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SOC 2233 Health professionals

Specialist nurses Salary

Median salary £41,095 per year (2025). Based on ONS ASHE data.

Gross pay, before deductions. See take-home pay on £41,000 after tax and National Insurance →

For specialist nurses, £45,140 is the typical (median) pay. That is above the UK full-time median of £39,039 — +16% versus the national average. Experienced specialist nurses (top 25%) earn over £48,657.

About this role

Specialist nurses provide clinical care to patients across a range of healthcare settings. They assess patient needs, plan and deliver nursing interventions, administer medications and support patients through treatment and recovery.

Key responsibilities

  • Assessing patient health needs and developing care plans
  • Administering medications and clinical treatments
  • Monitoring patient progress and responding to changes in condition
  • Supporting patients and families with health education
  • Maintaining accurate clinical records and documentation

Qualifications and entry routes

Requires a nursing degree (BSc or postgraduate) approved by the NMC, followed by NMC registration. Specialist roles require additional postgraduate training and qualifications.

Career outlook

Severe workforce shortages across the UK, particularly in mental health, community and emergency nursing. Strong career progression opportunities into advanced practice and leadership.

Key skills

Clinical assessment Patient care Medication administration Communication Critical thinking

Common industries

  • NHS
  • Private hospitals
  • Community health
  • Mental health
  • Care homes

Data coverage

SOC code 2233
Data source ONS ASHE
Years available 2021–2025
Estimated jobs 75,000

Median Salary

£41,095

Mean Salary

£41,120

Jobs (000s)

75k

Data Years

5 years

Salary Range (2025)

P10: £23kP25: £32kMedian: £41kP75: £49kP90: --

Estimated Career Progression

Based on salary percentile distribution for this occupation

Entry Level

£22,622

0-2 years

Mid Level

£31,854

3-7 years

Senior

£48,657

8-15 years

Potential career growth: +115% from entry to leadership

Salary Trend (2021-2025)

Nominal growth: +21.1%Real growth: -2.1%

Gender Pay Comparison (2025)

Gender pay gap: 5.3%

Full-time vs All Employees (2025)

All Employees

£41,095

Full-time Only

£45,140

Full-time premium: +£4,045

Specialist nurses salary: common questions

How much do specialist nurses earn in the UK?
Specialist nurses earn a median of £45,140 a year (ONS ASHE 2025). The middle half earn between £31,854 and £48,657.
Is £45,140 a good salary in the UK?
For specialist nurses, £45,140 is the typical (median) pay. That is above the UK full-time median of £39,039 — +16% versus the national average. Experienced specialist nurses (top 25%) earn over £48,657.
What is the starting salary for specialist nurses?
Entry-level specialist nurses typically start near the lower end of the range. The bottom 25% earn up to £31,854, and the lowest-paid 10% earn under £22,622.
Have specialist nurses salaries kept up with inflation?
Since 2021, median specialist nurses pay has risen from £38,211 to £45,140 — +18% in cash terms, or -4.0% after CPIH inflation. That is behind inflation over the period.
Is there a gender pay gap for specialist nurses?
Male specialist nurses earn a median £43,061 and female specialist nurses £40,775 — a gap of +5.0% in 2025.

Figures: ONS Annual Survey of Hours and Earnings, gross annual pay. UK full-time median £39,039 (2025).