Registered specialist nurses roles in the UK earn a median of £45,500 per year, equivalent to £24.05 per hour as of 2025. Pay decreased 0.8% compared to the previous year. Regionally, pay ranges from £39,500 in Scotland to £53,000 in London. Pay has risen over the past 4 years. The ONS national median for this occupation is £45,140/yr (1% above our computed national average).
Median Annual Pay
£45,500
as of 2025
Modelled estimateMedian Hourly Pay
£24.05
per hour
Year-on-Year Change
-0.8%
vs 2024
Annual Pay Range
£40,000 – £53,000
25th – 75th percentile
There is currently not sufficient data available for this occupation to say anything about the labour market.
Median annual pay for Registered specialist nurses across UK regions.
Source: ONS ASHE. Based on broad UK regions (NUTS1).
| Region | Median Pay |
|---|---|
| London | £53,000 |
| North East | £52,000 |
| Yorkshire and The Humber | £49,000 |
| North West | £48,500 |
| West Midlands | £46,000 |
| Wales | £44,000 |
| South East | £42,500 |
| East Midlands | £41,000 |
| South West | £41,000 |
| Scotland | £39,500 |
| UK | £45,500 |
Annual pay fell by -0.8% from 2024 to 2025.
National average (NUTS1 actuals) based on ONS ASHE April snapshot.
Annual percentage change in median pay for Registered specialist nurses.
Percentage change from the prior year's April figure.
For job seekers
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For employers & recruiters
Registered specialist nurses provide specialised nursing care and plan ongoing treatment for the sick, injured and others in need of care, take responsibility for patients within their sphere of practice and assist medical doctors with their tasks, work with other healthcare professionals and within teams of healthcare workers. They advise on and teach nursing practices.
A degree or equivalent qualification is required as well as significant relevant experience. Courses comprise both theoretical and practical work, including placements in hospital and community settings. Full time diploma courses last three years; degree courses last three or four years. Accelerated programmes are available to graduates with a health-related degree. Post-registration training is available for a range of clinical specialisms.
Salary data is sourced from official UK pay datasets and updated periodically.