Cash vs Benefits: Private homes pay higher hourly rates (approx £22/hr) but rarely offer good sick pay or pensions
Key Duty: You are the sole clinical expert on shift responsible for all medical needs without a doctor on site
Requirement: You must have a Nursing Degree and active NMC Registration
What is a Care Home Nurse?
A Registered Nurse is a registered clinical professional who leads clinical care and manages complex medical conditions for residents. In a hospital you have doctors nearby. In a care home you are often the only clinically trained person in the building. You make the decisions. You lead the team of care assistants and manage complex medical conditions for up to 30 residents at once. Many nurses start as Nursing Associates - see our career progression guide.
What is the salary for a Registered Nurse in 2026?
The salary for a Registered Nurse is between £38,000 and £48,000 per year.
Employer Type
Hourly Rate
Yearly Salary
Private Care Home
£19.50 to £25.00
£38,000 to £48,000
NHS Band 5
£15.92 to £19.38
£31,049 to £37,796
Agency Nurse
£25.00 to £45.00
Variable
The cash salary in private care is significantly higher. However you must consider the 'Total Package'. The NHS offers 6 months full sick pay and a pension contribution of over 20 percent. Private homes usually offer statutory sick pay (just £116 per week) and a minimal 3 percent pension.
What are the main duties of a Registered Nurse?
The main duties of a Registered Nurse are clinical leadership, complex care management, medication responsibility, and emergency decision-making.
Clinical Leadership: You direct the care assistants and ensure they follow care plans
Complex Care: You manage catheters, PEG feeds, and syringe drivers for end of life care
Medication: You are legally responsible for the safe storage and administration of drugs
Emergencies: You make the decision to call an ambulance or GP when a resident is sick
What qualifications do I need to become a Registered Nurse?
You cannot do this job without a professional licence. There are no shortcuts.
Bachelor of Science Degree in Nursing usually 3 years at university
Active Registration with the Nursing and Midwifery Council (NMC)