Skip to main content

The nursing scale in 2026: gross against net

Grades under the FWG scale follow the complexity of the role. A BIG-registered verpleegkundige at niveau 5, which covers most registered nurses, lands in FWG 45 to 50. Specialists in intensive care, coronary care or oncology usually sit at FWG 55, and nurse practitioners qualified to HBO level or above reach FWG 60 to 65.

FWG Scale / Role Gross/Month (2026) Net/Month (approx.)
FWG 40 (verpleegkundige MBO, starting)€2,510-€2,720€1,900-€2,060/mo
FWG 45 (HBO verpleegkundige, starting)€2,780-€3,100€2,100-€2,340/mo
FWG 45 (mid-scale, ~5 yrs)€3,200-€3,650€2,415-€2,750/mo
FWG 55 (IC/specialist nurse)€3,600-€4,200€2,715-€3,165/mo
FWG 60 (Nurse Practitioner)€4,100-€5,000€3,085-€3,735/mo
FWG 65 (Senior NP / Manager)€5,000-€6,200€3,735-€4,560/mo

Two brackets do the work in box 1: 36.97% up to €75,518 a year and 49.5% beyond it, which means nursing salaries sit entirely inside the first one. Two credits then pull the effective rate down noticeably, the arbeidskorting worth as much as €5,053 and the algemene heffingskorting at €3,362 for incomes up to around €24,000, tapering away above that.

Set against the British system

Take a Dutch nurse at the middle of FWG 45, on €3,200 gross a month or €38,400 a year, who nets around €2,415 monthly. Set that beside a British Band 5 nurse on £32,073 a year, £2,673 gross a month, who takes home roughly £2,154.

At the mid-2026 rate of €1.17 to the pound, that €2,415 becomes about £2,063, marginally under the British figure. Two things sit outside the comparison, though. No separate pension deduction appears, because pension is built into the gross package or funded through the sector-wide Pensioenfonds at little employee cost, and lower earners can claim zorgtoeslag, a health allowance worth up to €1,890 a year, which closes part of the remaining gap.

Vakantiegeld: the 8% holiday payment

Every employee in the country is legally owed vakantiegeld, 8% of annual gross, normally paid out in May. On €38,400 that comes to €3,072 gross, roughly €2,330 net, arriving in a single month. None of the monthly figures above include it, so the year works out as eleven ordinary months plus one much larger one. Spread across twelve months for budgeting purposes it adds something like €175 to €200 to the effective monthly total.

What nights and weekends add

Dutch hospital nurses working irregular hours receive supplements under the CAO:

  • Night work (00:00-06:00): +50% of hourly rate
  • Sunday work: +50% of hourly rate
  • Saturday afternoon (13:00-18:00): +25%
  • Public holiday work: +100%

A nurse working 4-6 nights per month can add €250-€400 gross/month in irregular-hours supplements - approximately €190-€300 net after the 36.97% marginal rate applies.

Frequently asked questions

What is the average nurse salary in the Netherlands in 2026?

The average gross salary for a registered nurse (verpleegkundige HBO, FWG 45) is approximately €3,200-€3,800/month, depending on experience and employer. Net take-home is approximately €2,415-€2,860/month, excluding the 8% vakantiegeld that's paid annually in May.

Do nurses in the Netherlands pay a lot of tax?

At typical nursing salaries, the effective income tax rate is 25-30% - not as high as the headline 36.97% bracket rate, because two significant tax credits (arbeidskorting and algemene heffingskorting) reduce the actual tax paid. A nurse earning €38,400/year gross ends up paying approximately €8,200 in net tax (21.4% effective rate), with the credits bringing the tax burden down substantially from the bracket rate.

Is it worth moving to the Netherlands to work as a nurse from the UK?

From a pure take-home perspective, the Netherlands and UK are broadly comparable for nurses at equivalent career stages. Dutch advantages: lower working hours (maximum 36 hours/week in most hospital contracts), generous night/weekend supplements, strong employment protections, and the zorgtoeslag healthcare allowance. UK advantages: NHS pension scheme (defined benefit, very generous), slightly higher starting salaries in London, and no language barrier. Both countries face acute nursing shortages and actively recruit internationally.