior post; it isn't automatic.
- 1 Step timeline
Band 6 £39,959 to £48,117 gross
Top step net: £34,391 a year (£2,866/month). 3 steps; 5 years from entry to top.
- 2 Step timeline
Band 7 £49,387 to £56,515 gross
Top step net: £39,708 a year (£3,309/month). 3 steps; 5 years from entry to top.
Across the typical Cancer Clinical Nurse Specialist career on the 2026/27 England scale, gross pay rises by £16,556 a year from entry on Band 6 (£39,959) to the top of Band 7 (£56,515). National pay deals add a further cost-of-living rise on top each April.
Cancer Clinical Nurse Specialist pay in Scotland
Scottish NHS staff are paid on a separate pay scale, negotiated by the Scottish Government rather than the UK Pay Review Body. Scotland consistently pays more than England at every band. The figures below are the Scottish equivalents for the same bands.
Common questions
- What pay band is a Cancer Clinical Nurse Specialist on?
- NHS Cancer Clinical Nurse Specialists sit at Band 6 or Band 7 depending on experience and the specific responsibilities of the role. Newly qualified Cancer Clinical Nurse Specialists usually start on the lowest banding shown, with progression to the higher bands as they take on more senior or specialist work.
- How much does an NHS Cancer Clinical Nurse Specialist earn in 2026/27?
- On the 2026/27 England pay scale, an NHS Cancer Clinical Nurse Specialist earns between £39,959 and £56,515 a year gross, depending on band and step. At the lowest entry rate that works out to roughly £20.44 an hour, and at the top rate roughly £28.90 an hour. Take-home pay after tax, NI and the NHS pension contribution is typically 70% of the gross figure. Scottish Cancer Clinical Nurse Specialists earn between £43,231 and £61,466 on the equivalent Scottish scale.
- Where can I find Cancer Clinical Nurse Specialist jobs in the NHS?
- NHS Jobs (jobs.nhs.uk) lists all current vacancies across the four UK nations. Filter by 'Pay Band' to focus on roles at the band you're interested in. HSC Recruit covers Northern Ireland (jobs.hscni.net) and NHS Scotland Jobs covers Scotland (jobs.scot.nhs.uk). Most Trusts also list vacancies on their own websites alongside the national portal.
- What is an NHS Cancer Clinical Nurse Specialist salary after tax?
- An NHS Cancer Clinical Nurse Specialist starting on Band 6 (£39,959 gross) takes home around £29,157 a year after income tax, employee National Insurance and the NHS pension contribution — about £2,430 a month. At the top of Band 7 (£56,515 gross), take-home pay rises to £39,708 a year, or £3,309 a month. The figures exclude student loan repayments, unsocial hours and London weighting.
- Does Cancer Clinical Nurse Specialist get London weighting?
- Only at NHS Trusts in England inside one of the three London weighting (HCAS) zones. Cancer Clinical Nurse Specialists working at Inner London Trusts get 20% on top of basic pay (minimum £5,794, maximum £8,746 for 2026/27). Outer London is 15%, Fringe is 5%. Welsh, Scottish and Northern Irish Cancer Clinical Nurse Specialists don't receive a London weighting equivalent.