Medical Secretary Reduced/Compressed Hours Calculator
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Looking at a 4-day week, 9-day fortnight, term-time only or annualised hours? This calculator shows how your pay would look for a Medical Secretary under different reduced or compressed patterns compared to full-time. Compare FTE and annual pay so you can weigh up options.
Assumptions and pay data
Pay data: NHS Agenda for Change. AfC pay points per NHS Employers 2026/27 (from 1 April 2026). Allowances: HCAS minima for inner/outer/fringe (England, Apr 2026); actual HCAS is % of basic between min and max. Consultant/GP figures are for comparison only. Registrars may be on the junior doctor contract.
- Figures are illustrative. We pro-rate full-time band pay by FTE (e.g. 0.8 for 4-day week, 0.9 for 9-day fortnight). Term-time and annualised hours use the same dataset; employer rules may differ.
- All amounts are gross. Tax, NI and pension are not deducted.
Reduced/Compressed Hours Calculator
You'll see:
- Full-time pay vs your chosen pattern (e.g. 4-day week, term-time)
- Pro-rated annual pay and the difference
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Frequently asked questions
About this role
What is a Medical Secretary?
A Medical Secretary supports consultants and clinical teams with correspondence, referrals, typing and admin. They work in hospitals and clinics. Pay is typically on AFC Band 3–4.
Typical demands, progression and balance
Medical secretarial work offers variety and a role in patient pathways. Pay and progression depend on trust and grade. Progression to senior secretary or coordinator is common.
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
This calculator provides illustrative estimates only and is not financial or career advice. Pay rules and allowances can change. Always check your employer or official sources for definitive figures.