NHS Trainee Advanced Clinical Practitioner salary, 2026/27
Trainee Advanced Clinical Practitioners (ACPs) are nurses, AHPs or paramedics undertaking the three-year Master's in Advanced Clinical Practice. The role is typically banded at 7 throughout training, progressing to Band 8a on completion for some posts.
- Range (England)
- £49,387 to £56,515
- Typical band
- Band 7
- Hourly entry
- £25.26
- Hourly top
- £28.90
Calculate Trainee Advanced Clinical Practitioner take-home pay
Trainee Advanced Clinical Practitioner pay by band, England 2026/27
The table below shows the entry and top step at each band Trainee Advanced Clinical Practitioners are typically paid on. Most Trainee Advanced Clinical Practitioners move through the bands over the course of their career as they take on more senior or specialist responsibilities.
Trainee Advanced Clinical Practitioner 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.
| Band (Scotland) | Entry | Top |
|---|---|---|
| Band 7 | £52,845 | £61,466 |
Common questions
- What pay band is a Trainee Advanced Clinical Practitioner on?
- Most NHS Trainee Advanced Clinical Practitioners are banded at Band 7. The exact responsibility level can vary slightly between Trusts, but the banding is consistent across the NHS because the Job Evaluation Scheme produces the same score for the same job description.
- How much does an NHS Trainee Advanced Clinical Practitioner earn in 2026/27?
- On the 2026/27 England pay scale, an NHS Trainee Advanced Clinical Practitioner earns between £49,387 and £56,515 a year gross, depending on band and step. At the lowest entry rate that works out to roughly £25.26 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 Trainee Advanced Clinical Practitioners earn between £52,845 and £61,466 on the equivalent Scottish scale.
- Where can I find Trainee Advanced Clinical Practitioner 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.
- Does Trainee Advanced Clinical Practitioner get London weighting?
- Only at NHS Trusts in England inside one of the three London weighting (HCAS) zones. Trainee Advanced Clinical Practitioners 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 Trainee Advanced Clinical Practitioners don't receive a London weighting equivalent.