Maternity

NHS Maternity Pay Monthly Amounts and Spreading It

FP FrontlinePay Editorial
Updated October 2026

Independent guidance — not affiliated with NHS England or DHSC

Short answer

NHS maternity pay is worked out by the week: full pay for 8 weeks (less Statutory Maternity Pay), half pay plus Statutory Maternity Pay for 18 weeks, Statutory Maternity Pay alone for 13 weeks, then 13 unpaid weeks (Handbook para 15.21). On a £30,000 salary that is about £2,500 a month at first, falling to about £2,092, then £842, then nothing. Spreading it is allowed only by prior agreement with your employer: para 15.22 says occupational maternity pay may be paid in a different way, such as a fixed amount spread equally over the leave period. It is not a right, the total does not increase, and we could not verify which trusts offer it. Work out your own figures in the NHS Maternity Pay Calculator.

Most of the questions parents ask about NHS maternity pay are really monthly-budget questions: how much will go into my account in month one, what does month eight look like, and can I even it out? This guide answers them from the rules in the Handbook and the same figures as our calculator, and is deliberate about what we can and cannot verify, particularly on spreading. It is general information, not HR advice.

How the weekly figures are built

Everything starts with your average weekly earnings (AWE), calculated using the Statutory Maternity Pay earnings rules with the NHS adjustments in para 15.23. Then each phase of leave works as follows (para 15.21, with the statutory figures from GOV.UK):

Leave weeksNHS rule (para 15.21)What you receive in total each week
1 to 6Full pay, less SMP100% of AWE (SMP at 90% of AWE plus the NHS top-up)
7 to 8Full pay, less SMP100% of AWE (SMP at the lower of £194.32 or 90% of AWE, plus the NHS top-up)
9 to 26Half pay plus SMP, total not above full pay50% of AWE plus SMP, capped at 100% of AWE
27 to 39SMP onlyThe lower of £194.32 or 90% of AWE
40 to 52UnpaidNothing

To turn a weekly figure into a monthly one, multiply by 52 and divide by 12. That is the "monthly equivalent" our calculator shows. Your payslip will not match that average exactly, for the reasons in the payslip section below.

Monthly amounts by phase: three examples

The table uses the 2026/27 starting pay point for three bands, basic pay only, with 3 years' service and the 2026/27 statutory flat rate of £194.32. Figures are gross, rounded, and from the same engine as the calculator. If you regularly work enhancements such as unsocial hours, your average weekly earnings, and so your maternity pay, can be higher, so treat these as a floor for the same basic salary.

Phase (monthly equivalent, gross)Band 3 start
£25,760
Band 5 start
£32,073
Band 6 start
£39,959
Weeks 1 to 8: full pay in total£2,146.69£2,672.76£3,329.91
Weeks 9 to 26: half pay plus SMP£1,915.38£2,178.41£2,507.01
Weeks 27 to 39: SMP only£842.05£842.05£842.05
Weeks 40 to 52: unpaid£0£0£0
Total over the 39 paid weeks£14,445.46£16,509.33£19,087.44

Two patterns are worth noticing. First, lower-paid staff lose less in the half-pay phase, because the statutory top-up is a larger share of what they earn. Second, the SMP-only phase pays the same flat rate to everyone whose 90% of earnings is above £194.32, so a Band 3 and a Band 6 receive the same £194.32 a week in weeks 27 to 39.

Illustrative total over 39 paid weeks, £30,000 salary

£15,831.61

Of which £9,527.94 is statutory and £6,303.67 is the NHS enhancement. Gross, before tax and pension.

A month-by-month example

This example shows the pay that relates to each calendar month for a £30,000 salary when leave starts on Monday 1 February 2027. It is the same method as the calculator's monthly cash-flow view, which splits any week that straddles two months by days. Your actual pay date depends on your trust's pay cycle.

MonthGross maternity pay relating to the monthPhase
February 2027£2,307.68Full pay
March 2027£2,514.59Full pay, then half pay plus SMP from week 9
April 2027£2,069.06Half pay plus SMP
May 2027£2,138.03Half pay plus SMP
June 2027£2,069.06Half pay plus SMP
July 2027£2,138.03Half pay plus SMP
August 2027£901.77Half pay plus SMP, then SMP only from week 27
September 2027£832.80SMP only
October 2027£860.56SMP only
November 2027 to January 2028£0Unpaid leave until the first day back on 31 January 2028

Notice the cliff in August: a drop of more than £1,200 in a month as the half-pay phase ends. Then the unpaid weeks. That sharp shape is why people ask about spreading.

Why your payslip may not match

  • • Average weekly earnings. Maternity pay is based on average weekly earnings under the Statutory Maternity Pay rules, not on a round salary divided by 52. Regular enhancements, and unpaid or half-pay sick absence in the reference period, change it (para 15.23(iii) says sick absence is treated as if on notional full sick pay).
  • • Pay awards. Para 15.23 says a pay award or higher pay point that takes effect before leave is treated as if it applied throughout the reference period, and one that takes effect during paid leave increases pay from that date, with retrospective awards recalculated.
  • • Part months. Leave that starts mid-month, and weeks that straddle months, mean payslip months are uneven.
  • • Tax. Income tax is cumulative across the tax year. If your pay drops during leave, tax already paid can be refunded in a later month, so some months look better than the gross figure suggests.
  • • Pension and other deductions. See NHS Pension and maternity leave for how contributions work during leave.
  • • KIT days. A Keeping in Touch day worked is paid at the basic daily rate for the hours worked, less any leave payments received (para 15.75), and in the full pay period you receive a day of paid leave in lieu once back.

Can NHS maternity pay be spread?

Yes, by agreement. Paragraph 15.22 of Section 15 of the Handbook says:

ℹHandbook para 15.22 in summary

By prior agreement with the employer, occupational maternity pay may be paid in a different way, for example a combination of full pay and half pay, or a fixed amount spread equally over the maternity leave period. Where it has been paid in a different way and the employee subsequently chooses to access shared parental leave and pay, the employer may need to recalculate payments to ensure there has not been any over or underpayment.

That wording tells us four things we can rely on, and leaves three things we cannot:

What the Handbook confirms

It is by prior agreement, so it needs your employer's agreement and should be settled before pay starts. It covers the occupational element. A fixed amount spread equally is one example. It can trigger a recalculation if you move to shared parental leave.

What we cannot verify

Which trusts will agree. Over how many months, such as 9 or 12, or over the 52-week leave period or the 39 paid weeks. How a trust treats the statutory element, and whether payroll can smooth the whole payment or only the NHS top-up.

Forum threads suggest that spreading is something staff at some trusts have arranged, and that people ask about 9 and 12 months. We have not been able to verify any individual trust's policy, so do not assume yours offers it. If it does not, you can still budget by setting aside part of the early higher payments yourself.

What spreading does to the numbers

Take the £30,000 example, with total maternity pay of £15,831.61 over 39 paid weeks. These are our own arithmetic illustrations of what a fixed, equal spread would look like. Your trust's method may differ, for example by spreading only the NHS element and leaving statutory pay untouched, so use this to see the shape, not as a quote.

PatternGross per monthReceived by the end of 3 months (13 weeks)Months with no pay
Standard pattern (para 15.21)£2,500 falling to £2,092, £842, then £0About £7,029About the last 3 (unpaid weeks)
Equal spread over the 39 paid weeks (about 9 months)£1,759.07About £5,277About 3
Equal spread over the 52 weeks (12 months)£1,319.30About £3,958None

The trade is clear: a spread gives up money early (about £1,750 less by month three on a 9-month spread, and about £3,070 less on a 12-month spread) in exchange for steadier income and, over 12 months, no unpaid gap at the end. The total is the same. Your own comparison depends on your outgoings and when you plan to return.

The catches to check before you agree

  • ✓ Shared parental leave. If you might curtail leave to share it, para 15.22 says the employer may need to recalculate. Agree how that works first.
  • ✓ Non-return and repayment. Para 15.83 liability is for the occupational element. Ask for a written split so that, if plans change, you both know how much of what has been paid was occupational. See repaying NHS maternity pay.
  • ✓ Pay awards. Para 15.23 requires maternity pay to be increased from the date of a pay award during paid leave. Ask how a fixed amount will reflect that.
  • ✓ Early return. If you return before the end of leave, ask what happens to any money you have been paid in advance of when it was due under the standard pattern, and the reverse if you are owed pay.
  • ✓ Maternity Allowance. If you receive it instead of SMP it is paid by Jobcentre Plus, not by your trust.
  • ✓ Benefits and tax credits. A flatter income can change how means-tested benefits are assessed. If you claim any, check before you agree.
  • ✓ Get it in writing. Para 15.20 says your employer should confirm your leave and pay entitlements in writing. Ask for the agreed pattern to be included.

How to ask your trust

A short, specific request tends to work best. Send it to HR or payroll, copy your manager, and do it before your leave starts and well ahead of the first affected payday. Something along these lines:

✓Suggested wording

I am due to start maternity leave on [date]. Under para 15.22 of Section 15 of the NHS Terms and Conditions of Service Handbook, occupational maternity pay can be paid in a different way by prior agreement. Please could you tell me whether the trust agrees to spread my occupational maternity pay equally over [9 / 12] months, how the statutory element will be treated, what happens if I move to shared parental leave or return early, and whether the agreed pattern can be confirmed in writing together with my total entitlement.

Also read your trust's maternity policy. If it already describes the payment options, you will find the process there. If you are a union member, your representative may know whether the trust has agreed this before.

If you do not qualify for occupational pay

To get the NHS enhancement you need 12 months' continuous service with one or more NHS employers at the beginning of the 11th week before the expected week of childbirth, must notify your employer in writing, and must intend to return for a minimum of three months after leave (para 15.15). If you do not meet that:

  • • With under 12 months' service you may still be entitled to Statutory Maternity Pay (para 15.103), which is 90% of average weekly earnings for the first 6 weeks, then the lower of £194.32 or 90% of average weekly earnings for the next 33 weeks, per GOV.UK.
  • • If you do not qualify for SMP, you should be advised to claim Maternity Allowance from Jobcentre Plus (para 15.104).
  • • If you do not intend to return, you are paid an amount equivalent to Statutory Maternity Pay (para 15.100).
  • • Everyone has the right to 52 weeks of leave whether or not they return to NHS employment (para 15.105).

Why trust this guide

  • ✓ Rules from Section 15 of the NHS Terms and Conditions of Service Handbook (amendment 63), cited by paragraph number.
  • ✓ Figures from the same engine as the FrontlinePay maternity pay calculator, using the 2026/27 statutory flat rate of £194.32 a week and 2026/27 starting pay points.
  • ✓ We say what we could not verify: which trusts offer spreading, and over how many months.
  • ✓ Independent, not affiliated with the NHS or any trust. Not HR or financial advice.

Related guides

This page is general information about Section 15 of the NHS Terms and Conditions of Service Handbook and is correct to the best of our knowledge as of October 2026. Illustrative figures are gross and use basic pay only. Statutory rates are from GOV.UK. Your trust applies the Handbook through its own policy, and your entitlement depends on your contract and circumstances. Not legal, HR or financial advice. FrontlinePay is independent and is not affiliated with the NHS or any NHS trust.

Frequently asked questions

Can I spread my NHS maternity pay over 12 months? +
The Handbook allows it by agreement, but does not give you a right to it. Para 15.22 of Section 15 says that, by prior agreement with the employer, occupational maternity pay may be paid in a different way, for example a combination of full pay and half pay, or a fixed amount spread equally over the maternity leave period. Whether your trust offers that, and over how many months, is a local decision. We could not verify which trusts do, so check your trust's maternity policy and ask HR before your leave starts.
Can I spread it over 9 months? +
Paragraph 15.22 refers to a fixed amount spread equally over the maternity leave period, without specifying a number of months. A spread over the nine months that roughly match the 39 paid weeks is a pattern people ask about, but the Handbook does not mention nine months specifically, and we have not been able to verify any trust that uses it. If it is what you want, ask whether your trust will agree to it and put the agreed pattern in writing.
Does spreading give me more money in total? +
No. The purpose of para 15.22 is to change when you are paid, not how much. A fixed amount spread equally uses the same entitlement and pays it more evenly. The total you are entitled to is set by para 15.21 and by average weekly earnings calculated under the Statutory Maternity Pay rules. Check any proposed pattern against our maternity pay calculator, and ask HR to confirm in writing that the total is the same.
Is it better to take the standard pattern or spread it? +
It depends on your finances. The standard pattern pays the most early on, with full pay for 8 weeks and then half pay plus Statutory Maternity Pay for 18 weeks, followed by 13 weeks at the lower statutory rate and 13 unpaid weeks. A spread gives you a flatter, lower monthly amount but keeps it going for longer. If the main worry is a sharp drop in months 7 to 9 and nothing at the end, spreading smooths that out. If you need the highest income at the start, the standard pattern is better.
Is NHS maternity pay paid weekly or monthly? +
The Handbook works out entitlements by the week (for example 8 weeks of full pay), but NHS staff are generally paid monthly through payroll, so payslips show monthly amounts. The calculator on this site gives weekly figures and a monthly equivalent, which is the weekly amount multiplied by 52 and divided by 12. Real payslips can differ because of part months, pay awards, tax and any KIT days worked.
Why is my first maternity pay payslip different from the calculator? +
Common reasons are: a start date part-way through a pay period, income tax being recalculated because your pay has dropped, the way your trust works out average weekly earnings (including regular enhancements and any pay award backdated under para 15.23), unpaid or half pay sick absence in the reference period, and deductions such as pension contributions or salary sacrifice arrangements. Ask payroll for a breakdown showing weeks of full pay, half pay and statutory pay, and the average weekly earnings figure they used.
Does the pay rise I get during maternity leave increase my maternity pay? +
Under para 15.23 of the Handbook, a pay award or move to a higher pay point that takes effect during the paid maternity leave period increases the maternity pay due from the date of the award, and a pay award agreed retrospectively triggers a recalculation on the same basis. If your pay was spread by agreement, ask how a pay award will be reflected, because a fixed amount might not change automatically.
What if I only have bank or part-time hours? +
Part-time employees are covered by the same scheme (para 15.15 says full-time or part-time), and pay is based on average weekly earnings. Whether a bank worker has the 12 months' continuous service as an employee that the scheme requires depends on their employment status and the trust's records, so ask your trust. If you do not qualify for the occupational scheme you may still be entitled to Statutory Maternity Pay, or to Maternity Allowance from Jobcentre Plus (paras 15.103 and 15.104).
Is Maternity Allowance paid by my trust? +
No. Maternity Allowance is claimed from Jobcentre Plus, not paid through NHS payroll (para 15.104 of the Handbook points employees who do not qualify for statutory pay to claim it there). If you receive Maternity Allowance instead of Statutory Maternity Pay, ask your trust how the occupational part will be calculated and paid.
What happens to spread payments if I do not return to work? +
Para 15.83 makes you liable to refund your maternity pay less statutory pay if you notified an intention to return and then do not return within 15 months of the beginning of leave, whatever pattern the pay was paid in. With a spread pattern it can be less obvious how much of what you received was the occupational element, so ask HR to show the split in writing. Our repayment guide explains the rule.
What happens to a spread pattern if we switch to Shared Parental Leave? +
Para 15.22 specifically warns about this: where occupational maternity pay has been paid in a different way and the employee later chooses to access shared parental leave and pay, the employer may need to recalculate payments to ensure that there has not been any over or underpayment. If you might move to shared parental leave, discuss it with HR before you agree to spread your pay.

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Key dates and pay stages from your first notification to your return. We'll also send changes to maternity, childcare and flexible working entitlements.

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