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INMO Pay Scales 2026 — Complete Nurse Pay Guide Ireland

Last verified 31 Aug 2026· Published 19 May 2026

Quick answer: On the 2026 HSE pay scale, a staff nurse earns €38,166–€56,592, an enhanced nurse €45,259–€58,424, a CNM1 €57,780–€68,046 and an Advanced Nurse Practitioner €72,843–€89,894 per year. Effective 1 June 2026.

Verified 2026 pay scale

These are the current, verified figures. Any detailed table lower down that shows an earlier revision is superseded — use the ranges here. Source: HSE Consolidated Salary Scales (current, post the June 2026 increase).

GradeCurrent annual scale (2026)
Staff Nurse€38,166 – €56,592
Enhanced Nurse€45,259 – €58,424
CNM1€57,780 – €68,046
CNM2€62,699 – €79,227
CNM3€72,146 – €81,478
Advanced Nurse Practitioner€72,843 – €89,894

The Irish Nurses and Midwives Organisation (INMO) negotiates pay on behalf of nurses and midwives employed in the Irish public health service. This guide covers every grade of INMO-represented staff, the 2026 pay increases, and how the INMO scales differ from the wider HSE Consolidated Pay Scales.


What Are the INMO Pay Scales?

The INMO is the largest nursing and midwifery trade union in Ireland, representing over 40,000 members. While INMO members are employed by the HSE (or HSE-funded agencies), their pay scales are negotiated through national pay agreements — most recently the Public Service Pay Agreement (Building Momentum) and its successor framework — and are published in HSE HR Circulars.

The scales you see on the HSE Consolidated Pay Scales document are the INMO-agreed scales. There is no separate INMO pay scale document; the HSE circular is the authoritative source.


2026 Pay Increases for Nurses & Midwives

The February 2026 HSE consolidated pay scales reflect the latest agreed increases under the current public service pay framework. Nurses and midwives received:

  • A general round increase applied to all points on their pay scale
  • Continuation of Long Service Increments (LSIs) for staff at the top of their scale
  • Increases to allowances and premium payments (on-call, unsocial hours, night duty)

Staff Nurse / Staff Midwife Pay Scale 2026

The Staff Nurse and Staff Midwife share the same pay scale. Entry is at Point 1; annual increments apply until the scale maximum is reached.

PointAnnual Salary (€)Notes
138,166Entry / newly qualified
239,760After 1 year
340,767After 2 years
442,098After 3 years
543,775After 4 years
645,452After 5 years
747,120After 6 years
848,563After 7 years
950,009After 8 years
1051,458After 9 years
1152,937After 10 years
1254,412After 11 years
LSI56,592Long Service Increment

Note: Figures are based on the HSE HR Circular published in February 2026. Always verify against the current circular on hse.ie for the most up-to-date rates.

Graduate Nurse Starting Salary

A newly registered nurse starting in the HSE begins at Point 1: €38,166 per annum (approximately €726/week gross). With annual increments and after reaching the top of the scale, a staff nurse can earn €56,592 (LSI) before additional allowances.


Enhanced Nurse / Enhanced Midwife Pay Scale 2026

The Enhanced Nurse and Enhanced Midwife roles were created to retain clinical staff in bedside roles without requiring them to move into management. These roles attract a premium over the standard staff nurse scale.

PointAnnual Salary (€)
145,259
250,291
352,119
453,930
555,882
LSI58,424

Senior Enhanced Nurse

PointAnnual Salary (€)
155,882
258,424
LSI59,968

Clinical Nurse Manager (CNM) Pay Scales 2026

CNM Grade 1

CNM1 roles typically involve shift coordination and direct patient care with limited management responsibility.

PointAnnual Salary (€)
157,780
258,246
359,709
461,198
562,678
664,167
765,826
868,046

CNM1 Salary Range: €57,780 – €68,046

CNM Grade 2

CNM2 is the most common management grade — ward managers, unit managers, and specialist nurses often hold this grade.

PointAnnual Salary (€)
162,699
263,106
363,975
465,394
566,963
668,504
770,045
871,779
973,389
1076,159
LSI79,227

CNM2 Salary Range: €62,699 – €79,227 (LSI)

CNM Grade 3

CNM3 roles carry significant management responsibility, typically overseeing multiple wards or departments.

PointAnnual Salary (€)
172,146
272,845
376,419
477,825
579,239
681,478

CNM3 Salary Range: €72,146 – €81,478


Advanced Nurse Practitioner (ANP) Pay Scale 2026

The ANP grade is for nurses who have completed a Master’s-level programme and have autonomous prescribing and assessment authority. Candidate ANPs (cANPs) work at a lower point while completing their programme.

GradeStarting Salary (€)Scale Maximum (€)
Registered ANP (rANP)72,84389,894

The rANP scale runs for 8 points from €72,843 to €89,894. Candidate ANPs (cANPs) are placed on a lower scale during their development period — exact entry point depends on prior experience. Consult the February 2026 circular for full cANP scale detail.


Assistant Director of Nursing (ADON) Pay Scale 2026

PointAnnual Salary (€)
174,299
276,901
379,610
482,426
LSI85,346

Director of Nursing (DON) Pay Scale 2026

Director of Nursing salaries vary by the size of the hospital or service. The scale below is for a standard DON post.

PointAnnual Salary (€)
185,346
288,393
391,559
LSI94,862

Midwife Pay Scale 2026

Staff Midwives are paid on the same scale as Staff Nurses. For specialist and advanced midwifery roles:

GradeSalary Range (€)
Staff Midwife38,166 – 56,592 (LSI)
Enhanced MidwifeSee February 2026 circular
Senior Enhanced MidwifeSee February 2026 circular
CNM1 (Midwifery)57,780 – 68,046
CNM2 (Midwifery)62,699 – 79,227 (LSI)
CNM3 (Midwifery)72,146 – 81,478

Key Allowances for INMO Members in 2026

In addition to basic pay, nurses and midwives may receive:

AllowanceRate (2026)
Night duty premium25% of hourly rate
Weekend premium (Saturday)25% of hourly rate
Weekend premium (Sunday)50% of hourly rate
Public holiday premiumDouble time
On-call allowancePer circular rate
Location allowance (Dublin)Applicable to some grades

INMO Pay Scales vs HSE Consolidated Pay Scales — What’s the Difference?

There is no separate “INMO pay scale document.” The INMO negotiates on behalf of its members through national collective bargaining, and the agreed rates are published by the HSE in its Consolidated Pay Scales circulars.

When you see someone refer to “INMO pay scales,” they are referring to the nursing and midwifery sections of the HSE Consolidated Pay Scales — specifically the grades that INMO represents.

The INMO does not cover:

  • Healthcare Assistants (represented by SIPTU/Forsa)
  • Clerical and administrative staff (Forsa)
  • Doctors (IMO)

How to Progress Up the Pay Scale

  1. Annual increment: Nurses receive one increment per year of satisfactory service until they reach the scale maximum.
  2. Long Service Increment (LSI): After reaching the scale maximum, nurses can earn one or more LSIs at defined service intervals — confirm the number of LSIs for your grade with the current HSE circular.
  3. Promotion: Moving to a higher grade (e.g., Staff Nurse → CNM1) places you at the appropriate point on the new grade’s scale, usually at a salary not less than your current salary.

When Will the Next Pay Increase Be Applied?

The next general round increase is 1% effective 1 June 2026 — the final increase under the Public Service Agreement 2024–2026. This agreement runs from January 2024 to 30 June 2026 and provides a total basic pay increase of 9.25% over 30 months.

After June 2026, future increases will depend on negotiations for a successor agreement between the INMO, other public sector unions, and the Department of Public Expenditure.

Monitor hse.ie/eng/staff/resources/pay or the INMO website for circular updates.


Frequently Asked Questions

Q: What is the starting salary for a newly qualified nurse in Ireland in 2026?
A: €38,166 per annum at Point 1 of the Staff Nurse scale (February 2026 rates).

Q: How long does it take to reach the top of the nurse pay scale?
A: The scale has 12 incremental points plus a Long Service Increment (LSI). It typically takes 11–12 years of satisfactory service to reach the scale maximum, with the LSI available after that.

Q: Do agency nurses get the same pay as HSE nurses?
A: Agency nurses are not employed by the HSE and their rates are set by their agency. HSE INMO pay scales apply to directly employed HSE staff.

Q: Can previous nursing experience be credited on the pay scale?
A: Yes. Previous relevant experience as a registered nurse is typically credited on appointment. Each year of relevant experience equates to one point on the scale.

Q: Where can I find the official INMO/HSE pay circular?
A: Search “HSE HR Circular” on hse.ie or visit the INMO website (inmo.ie) for the most current published rates.

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Pay figures verified against the HSE Consolidated Salary Scales, 2026. See the summary table at the top for the current range.

Frequently asked questions

What is the staff nurse pay scale in Ireland for 2026?
As of the 1 June 2026 HSE pay scale, a staff nurse earns from €38,166 to €56,592 per year across 13 increment points, before long-service increments.
How much does a Clinical Nurse Manager (CNM) earn in Ireland in 2026?
On the 2026 HSE scale a CNM1 earns €57,780 – €68,046, a CNM2 €62,699 – €79,227, and a CNM3 €72,146 – €81,478 per year.
What is the enhanced nurse pay scale in 2026?
The enhanced nurse and enhanced midwife scale runs from €45,259 to €58,424 per year in 2026.
How much does an Advanced Nurse Practitioner earn?
An Advanced Nurse or Midwife Practitioner earns €72,843 – €89,894 per year on the 2026 HSE scale.
When did nurse pay last increase in Ireland?
The most recent increase took effect on 1 June 2026 under the Public Service Agreement 2024–2026 — a 1% rise, the final general adjustment of that agreement.

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