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HSE pay scales in Ireland

Nurses, doctors, therapists and support staff are all paid from one document, the Health Sector Consolidated Salary Scales, which almost everyone just calls the HSE pay scales. This page puts the main grades side by side.

Every role side by side

26 roles covered so far, ordered by starting salary, each from its entry grade to its highest. Every grade and scale within them has its own row further down. The ceiling column includes any long service increments, and the years column is how long it takes to get there.

Grade Starts on Ceiling Years to ceiling
Phlebotomist€27,196€55,3626 years
HSE administrative grades€31,934€101,2077 years
Dental Nurse€32,308€62,6527 years
Paramedic€36,251€70,3869 years
Health Care Assistant€36,651€45,9399 years
Staff Nurse€38,166€56,59215 years
Midwife€38,166€89,8949 years
Medical Scientist€38,422€90,6889 years
Audiologist€40,920€80,4706 years
Social Care Worker€41,260€79,4596 years
Hospital Chef€42,486€57,49912 years
Radiographer€44,956€82,0305 years
Physiologist€45,224€85,52412 years
Physiotherapist€45,514€94,3507 years
Occupational therapist€45,514€94,3507 years
Speech and language therapist€45,514€94,3507 years
Dietitian€45,514€100,1317 years
Podiatrist€45,514€94,3507 years
Non-Consultant Hospital Doctor (NCHD)€47,127€102,6197 years
Pharmacist€50,485€111,5196 years
Social worker€51,127€100,4866 years
Clinical Nurse Manager€57,780€81,4786 years
Psychologist€63,222€135,95011 years
Optometrist€65,197€76,7679 years
Advanced Nurse Practitioner€72,146€89,8949 years
Hospital consultant€238,221€286,1516 years
Lowest entry point
€27,196

Phlebotomist, about €2,021 a month take-home.

Highest ceiling
€286,151

Hospital consultant, reached after 6 years.

Every grade in the HSE consolidated salary scales

All 94 grades on the 2026 scales, each on its own row, ordered by starting salary. The ceiling includes any long service increment. Type to find yours.

Grade Starts on Ceiling
Phlebotomist: Trainee€27,196€27,196
HSE administrative grades: Grade 3, Clerical Officer€31,934€49,416
Dental Nurse€32,308€55,513
Health Care Assistant: Disability Services€34,881€48,434
Health Care Assistant: Attendant / Aide€35,433€41,696
Paramedic: Student Paramedic€36,251€37,477
HSE administrative grades: Grade 4€36,470€56,018
Health Care Assistant€36,651€45,939
Midwife: Staff Midwife€38,166€56,592
Staff Nurse€38,166€56,592
Medical Scientist: Trainee€38,422€42,017
Phlebotomist€38,671€51,007
Staff Nurse: Mental health€38,908€56,948
Audiologist€40,920€52,311
Paramedic: EMT€40,989€55,680
Social Care Worker€41,260€57,789
Health Care Assistant: Band 1€42,033€49,050
Hospital Chef: Chef II€42,486€48,853
Hospital Chef: Chef II, unqualified€42,486€47,380
Paramedic€42,731€60,346
Radiographer€44,956€64,235
Hospital Chef: Chef I€45,150€51,998
Phlebotomist: Senior€45,204€55,362
Physiologist€45,224€66,708
Medical Scientist€45,279€75,148
Dietitian: Staff grade€45,514€65,068
Occupational therapist: Staff grade€45,514€65,068
Physiotherapist: Staff grade€45,514€65,068
Podiatrist: Staff grade€45,514€65,068
Speech and language therapist: Staff grade€45,514€65,068
Non-Consultant Hospital Doctor (NCHD): Intern€47,127€47,127
Pharmacist€50,485€80,758
Social worker€51,127€73,811
Hospital Chef: Senior Chef€51,454€54,150
Dental Nurse: Senior Dental Nurse€52,426€62,652
HSE administrative grades: Grade 5€52,757€63,110
Paramedic: Specialist Paramedic€53,554€70,386
Hospital Chef: Executive Chef€54,494€57,499
Audiologist: Senior€54,680€62,884
Non-Consultant Hospital Doctor (NCHD): SHO€55,292€75,623
Physiologist: Senior€55,665€72,890
Social Care Worker: Social Care Leader€57,484€67,130
Clinical Nurse Manager: CNM1€57,780€68,046
Midwife: CMM1€57,780€68,046
HSE administrative grades: Grade 6€58,477€71,441
Radiographer: Senior€59,046€68,374
Midwife: Senior Staff Midwife€59,278€59,278
Audiologist: Clinical Specialist€59,668€73,189
Physiologist: Chief I€60,591€76,749
HSE administrative grades: Grade 7€61,219€79,583
Physiologist: Chief II€62,332€85,524
Social Care Worker: Manager 2€62,497€71,513
Social worker: Senior Practitioner€62,675€80,716
Clinical Nurse Manager: CNM2€62,699€79,227
Midwife: CMM2€62,699€79,227
Audiologist: Chief€62,884€80,470
Psychologist€63,222€108,234
Dietitian: Senior€65,197€76,767
Occupational therapist: Senior€65,197€76,767
Optometrist€65,197€76,767
Physiotherapist: Senior€65,197€76,767
Podiatrist: Senior€65,197€76,767
Speech and language therapist: Senior€65,197€76,767
Radiographer: Clinical Specialist€66,248€78,250
Medical Scientist: Senior€68,687€90,688
Radiographer: Advanced Practice€68,727€82,030
Social Care Worker: Manager 3€69,442€79,459
Non-Consultant Hospital Doctor (NCHD): Registrar€70,276€82,756
Occupational therapist: Clinical Specialist€72,119€83,689
Physiotherapist: Clinical Specialist€72,119€83,689
Advanced Nurse Practitioner: Candidate ANP€72,146€81,478
Clinical Nurse Manager: CNM3€72,146€81,478
Midwife: CMM3€72,146€81,478
Social worker: Team Leader€72,407€83,520
Advanced Nurse Practitioner: ANP€72,843€89,894
Midwife: Advanced Midwife Practitioner€72,843€89,894
Pharmacist: Senior€77,045€89,345
Dietitian: Manager€78,592€94,350
Occupational therapist: Manager€78,592€94,350
Physiotherapist: Manager€78,592€94,350
Podiatrist: Manager€78,592€94,350
Speech and language therapist: Manager€78,592€94,350
Non-Consultant Hospital Doctor (NCHD): Specialist Registrar€78,786€98,091
Social worker: Principal€81,913€100,486
Non-Consultant Hospital Doctor (NCHD): Senior Registrar€83,847€102,619
HSE administrative grades: Grade 8€83,912€101,207
Pharmacist: Chief II€85,300€107,662
Dietitian: Manager in Charge III€90,977€100,131
Pharmacist: Chief I€97,032€111,519
Psychologist: Principal Clinical€117,272€135,950
Hospital consultant: Clinical consultant€238,221€286,151
Hospital consultant: Academic Senior Lecturer€256,634€311,546
Hospital consultant: Academic Associate Professor€274,674€331,591
Hospital consultant: Academic Professor€292,798€351,728

How pay works in this sector

Every grade here comes from the same source, the Health Sector Consolidated Salary Scales, which is read alongside Department of Health Circular 2/2026. The scales are national: the same point pays the same in a HSE hospital and in a Section 38 voluntary hospital, with no Dublin weighting.

Two things about that document shape these pages. Long service increments are marked only by being printed in bold, with nothing else to distinguish them from ordinary points, so we identify them from the font rather than by counting. And the health sector rule is that the first is paid after three years on the maximum, the second after three more, and the third after three more again.

Note also that these are basic salary scales. Overtime, on call and premium payments sit outside them entirely, which matters most for doctors and for anyone working nights or weekends. A staff nurse working a rotating roster can take home meaningfully more than the scale suggests, and the scale is the wrong number to use when comparing the job to one with no unsocial hours.

The administrative side is numbered rather than named, running from Grade III up to Grade VIII, and it is the part of the health service people most often go looking for. The circular prints those grades in Roman numerals while job adverts and payslips print ordinary numbers, so Grade IV and Grade 4 are the same grade and the same money. Every point of all six is on the HSE administrative grades page.

One comparison worth having in mind: the health service and the local authority numbered ladders track each other so closely that the equivalent grades usually sit within a few euro. They are set by different circulars and are not interchangeable, but if you are weighing a move between the two, pay is unlikely to be the deciding factor.

Questions people ask most

What are the HSE pay scales for 2026?
They are published in the Health Sector Consolidated Salary Scales, a single document covering every grade in the health service, read alongside Department of Health Circular 2/2026. Every grade on this page is taken from it point by point, not from salary surveys or averages.
What is the difference between Grade IV and Grade 4 in the HSE?
Nothing. The circular prints Roman numerals and job adverts, payslips and everyone speaking out loud use ordinary numbers. Grade III is Grade 3, Grade IV is Grade 4, and so on up to Grade VIII. The full scales are on the administrative grades page.
Do HSE pay scales differ between hospitals or counties?
No. The scales are national. The same point pays the same in a HSE hospital and in a Section 38 voluntary hospital, and there is no Dublin weighting. What does change between posts is the shift pattern, and that changes take home pay a great deal.
Is overtime included in these figures?
No, and this is the most common misreading of a health service scale. These are basic salary. Overtime, on call and premium payments for nights, Sundays and public holidays sit outside the scale entirely, so anyone on a rotating roster earns more than the figure here.
How do the long service increments work in the health service?
They are extra points beyond the top of the ordinary scale, earned by staying in the grade. The health sector rule is the first after three years on the maximum, the second three years after that, and a third three years later again where the grade has one. In the source document they are marked only by being printed in bold.
Are HSE grades the same as local authority grades?
They are strikingly close but not the same thing. Both use numbered administrative ladders and the equivalent grades usually sit within a few euro of each other, because the two sets of circulars track one another. They are still set separately and are not interchangeable, so compare the scale rather than the number.
What is ASC and does it come out of these figures?
The Additional Superannuation Contribution, a pension related deduction that applies across the public service. The figures on these pages are gross salary before it, and each grade page shows what is left after income tax, USC, PRSI and ASC.
When do HSE pay scales change next?
When a new agreement or a revising circular is published. The current rates run under the public service agreement in force, and these pages are updated from the circular when a new one lands. The date each page was last checked is printed at the bottom of it.

Pick a grade

Every grade in this sector, including any kept out of the table above because their pay is not a salary.