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๐Ÿฉบ Free Resource โ€” NHS Doctors

Know your rights.
Before you need to.

A free maternity pay resource for all NHS resident doctors โ€” whether you're planning a family now or just want to know where you stand.

ยฃ8k
difference between OMP and SMP
Free
interactive pay calculator
2026
rates and figures
Free Resource
The NHS Doctor's
Maternity Pay Handbook
Rotations, Contracts & Return-to-Work Explained
Dr. Naomi Cave-Browne-Cave
FY2 Doctor & Mother of Twins
Free to access
No sign-up required
Read the Handbook โ†’

Three steps. Five minutes.

This site is part of a Quality Improvement Project on maternity pay literacy among NHS doctors. Here's how to get involved.

1

Take the pre-session survey

2 minutes. Anonymous. Helps us understand awareness levels before you explore the resource.

PRE Survey โ†’
2

Read the guide and use the calculator

Try the interactive calculator with your own dates and salary, and read the free PDF guide.

3

Take the post-session survey

Tell us what changed. Your responses directly shape this QIP and help other NHS doctors.

POST Survey โ†’

Most NHS doctors don't know
what they're entitled to.

And it costs them. A lot.

๐Ÿ’ธ

Missing OMP entirely

Missing one qualifying date or misunderstanding continuous service can drop you from full OMP to SMP only โ€” a difference of up to ยฃ8,000 on the minimum doctor salary, and more at higher grades.

๐Ÿ”„

Rotational confusion

Changing trusts during training can feel like it resets everything. It doesn't have to โ€” but you need to know the rules before HR gets it wrong.

๐Ÿ“‹

Information scattered everywhere

BMA documents, NHS Employers circulars, deanery FAQs โ€” often contradictory, always exhausting to navigate while working full time and pregnant.

What you actually stand to lose

Based on the minimum full-time doctor salary of ยฃ41,226 (F1, 2026) with SMP rate of ยฃ194.32/week. Your actual difference could be higher.

โŒ SMP only (OMP missed)

Weeks 1โ€“6~ยฃ713/week (90%)
Weeks 7โ€“39ยฃ194.32/week
Weeks 40โ€“52Unpaid
Total (52 weeks) ~ยฃ10,600

โœ… Full OMP + SMP

Weeks 1โ€“8ยฃ793/week (full pay)
Weeks 9โ€“26ยฃ591/week (half + SMP)
Weeks 27โ€“39ยฃ194.32/week
Weeks 40โ€“52Unpaid
Total (52 weeks) ~ยฃ18,700
๐Ÿ’ก

The difference is up to ยฃ8,000 โ€” and it is entirely avoidable with the right information. The calculator and guidance on this site are free.

14 chapters covering everything

From the moment you find out you're pregnant to returning to work โ€” with real-life scenarios, email templates, and a printable checklist.

01

Introduction

Why this guide exists and how to use it

02

Being Pregnant at Work

Risk assessments, antenatal rights, and advocacy

03

The Pay System Demystified

OMP, SMP, Maternity Allowance, adoption leave

04

The Qualifying Week

Why timing matters more than you think

05

Maximising Your Pay

Locum shifts, KIT days, MDO, GMC + calculator

06

Timelines & Checklists

Your printable pre-leave action plan

07

Common Mistakes

Real errors, real consequences, all avoidable

08

Email Templates

Copy-paste emails ready to send to HR

09

Special Circumstances

Preterm, neonatal care, stillbirth, miscarriage

10

Resources & Where to Get Help

BMA, NHS Employers, gov.uk and more

11

Returning to Work

LTFT, SuppoRTT, breastfeeding, childcare

12

Partner's Entitlements

Paternity leave, SPL, and how to share

13

Conclusion + FAQs

19 frequently asked questions with direct links

๐Ÿงฎ

Interactive Calculator

Calculate your exact dates and pay estimate

Know before you need it.

Use the free interactive calculator to understand your entitlements now โ€” whether you're planning ahead or already pregnant.

Open Calculator โ†’

Free. No sign-up. Works on mobile.

Maternity Pay Calculator

Enter your key dates and salary to instantly calculate your qualifying deadlines, pay entitlement, and accrued annual leave. Free to use, no sign-up required.

Free Tool

NHS Doctor's Maternity Pay Calculator

Enter your key dates and salary to instantly calculate your maternity pay entitlement, all qualifying deadlines, and what you need to do next.

1 Your Key Dates
2 Your Salary
3 Your Situation
My deanery uses a Lead Employer model
I am currently working LTFT (Less Than Full Time) before maternity leave โ€” this affects your annual leave accrual
โœ“ Your Results

Key Dates


Upcoming Deadlines


Estimated Pay During Leave


Annual Leave on Return


Your Action List


    Disclaimer: This calculator is for informational guidance only, based on the 2016 NHS Terms and Conditions of Service (England). Pay figures are estimates based on the information you entered; actual pay will be confirmed by your trust's payroll department. SMP rates are updated each April by the government โ€” check gov.uk for current rates. Always verify dates and entitlements with your HR department and the BMA. This tool does not constitute legal or financial advice.

    Created by Dr. Naomi Cave-Browne-Cave  |  The NHS Doctor's Maternity Pay Survival Guide

    Participating in the QIP? Complete the pre or post session survey below.

    Open QIP Survey โ†’

    Dr. Naomi Cave-Browne-Cave

    I'm a Foundation Year 2 doctor and mother of twins. I wrote this guide because I spent an enormous amount of time during my own pregnancy piecing together information from BMA documents, NHS Employers circulars, deanery FAQs, and HR departments who sometimes gave me contradictory answers.

    It was exhausting. And I was doing it while sleep-deprived, emotionally stretched, and trying to be a competent doctor at the same time.

    This guide is what I wish had existed. Not a dry policy document โ€” a practical, honest walkthrough of everything you actually need to know, written by a doctor who lived it.

    No doctor should have to figure this out alone.

    FY2 Doctor, NHS England

    Mother of twins โ€” navigated the entire process personally

    Experienced with LTFT, SuppoRTT, and returning to work after maternity leave

    Founder of Scrubs & Strollers โ€” the maternity resource for NHS doctors

    Maternity Pay Awareness Survey

    Part of a Quality Improvement Project on maternity pay literacy among NHS doctors. Takes 2โ€“3 minutes. Anonymous. For all doctors, whether or not you are currently planning a family.

    You are completing the PRE-session survey.

    About You
    1
    How confident are you in explaining the difference between Occupational Maternity Pay (OMP) and Statutory Maternity Pay (SMP)?
    OMP is the NHS-specific enhanced scheme; SMP is the statutory minimum.
    1 โ€” Not at all5 โ€” Very confident
    2
    How well do you understand the qualifying criteria for NHS OMP โ€” including the role of the "qualifying week" and continuous service requirements?
    1 โ€” Not at all5 โ€” Fully understand
    3
    Are you aware of how rotating between NHS trusts can affect your maternity pay entitlement?
    4
    Has uncertainty about maternity pay entitlements ever influenced a career or timing decision for you, or do you think it might in future?
    5
    Thinking about the next 5 years of your career, how useful would a clear, practical resource on NHS maternity pay be to you?
    Rate how useful โ€” regardless of whether a pregnancy is currently planned.
    1 โ€” Not useful5 โ€” Very useful
    0 of 5 answered