Specialist nurses salary in the UK (2025/26)
Official UK Average earnings data 2025
£41,095
Typical Annual pay range
Understanding Specialist nurses pay in the UK
The typical specialist nurses in the UK earns a median salary of £41,095 in 2025/26. These figures come from the ONS Annual Survey of Hours and Earnings (ASHE), so they reflect actual reported pay rather than self-reported estimates or job-advert ranges.
The middle half of specialist nurses earnings fall between £31,854 and £48,657 a year. That spread reflects the usual gap between newer entrants and more experienced specialist nurses.
Where you work changes the picture: specialist nurses pay ranges from £35,957 in East Midlands up to £50,477 in London, a difference of £14,520 (40%). The full regional breakdown is below.
Dig deeper: see specialist nurses pay in London or read how we source and check this data.
How pay varies by region
London is the highest-paying region for specialist nurses at £50,477 — 23% above the UK median. East Midlands is lowest at £35,957.
UK median £41,095
| Region | Median payUK median £41,095 | Median | Mean | vs UK median |
|---|---|---|---|---|
| London | £50,477 | £50,477 | £45,974 | +23% |
| North East | £48,666 | £48,666 | £51,273 | +18% |
| Yorkshire and the Humber | £47,290 | £47,290 | £46,872 | +15% |
| North West | £45,568 | £45,568 | £46,332 | +11% |
| East of England | £45,027 | £45,027 | £43,577 | +10% |
| West Midlands | £42,477 | £42,477 | £39,856 | +3% |
| South East | £41,140 | £41,140 | £41,693 | ±0% |
| South West | £39,217 | £39,217 | £37,041 | -5% |
| Wales | £39,155 | £39,155 | £37,476 | -5% |
| Scotland | £37,636 | £37,636 | £36,937 | -8% |
| East Midlands | £35,957 | £35,957 | £37,276 | -13% |
| Region | Median | vs UK |
|---|---|---|
| London £50,477 | £50,477Mean £45,974 | +23% |
| North East £48,666 | £48,666Mean £51,273 | +18% |
| Yorkshire and the Humber £47,290 | £47,290Mean £46,872 | +15% |
| North West £45,568 | £45,568Mean £46,332 | +11% |
| East of England £45,027 | £45,027Mean £43,577 | +10% |
| West Midlands £42,477 | £42,477Mean £39,856 | +3% |
| South East £41,140 | £41,140Mean £41,693 | ±0% |
| South West £39,217 | £39,217Mean £37,041 | -5% |
| Wales £39,155 | £39,155Mean £37,476 | -5% |
| Scotland £37,636 | £37,636Mean £36,937 | -8% |
| East Midlands £35,957 | £35,957Mean £37,276 | -13% |
Sorted highest median to lowest. The vertical line marks the UK median (£41,095); ‘Vs UK median’ compares each region’s median to it. Suppressed values mean ONS withheld this figure because the sample was too small to publish.
Make it local
Calculate take-home pay for your region
Choose a region above to see local specialist nurses pay and calculate your monthly take-home after tax on the local salary page.
Back to region listHow specialist nurses pay has changed over time
UK median annual pay for specialist nurses by year (ONS ASHE).
Median salary
▪ 25th–75th percentile range
Pre-2021 figures mapped from SOC 2010 via ONS concordance table
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