Clinical Nurse Specialist (CNS) Salary in Ireland
Pay scale €62,699–€79,227 a year · registration: NMBI
Verified against the HSE Consolidated Salary Scales (Department of Health Circular 2/2026), effective 1 June 2026.
Quick answer: A Clinical Nurse Specialist (CNS) in the HSE earns between €62,699 and €79,227 per year on the 2026 pay scale, effective 1 June 2026.
An expert nurse in a specific clinical area (e.g. diabetes, respiratory, palliative care) delivering specialist assessment and care.
The Clinical Nurse Specialist (CNS) salary follows the national HSE pay scale — a fixed incremental scale from €62,699 (starting point) to €79,227 (top of scale). You move up one increment for each year of satisfactory service, plus any long-service increments and qualification or location allowances that apply to the post.
Clinical Nurse Specialist (CNS) pay scale — point by point
Effective 1 June 2026. Take-home is an estimate for a single PAYE employee at 2026 rates.
| Point | Annual salary | Take-home / year | / month |
|---|---|---|---|
| 1 | €62,699 | €46,349 | €3,862 |
| 2 | €63,737 | €46,896 | €3,908 |
| 3 | €64,615 | €47,360 | €3,947 |
| 4 | €66,048 | €48,116 | €4,010 |
| 5 | €67,633 | €48,952 | €4,079 |
| 6 | €69,189 | €49,773 | €4,148 |
| 7 | €70,745 | €50,559 | €4,213 |
| 8 | €72,497 | €51,396 | €4,283 |
| 9 | €74,123 | €52,172 | €4,348 |
| 10 | €76,921 | €53,509 | €4,459 |
| 11 | €79,227 | €54,610 | €4,551 |
You start near the bottom and move up one point a year. Top-of-scale points may include long-service increments (LSIs), reached after service at the maximum. See your year-by-year progression →
Estimate your take-home pay
Prefilled at this grade’s scale midpoint — adjust to any point.
Estimated take-home
€4,222 /month
€50,663/year · €1,949/fortnight · €974/week
- Gross
- €5,914
- − Income tax (PAYE)
- −€1,299
- − USC
- −€142
- − PRSI
- −€251
- Net /month
- €4,222
- Effective deduction rate
- 28.6%
Estimate for a PAYE employee at 2026 rates — income tax, USC and PRSI, with the status, pension, age and medical-card options you set. Simplified (other credits, reliefs and marginal age relief not modelled). Fortnightly = annual ÷ 26. Not tax advice; check revenue.ie for your exact figures.
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Frequently asked questions
- How much does a Clinical Nurse Specialist (CNS) earn in Ireland?
- The HSE Clinical Nurse Specialist (CNS) pay scale runs from €62,699 to €79,227 a year. You start near the bottom and move up the scale with each year of service.
- What is the take-home pay for a Clinical Nurse Specialist (CNS)?
- At the scale midpoint (€70,963), a single employee takes home about €50,663 a year (€4,222 a month) after income tax, USC and PRSI. Use the calculator above for the exact figure at any point on the scale.
- What qualifications does a Clinical Nurse Specialist (CNS) need?
- The role requires registration with NMBI (or eligibility to register). Specific qualification requirements are set in each campaign — always check the listing.