Medical specialists vs Nurse practitioners Salary Comparison

Students, career changers, and hiring managers often ask whether Specialist medical practitioners or Nurse practitioners pays more on a nationally representative benchmark. This page anchors that question to ONS ASHE 2025 (provisional) full-time employee medians — half earn more, half earn less — then layers 2026 paycheck math so you see take-home, not just gross.

Specialist medical practitioners leads on gross median by £47,605 per year. That is roughly £22.89 per hour on a standard 2,080-hour schedule — before you factor training time, licensing, or non-wage benefits.

Use the scoreboard for medians and ranks, the nation ladder for take-home in England, Wales & NI and Scotland, then open each occupation profile for ONS source links and calculator deep links.

ONS ASHE medians are full-time employee (PAYE) cash wages for the occupation nationally. They do not add share scheme vests, many bonuses, overtime premiums, or self-employment income.

Medical specialists (SOC 2212) and Nurse practitioners (SOC 2234) can look closer or farther apart in a specific city than on this national line — especially tech and healthcare roles with London weighting or shift pay.

When an offer exceeds the median, model it in the UK paycheck calculator. When you need city context, pair this page with metro paycheck examples UK or take-home pay by UK nation.

At Medical specialists's median (£88,997), modeled effective employee levy rates run 30.1% in England, Wales & NI and 33.2% in Scotland. At Nurse practitioners's median (£41,392): 19.5% (E/W/NI) and 19.7% (Scotland).

Scotland sets its own income tax bands via Revenue Scotland; England, Wales and Northern Ireland share HMRC bands. Employee National Insurance is UK-wide in both columns.

These are single-taxpayer vignettes with the personal allowance — not a forecast of your PAYE code or year-end reconciliation.

Education debt, licensing exams, night shifts, Agenda for Change bands, and share refresh cycles can invert a simple median ranking over a full career.

Healthcare pairs often compare years of training (medical specialists vs nurse practitioners). Tech pairs compare share-scheme-heavy total pay against cash-wage medians.

Remember specialist medical practitioner ASHE figures are employee medians — self-employed consultants can differ substantially.

Medical specialists ranks #5 of 63 tracked occupations; Nurse practitioners ranks #43.

The £47,605 gap is 115% relative to Nurse practitioners's median — use hourly equivalents when comparing to part-time or contract offers.

Featured corridors on the hub (software vs nursing, solicitors vs accountants) exist because search volume clusters there — your pair may still be valid even when ranks are far apart.

Open the Medical specialists and Nurse practitioners profiles for ONS source links, percentile tables when published, and calculator deep links prefilled at each median.

If relocation is involved, stack metro paycheck examples UK and take-home pay by UK nation on top of this occupation comparison — gross median alone does not price rent or commute.

When an offer exceeds either median, model it in the UK paycheck calculator with your tax code and pension contributions.