NHS Drug and Alcohol Nurse salary, 2026/27
Drug and alcohol nurses work in community substance misuse services, prison healthcare and hospital liaison teams. They run prescribing clinics for opioid substitution therapy, support detoxification programmes, deliver alcohol brief interventions and coordinate referrals into rehabilitation services. Most community posts are Band 6.
- Range (England)
- £32,073 to £48,117
- Typical bands
- Band 5, Band 6
- Hourly entry
- £16.40
- Hourly top
- £24.61
Drug and Alcohol Nurse pay by band, England 2026/27
The table below shows the entry and top step at each band Drug and Alcohol Nurses are typically paid on. Most Drug and Alcohol Nurses move through the bands over the course of their career as they take on more senior or specialist responsibilities.
Drug and Alcohol Nurse salary after tax, 2026/27
The figures below show Drug and Alcohol Nurse 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 5 | £24,483 | £28,570 | £2,381 | Full breakdown |
| Band 6 | £29,157 | £34,391 | £2,866 | 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.
Drug and Alcohol Nurse career pay progression
Most Drug and Alcohol Nurses 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 5 £32,073 to £39,043 gross
Top step net: £28,570 a year (£2,381/month). 3 steps; 4 years from entry to top.
- 2 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.
Across the typical Drug and Alcohol Nurse career on the 2026/27 England scale, gross pay rises by £16,044 a year from entry on Band 5 (£32,073) to the top of Band 6 (£48,117). National pay deals add a further cost-of-living rise on top each April.
Drug and Alcohol Nurse 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 Drug and Alcohol Nurse on?
- NHS Drug and Alcohol Nurses sit at Band 5 or Band 6 depending on experience and the specific responsibilities of the role. Newly qualified Drug and Alcohol Nurses 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 Drug and Alcohol Nurse earn in 2026/27?
- On the 2026/27 England pay scale, an NHS Drug and Alcohol Nurse earns between £32,073 and £48,117 a year gross, depending on band and step. At the lowest entry rate that works out to roughly £16.40 an hour, and at the top rate roughly £24.61 an hour. Take-home pay after tax, NI and the NHS pension contribution is typically 70% of the gross figure. Scottish Drug and Alcohol Nurses earn between £34,544 and £52,679 on the equivalent Scottish scale.
- Where can I find Drug and Alcohol Nurse 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 Drug and Alcohol Nurse salary after tax?
- An NHS Drug and Alcohol Nurse starting on Band 5 (£32,073 gross) takes home around £24,483 a year after income tax, employee National Insurance and the NHS pension contribution — about £2,040 a month. At the top of Band 6 (£48,117 gross), take-home pay rises to £34,391 a year, or £2,866 a month. The figures exclude student loan repayments, unsocial hours and London weighting.
- Does Drug and Alcohol Nurse get London weighting?
- Only at NHS Trusts in England inside one of the three London weighting (HCAS) zones. Drug and Alcohol Nurses 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 Drug and Alcohol Nurses don't receive a London weighting equivalent.