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Nursing & Midwifery · HSE

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.

PointAnnual salaryTake-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.

€
Show take-home per
Tax year

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.

Live Clinical Nurse Specialist (CNS) vacancies 58

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.