NHS Income Protection Gap Calculator

How long does NHS sick pay actually last? See the full Section 14 timeline for your length of service — full pay, then half pay, then the point it stops — and exactly where a commercial income protection gap begins.

This is the timeline behind the decision, not the decision itself. Read NHS Income Protection Insurance Explained for what commercial cover can do once this timeline runs out.

Your details

With one or more NHS employers — moving trusts doesn't usually reset this, provided there's no significant break in service. This sets your Section 14 sick pay tier below.

Your real net pay, after tax, National Insurance and pension — not your gross salary. Not sure of yours? Check the NHS Pay Calculator first.

What this timeline assumes

This shows your FULL, fresh Section 14 entitlement for your tier — the same "first absence in the last 12 months" assumption used in the worked examples on the NHS Sick Pay Calculator. It does not apply the rolling 12-month rule, doesn't model NHS Injury Allowance, doesn't calculate an actual SSP amount, and doesn't model ill-health retirement. See "What this timeline doesn't model" below the calculator for the full detail — this is a ceiling, not a guarantee.

Your sick pay tier

After completing five years of service

Full pay
Half pay
The gap
Month 0
Month 6
Month 12

"The gap" is drawn illustratively, not to a measured scale — Section 14 simply stops paying at month 12. From that point you'd be on Statutory Sick Pay (if still eligible) or no NHS-paid income at all, which is exactly the period commercial income protection insurance is designed to cover. See NHS Income Protection Insurance Explained.

The timeline, in exact figures

Full pay — 6 months (~26.07 weeks)£2,500/month
Half pay — 6 months (~26.07 weeks)£1,250.00/month
Total protected — 12 monthsthen the gap

Total NHS-paid across the whole timeline

£22,500.00

6 months at £2,500 plus 6 months at £1,250.00 — illustrative, and ignores any tax/NI change at the lower half-pay rate.

What happens once the gap starts

This calculator doesn't calculate an actual SSP amount — it's a flat statutory rate that changes yearly and isn't hardcoded here — and it doesn't model NHS Injury Allowance (Section 22, a separate, narrower scheme for a work-attributable injury) or ill-health retirement, either of which could change this picture. It also shows your FULL fresh entitlement, not what's left after a recent prior absence under the rolling 12-month rule. Read the full detail below before treating this as a guarantee.

Short answer

Under Section 14 of the AfC Terms and Conditions of Service Handbook, NHS Occupational Sick Pay runs from 1 month's full pay + 2 months' half pay in your first year of service up to 6 months' full pay + 6 months' half pay after 5 years' service — and then it stops. From that point, absent Statutory Sick Pay eligibility, NHS Injury Allowance for a work-attributable injury, or ill-health retirement, your NHS-paid income drops to nothing. That gap — not the well-covered early months — is the period commercial income protection insurance is built to cover. This calculator shows you exactly where your own gap starts, and how much your Section 14 entitlement is worth in cash terms before it does. See NHS Income Protection Insurance Explained for the guide this tool supports.

The full Section 14 timeline, by length of service

Paragraph 14.2 of the Handbook sets out the "scale of allowances" for Occupational Sick Pay, and every tier below — not just the shortest and the longest — comes directly from that paragraph, the same sourced table used by FrontlinePay's NHS Sick Pay Calculator. This calculator reuses that exact data rather than inventing a second version of it, and simply re-presents it as a running timeline instead of a single period's entitlement.

Length of serviceFull payHalf payTotal protected
During your first year of service 1 month 2 months 3 months (~13.04 wks)
During your second year of service 2 months 2 months 4 months (~17.38 wks)
During your third year of service 4 months 4 months 8 months (~34.76 wks)
During your fourth and fifth years of service 5 months 5 months 10 months (~43.46 wks)
After completing five years of service 6 months 6 months 12 months (~52.14 wks)

Once the "total protected" months for your tier run out, Section 14 simply stops paying. What happens next depends on things this calculator deliberately doesn't try to model — see "What this timeline doesn't model" below.

Worked example: 6 years' service, £2,500/month take-home

Someone with 6 years' continuous NHS service is in the after completing five years of service tier — 6 months' full pay plus 6 months' half pay, a total of 12 months' protection. On a £2,500/month real take-home:

PeriodLengthMonthly amount
Full pay6 months (~26.07 weeks)£2,500
Half pay6 months (~26.07 weeks)£1,250.00
Total NHS-paid across the timeline£22,500.00

After month 12, that £2,500/month income is gone unless Statutory Sick Pay, NHS Injury Allowance or ill-health retirement applies — which is precisely the point a commercial income protection policy would need to start paying instead.

Why this is a ceiling, not a guarantee

This calculator shows your FULL, fresh Section 14 entitlement for your tier — the same "if this were a first absence in the last 12 months" assumption the NHS Sick Pay Calculator's own worked examples use. A real absence following a recent paid one would have less entitlement left, because of the rolling 12-month rule explained below. Treat the timeline here as the best case for a fresh absence, not a promise of what you'd actually receive if you've been off sick recently.

What this timeline doesn't model

Four things, deliberately, so this tool never overstates certainty:

  • The rolling 12-month rule (Section 14.7) — a repeat absence within 12 months of a recent paid one has LESS entitlement left than shown here, not a fresh full tier. Model a specific, real absence with the NHS Sick Pay Calculator instead.
  • NHS Injury Allowance (Section 22) — a separate, narrower scheme that can extend protection further, specifically for a work-attributable injury or illness. Not modelled here; see NHS Income Protection Insurance Explained.
  • The actual SSP amount — a statutory rate that changes yearly and isn't hardcoded in this tool. "The gap" is shown as a zone, not priced in £.
  • Ill-health retirement — could change the picture entirely for a permanent condition, by giving early access to NHS Pension benefits. Not modelled here.

The rolling 12-month rule, in brief

Paragraph 14.7 of the Handbook (14.6 in the Scotland/Northern Ireland edition) means your entitlement is a rolling balance, not something that refills just because a new sickness episode has started. On the first day of a new absence, your employer deducts any PAID sick pay — full or half rate — you've already had in the 12 months immediately before that day from your tier's full entitlement. Only once a full 12 months have passed without any paid sickness absence does your entitlement return to the full scale shown in the table above. This calculator's timeline is the ceiling that applies on day one of a genuinely fresh absence — for anything else, the NHS Sick Pay Calculator lets you enter what you've already used and models the real remaining balance.

Where commercial income protection insurance fits

The whole point of building this timeline is to make the gap visible before it happens, not after. Income protection insurance is designed to pay a regular income, typically a percentage of your normal pay, once your own income stops or drops below a threshold — for many NHS staff, the sensible starting point for a policy's "deferred period" is roughly where this calculator's total protected months end, since paying premiums to cover a period Section 14 already covers in full or at half pay would usually be paying twice for the same protection. NHS Income Protection Insurance Explained covers how these policies actually work, what a sensible deferred period looks like, and what to check before buying one.

Why this figure isn't the same as your total sick pay entitlement's value

The True Value of Your NHS Job Calculator also shows a £ figure for your full sick pay entitlement, as part of comparing a substantive NHS post to bank/agency work — but it's answering a different question again. That tool prices the entitlement as part of your total reward package, on the assumption you might never use it. This calculator's job is narrower and more specific: showing you WHEN, on a monthly timeline, your income would actually change if you were off sick for a long time, and where it would stop changing in your favour altogether.

Why this timeline holds up

  • Every tier comes directly from paragraph 14.2 of the current NHS Terms and Conditions of Service Handbook — the same sourced data as the NHS Sick Pay Calculator, not a second, separately-maintained copy.
  • Reuses SICK_PAY_TIERS and tierFor() directly from the already-verified sick pay engine — no new sick pay mechanics invented for this tool.
  • Honest, prominent about four specific things it doesn't model — the rolling 12-month rule, NHS Injury Allowance, the actual SSP amount, and ill-health retirement — rather than a vague disclaimer.
  • "The gap" is shown as a zone, never priced in £, because SSP is a statutory rate that changes yearly and isn't hardcoded anywhere on FrontlinePay.
  • Built specifically to support NHS Income Protection Insurance Explained, not to sell a policy itself — no product is recommended or quoted here.
  • Runs entirely in your browser — your service length and pay are never sent to a server or stored.

Frequently asked questions

How do the Section 14 sick pay tiers behind this calculator actually work? +

This tool builds directly on the same Section 14 tier table used by FrontlinePay's NHS Sick Pay Calculator, sourced directly from paragraph 14.2 of the current NHS Terms and Conditions of Service Handbook: 1 month's full pay and 2 months' half pay during your first year of service; 2 months' full pay and 2 months' half pay in your second year; 4 and 4 in your third year; 5 and 5 in your fourth and fifth years; and 6 months' full pay plus 6 months' half pay once you've completed 5 years of service. Every tier — not just the shortest and the longest — comes from that paragraph, and the wording is identical across the Handbook's England, Wales, and Scotland/Northern Ireland sections.

Why doesn't this tool model NHS Injury Allowance under Section 22? +

Because it's a separate, narrower scheme with its own eligibility test, not part of the general Section 14 sickness absence entitlement this calculator is built around. NHS Injury Allowance can extend income protection further, but only specifically for a work-attributable injury or illness sustained in the course of your NHS duties — it doesn't apply to ordinary sickness absence. Folding it into this calculator's default timeline would silently overstate protection for anyone whose absence isn't work-related, so it's left out and flagged clearly instead. If a work injury applies to you, read NHS Income Protection Insurance Explained and speak to your trust's HR team about Section 22 directly.

Why does the rolling 12-month rule matter, and why isn't it applied here? +

The rolling 12-month rule (Section 14.7) means your entitlement doesn't refill just because a new sickness episode has technically started — any PAID sick pay, full or half rate, you've already had in the 12 months before a new absence begins is deducted from what's available for that new absence. This calculator deliberately shows your FULL, fresh tier entitlement — the ceiling, assuming this is your first absence in the last 12 months — because it's answering a different question ("where does my protection eventually run out") to the NHS Sick Pay Calculator's question ("what would a specific period of absence, with whatever I've already used, actually pay"). If you've had recent paid sickness absence, your real remaining entitlement is LESS than what's shown here, not the same.

What is commercial income protection insurance actually for, in relation to this timeline? +

It's designed to pick up exactly where this timeline stops — the point where Section 14 full and half pay run out and, absent NHS Injury Allowance or ill-health retirement, you'd be left on Statutory Sick Pay or no income at all for a long-term condition. A income protection policy typically pays a regular income (commonly 50-70% of your normal pay) from a chosen deferred period until you either recover, retire, or reach the policy's end date. Whether one makes sense for you depends on your savings, dependants, other income sources and how much risk you're comfortable carrying yourself — see NHS Income Protection Insurance Explained for how these policies actually work and what to check before buying one.

How does this calculator relate to the existing NHS Sick Pay Calculator? +

They answer genuinely different questions using the same underlying Section 14 data. The NHS Sick Pay Calculator models a SPECIFIC period of absence — how many weeks you've already used in the rolling 12-month window, a planned number of weeks off, and the real net cost to your year once tax and National Insurance are factored in. This calculator instead shows the FULL timeline for your tier from day one, so you can see exactly where full pay ends, where half pay ends, and where the unprotected gap begins — the question it's built to support is "how much of a long-term absence would the NHS actually cover", not "what does this particular absence cost me".

Why doesn't this calculator work out my actual Statutory Sick Pay amount? +

Because SSP is a flat, UK-wide statutory rate that HMRC and DWP typically revise every tax year, usually each April — hardcoding a figure here would go stale within months and risk showing a confidently wrong number. The NHS Sick Pay Calculator asks you to enter the current rate from gov.uk/statutory-sick-pay for exactly this reason, and this tool follows the same principle by not attempting to price the gap zone in £ terms at all — it's shown as "the gap", not as a calculated SSP figure.

Could ill-health retirement change this picture? +

Potentially, yes, and that's exactly why this calculator doesn't model it. If a condition is assessed as permanent and you meet your NHS Pension Scheme section's ill-health retirement criteria, you could access pension benefits early — tier 1 or tier 2 depending on how the condition affects your capacity to work — which could change the financial picture completely for a long-term or permanent condition, in a way a simple sick pay timeline can't capture. This tool assumes an ordinary sickness absence with no ill-health retirement outcome; if a permanent or worsening condition is a live possibility for you, that's a conversation for your GP, occupational health and NHS Pensions, not something this calculator can responsibly estimate.

Is this a full financial plan, or financial advice? +

No. It's an illustrative timeline based on a first, fresh absence, built entirely from the same sourced Section 14 tier table used across FrontlinePay's sick pay tools. It doesn't apply the rolling 12-month rule, doesn't model NHS Injury Allowance, doesn't calculate an actual SSP amount, and doesn't model ill-health retirement — any one of those could move the real gap earlier or later, or change how it's funded, for your actual circumstances. Use this to understand the shape of the problem, not as a substitute for checking your own position with your trust's HR team, your NHS Pension Scheme section, or an independent financial adviser before making decisions around income protection.

More on NHS sick pay & income protection

Understand the full picture before you decide whether to cover the gap yourself.