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UK salary report · 2026

Adult Nurse Salary in West Midlands

Official ONS earnings for West Midlands, covering 46,000 jobs.

ONS Annual Survey of Hours and Earnings Grouped occupation Where this comes from →

Median salary — West Midlands

£38,367

gross, per year, all employees

▲ 5.8% change on the previous year

Mean

£37,462

Jobs measured

46,000

What a typical adult nurse takes home

On the median of £38,367, 2026/27 tax year, England, Wales and Northern Ireland rates, no pension or student loan.

Take-home a month

£2,595

Take-home a year

£31,144

Income Tax

£5,159

National Insurance

£2,064

Work out yours — with pension, student loan and bonus → £38,000 after tax, step by step →

What most adult nurses actually earn

Half of adult nurses in West Midlands earn between £27,494 and £46,476. Earning above £46,476 puts you in the top quarter of the profession.

ONS suppresses the detailed spread for this occupation at regional level, so this range describes the wider “Nursing Professionals” group in West Midlands.

The full pay range

Each bar is the salary at that percentile — the 25th means a quarter of adult nurses earn less than this.

10th
£16,300
20th
£24,941
25th
£27,494
30th
£30,732
40th
£34,424
50th
£37,796
60th
£40,836
70th
£44,071
75th
£46,476
80th
£48,185
Check where your salary sits

How West Midlands ranks for adult nurse pay

7th

of 11 GB regions with a published figure

London tops the table on £46,239 and Scotland sits at the bottom on £35,468. West Midlands is £7,873 short of the top.

Ranking compares published regional medians for the same occupation. It says nothing about cost of living — a higher median doesn't survive contact with rent. The cost of living calculator is the honest next step.

Where this figure comes from

ONS occupation group
Other nursing professionals
SOC 2020 code
2237
Measure
Gross annual pay, all employees
Edition
ONS Annual Survey of Hours and Earnings, 2026 provisional

ONS doesn't measure “adult nurse” as its own category. These figures are for the wider group “Other nursing professionals”, which includes this role alongside others. ONS measures other nursing professionals - nurses outside the community, specialist, practitioner and mental health groups.

Source: Office for National Statistics, Annual Survey of Hours and Earnings. Contains public sector information licensed under the Open Government Licence v3.0. Figures are estimates from a survey of PAYE jobs and are not financial advice.

Adult Nurse salary FAQs

What is the average Adult Nurse salary in West Midlands?

The median is £38,367 a year and the mean is £37,462, according to the ONS Annual Survey of Hours and Earnings. Those cover all employees; ASHE publishes no full-time split at regional level.

How much does a adult nurse earn per hour?

Across the UK the median hourly rate is £23.85 excluding overtime, or £23.67 for full-time employees. ASHE publishes hourly pay by occupation nationally only, so there is no separate rate for West Midlands.

What is a good Adult Nurse salary?

Half of adult nurses earn between £27,494 and £46,476. Anything above £46,476 is in the top quarter for the role.

What is the starting salary for a adult nurse?

ASHE does not record experience, so there is no official starting salary. What it does show is that the lowest-paid 10% of adult nurses earn under £16,300 and the lowest quarter under £27,494 — the range a new entrant is most likely to be offered.

Do adult nurses in West Midlands earn more than the UK average?

The median in West Midlands is £38,367 against £39,484 across the UK, 2.8% lower, which places it 7th highest of the 11 GB regions with a precise estimate.

Has adult nurse pay gone up in the last year?

ASHE puts the year-on-year change in the median at +5.8% for this occupation in West Midlands. That compares the latest survey with the one before it and is not adjusted for inflation.

How many adult nurses are there in West Midlands?

ASHE counts around 46,000 employee jobs in “Other nursing professionals” (SOC 2237) in West Midlands. Self-employed work is not included.

Is this figure official?

Yes. It comes from the ONS Annual Survey of Hours and Earnings, an accredited official statistic based on employer PAYE records.

NHS pay bands 2026/27Agenda for Change Band 2 to Band 9 in England, every pay step with take-home pay and London supplements. →

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