NHS Hand Therapist salary, 2026/27
Hand therapists are physiotherapists or occupational therapists with specialist training in the rehabilitation of hand and upper limb conditions. The role includes splint fabrication, post-operative rehabilitation and management of tendon injuries. Most hand therapists are at Band 6 or Band 7.
- Range (England)
- £39,959 to £56,515
- Typical bands
- Band 6, Band 7
- Hourly entry
- £20.44
- Hourly top
- £28.90
Hand Therapist pay by band, England 2026/27
The table below shows the entry and top step at each band Hand Therapists are typically paid on. Most Hand Therapists move through the bands over the course of their career as they take on more senior or specialist responsibilities.
Hand Therapist salary after tax, 2026/27
The figures below show Hand Therapist 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.
Hand Therapist career pay progression
Most Hand Therapists 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 Hand Therapist 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.
Hand Therapist 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 Hand Therapist on?
- NHS Hand Therapists sit at Band 6 or Band 7 depending on experience and the specific responsibilities of the role. Newly qualified Hand Therapists 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 Hand Therapist earn in 2026/27?
- On the 2026/27 England pay scale, an NHS Hand Therapist 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 Hand Therapists earn between £43,231 and £61,466 on the equivalent Scottish scale.
- Where can I find Hand Therapist 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 Hand Therapist salary after tax?
- An NHS Hand Therapist 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 Hand Therapist get London weighting?
- Only at NHS Trusts in England inside one of the three London weighting (HCAS) zones. Hand Therapists 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 Hand Therapists don't receive a London weighting equivalent.