Work Patterns · NHS

Health Visitor Reduced/Compressed Hours Calculator

See what a 4-day week, a 9-day fortnight, term-time only or annualised hours would pay a Health Visitor. Full time is 37.5 hours a week at £39,959, the first point of the Band 6 scale. The calculator opens on a 4-day week, 80% of full time, which pays £31,967 a year before tax, £7,992 less.

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  • Last updated:
  • NHS Agenda for Change
  • Free, no sign-in

You'll see:

  • Full-time pay vs your chosen pattern (e.g. 4-day week, term-time)
  • Pro-rated annual pay and the difference
Assumptions and pay data

Pay data: NHS Agenda for Change. Band 6: £39,959 to £48,117 over 3 pay points, rates from 1/4/2026. Checked 9/10/2026.

  • Full time is 37.5 hours a week, the standard NHS week under Agenda for Change (AfC) section 10.1.
  • A 4-day week counts as 80% of full time and a 9-day fortnight as 90%: fewer hours for less pay. Compressed hours, where you work all 37.5 hours in fewer, longer days, keep full pay, so they need no calculation.
  • Term-time only pay is your paid weeks over 52: the weeks you work plus your paid holiday. The box opens at 44.6 weeks (39 term weeks plus 5.6 weeks' holiday), 85.8% of full time, or £34,273 at £39,959.
  • Annualised hours divide your yearly hours by 37.5 × 52 = 1,950. The box opens at 1,400 hours, 71.8% of full time, or £28,689 at £39,959. Annualised hours and Custom FTE stop at 95%.
  • Figures are gross, before tax, National Insurance and pension.

Reduced/Compressed Hours Calculator

EnglandNHS Agenda for Change employersFramework from 1/4/2026

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Guide for Health Visitor

This guide explains reduced and compressed working patterns for Health Visitor on Band 6 at NHS. Not every employer offers every pattern; use this for pay impact, then confirm eligibility with HR.

Reduced hours for Health Visitor

This page models named patterns (four-day week, nine-day fortnight, term-time only, annualised hours) for Health Visitor on Band 6 at NHS. Pay is pro-rated from full-time NHS Agenda for Change basic pay unless your contract uses a different formula.

Reduced and compressed hours

A four-day week is typically 0.8 FTE. A nine-day fortnight is 0.9 FTE (nine working days in ten). Term-time-only staff are paid for the weeks they work plus their paid holiday, spread across the year. Annualised hours contracts spread agreed hours across the year rather than fixed weekly patterns.

Employer variation

Not every employer offers every pattern. Some use a 0.89 FTE term-time formula for support staff. The calculator uses straightforward pro-rata from full-time band pay; your payroll may differ.

Example scenario

Example: Band 6 at £39,959 full time. A 4-day week (80%) pays £31,967, the pattern the calculator opens on.

Default example inputs and illustrative outputs for Health Visitor
Band / gradeBand 6
Full-time gross (example)£39,959
At 0.8 FTE (example)£31,967
Annual difference vs full-time£7,992

Frequently asked questions

Is a 4-day week the same as compressed hours?

No. Here a 4-day week means working 4 of your usual days, 80% of full time, so £39,959 becomes £31,967. Compressed hours means fitting your full 37.5 hours into 4 longer days, and your pay stays the same because your hours do not change.

What does a 9-day fortnight pay?

As reduced hours, 9 days in 10 is 90% of full time: £35,963 a year instead of £39,959, £3,996 less. If you work all 75 hours of the fortnight in 9 days instead, that is compressed hours and your pay does not change.

How is term-time only pay worked out?

From paid weeks: the weeks you work plus your paid holiday, divided by 52. With 39 term weeks and 5.6 weeks' holiday that is 44.6 weeks, 85.8% of full time, or £34,273 instead of £39,959. Your contract or payroll gives your exact number of paid weeks.

How do annualised hours work here?

You enter your contracted hours for the year and the calculator divides them by 1,950, which is 37.5 hours × 52 weeks. The 1,400 hours it opens with is 71.8% of full time, £28,689 a year. Anything above 95% of 1,950 hours is counted as 95%.

Do reduced hours change my leave and pension?

Yes, in proportion. Paid leave is pro-rated to your hours, and the annual leave calculator for a Health Visitor works it out. Public service pensions are career average schemes, so your pension builds up on the pay you actually earn: 80% of the pay builds 80% of the pension for those years.

Do you store my data?

Your calculator inputs and results stay in your browser and are not stored. We only collect your name and email if you choose to give them, for example to download your results or sign up for email updates. We store them with MailerLite, our email provider, along with the page you were on. See our privacy policy.

About this role

What is a Health Visitor?

A Health Visitor is a registered nurse or midwife with a specialist community public health nursing qualification, supporting families with children under five. Pay is typically AfC Band 6.

Typical demands, progression and balance

Health visiting combines clinical autonomy with community public health impact.

What about 4-day weeks or compressed hours?

Many employers support 4-day weeks, 9-day fortnights, term-time only or annualised hours. Use the calculator above to compare full-time pay with your chosen pattern for your band.

Disclaimer

Illustrative estimates, not financial or career advice. Your payslip and contract decide what you are actually paid.