NHS sick pay calculator

Agenda for Change sick pay (Handbook §14.2) scales with service — up to six months' full pay followed by six months' half pay once you pass five years. Enter your service and salary to see your cover and what each phase pays.

AfC occupational sick pay (§14.2)

2026/27

up to 6 months full + 6 months half pay

Entitlement is measured on a rolling 12-month window of absences, and 'full pay' includes your regular enhancements — not just basic salary.

Your service and pay

Adds monthly £ figures for each phase.

The full Section 14 scale

Occupational sick pay by service (§14.2)
Service at start of absenceFull payHalf pay
First year1 month2 months
Second year2 months2 months
Third year4 months4 months
Fourth & fifth years5 months5 months
After 5 years6 months6 months

The allowance refreshes on a rolling basis: entitlement at any moment is the scale figure minus sickness taken in the previous 12 months. Half pay is topped by SSP where due, but the combined half-pay-plus-SSP can never exceed full pay (§14.6).

Common questions

Does 'full pay' mean basic salary?
No — pay during sickness is what you would have received at work: regular unsocial-hours payments, recruitment premia and high-cost-area supplements included, based on the previous 3 months (§14.4–14.5).
What happens when NHS sick pay runs out?
Half pay ends and you drop to SSP if any of its 28 weeks remain, then ESA/UC via form SSP1. Trusts can extend sick pay discretionarily in exceptional cases (§14.11) — ask, especially near retirement or terminal illness.
Do injuries at work change the entitlement?
Work-related injury or illness cases may qualify for the separate Injury Allowance (§22), which tops income up to 85% of pay for up to 12 months — separate from the §14 scale.
Is the first year really only 1 month full pay?
Yes — during the first year of NHS service it's 1 month full + 2 months half. The April 2026 SSP reforms don't change the AfC scale, but they do mean SSP now starts from day one beneath it.

Sources for the figures on this page

Last checked 3 July 2026

How we keep these current: methodology & update policy.