CONMESS Salary Structure 2026
The Consolidated Medical Salary Structure (CONMESS) is the approved pay scale for medical and dental officers in Nigerian public service. Below is a comprehensive breakdown of grade levels, step increments, and allowances.
Entry Level (House Officer)
₦632,886
Monthly gross at Step 1
Mid-Career (Senior Registrar)
₦1,105,911
Monthly gross at Step 1
Senior (Consultant)
₦1,504,410
Monthly gross at Step 1
Grade Levels and Step Increments
Each CONMESS grade has 6 steps. Doctors advance one step per year of satisfactory service. Promotion to the next grade requires meeting specific criteria (exams, years of service).
CONMESS 01
House Officer
| Component | Step 1 | Step 2 | Step 3 | Step 4 | Step 5 | Step 6 |
|---|---|---|---|---|---|---|
| Basic Salary | ₦254,616 | ₦261,099 | ₦267,582 | ₦274,065 | ₦280,548 | ₦287,031 |
| Housing (50%) | ₦127,308 | ₦130,550 | ₦133,791 | ₦137,033 | ₦140,274 | ₦143,516 |
| Transport (25%) | ₦63,654 | ₦65,275 | ₦66,896 | ₦68,516 | ₦70,137 | ₦71,758 |
| Hazard (50%) | ₦127,308 | ₦130,550 | ₦133,791 | ₦137,033 | ₦140,274 | ₦143,516 |
| Call Duty Allowance | ₦60,000 | ₦60,000 | ₦60,000 | ₦60,000 | ₦60,000 | ₦60,000 |
| Total Gross (excl. rural) | ₦632,886 | ₦647,473 | ₦662,060 | ₦676,646 | ₦691,233 | ₦705,820 |
Basic (Step 1)
₦254,616
Basic (Step 6)
₦287,031
Gross (Step 1)
₦632,886
Gross (Step 6)
₦705,820
Call Duty
₦60,000
Hazard
50% of basic
CONMESS 02
Medical Officer (Grade II)
| Component | Step 1 | Step 2 | Step 3 | Step 4 | Step 5 | Step 6 |
|---|---|---|---|---|---|---|
| Basic Salary | ₦281,380 | ₦290,000 | ₦298,620 | ₦307,240 | ₦315,860 | ₦324,480 |
| Housing (50%) | ₦140,690 | ₦145,000 | ₦149,310 | ₦153,620 | ₦157,930 | ₦162,240 |
| Transport (25%) | ₦70,345 | ₦72,500 | ₦74,655 | ₦76,810 | ₦78,965 | ₦81,120 |
| Hazard (50%) | ₦140,690 | ₦145,000 | ₦149,310 | ₦153,620 | ₦157,930 | ₦162,240 |
| Call Duty Allowance | ₦70,000 | ₦70,000 | ₦70,000 | ₦70,000 | ₦70,000 | ₦70,000 |
| Rural Posting (if applicable) | ₦20,000 | ₦20,000 | ₦20,000 | ₦20,000 | ₦20,000 | ₦20,000 |
| Total Gross (excl. rural) | ₦703,105 | ₦722,500 | ₦741,895 | ₦761,290 | ₦780,685 | ₦800,080 |
Basic (Step 1)
₦281,380
Basic (Step 6)
₦324,480
Gross (Step 1)
₦703,105
Gross (Step 6)
₦800,080
Call Duty
₦70,000
Hazard
50% of basic
CONMESS 03
Medical Officer (Grade I) / Registrar
| Component | Step 1 | Step 2 | Step 3 | Step 4 | Step 5 | Step 6 |
|---|---|---|---|---|---|---|
| Basic Salary | ₦339,181 | ₦351,500 | ₦363,819 | ₦376,138 | ₦388,457 | ₦400,776 |
| Housing (50%) | ₦169,591 | ₦175,750 | ₦181,910 | ₦188,069 | ₦194,229 | ₦200,388 |
| Transport (25%) | ₦84,795 | ₦87,875 | ₦90,955 | ₦94,035 | ₦97,114 | ₦100,194 |
| Hazard (50%) | ₦169,591 | ₦175,750 | ₦181,910 | ₦188,069 | ₦194,229 | ₦200,388 |
| Call Duty Allowance | ₦80,000 | ₦80,000 | ₦80,000 | ₦80,000 | ₦80,000 | ₦80,000 |
| Rural Posting (if applicable) | ₦25,000 | ₦25,000 | ₦25,000 | ₦25,000 | ₦25,000 | ₦25,000 |
| Total Gross (excl. rural) | ₦843,157 | ₦870,875 | ₦898,593 | ₦926,311 | ₦954,028 | ₦981,746 |
Basic (Step 1)
₦339,181
Basic (Step 6)
₦400,776
Gross (Step 1)
₦843,157
Gross (Step 6)
₦981,746
Call Duty
₦80,000
Hazard
50% of basic
CONMESS 04
Senior Registrar
| Component | Step 1 | Step 2 | Step 3 | Step 4 | Step 5 | Step 6 |
|---|---|---|---|---|---|---|
| Basic Salary | ₦451,516 | ₦468,200 | ₦484,884 | ₦501,568 | ₦518,252 | ₦534,936 |
| Housing (50%) | ₦225,758 | ₦234,100 | ₦242,442 | ₦250,784 | ₦259,126 | ₦267,468 |
| Transport (25%) | ₦112,879 | ₦117,050 | ₦121,221 | ₦125,392 | ₦129,563 | ₦133,734 |
| Hazard (50%) | ₦225,758 | ₦234,100 | ₦242,442 | ₦250,784 | ₦259,126 | ₦267,468 |
| Call Duty Allowance | ₦90,000 | ₦90,000 | ₦90,000 | ₦90,000 | ₦90,000 | ₦90,000 |
| Rural Posting (if applicable) | ₦30,000 | ₦30,000 | ₦30,000 | ₦30,000 | ₦30,000 | ₦30,000 |
| Total Gross (excl. rural) | ₦1,105,911 | ₦1,143,450 | ₦1,180,989 | ₦1,218,528 | ₦1,256,067 | ₦1,293,606 |
Basic (Step 1)
₦451,516
Basic (Step 6)
₦534,936
Gross (Step 1)
₦1,105,911
Gross (Step 6)
₦1,293,606
Call Duty
₦90,000
Hazard
50% of basic
CONMESS 05
Consultant (Grade II)
| Component | Step 1 | Step 2 | Step 3 | Step 4 | Step 5 | Step 6 |
|---|---|---|---|---|---|---|
| Basic Salary | ₦624,182 | ₦649,500 | ₦674,818 | ₦700,136 | ₦725,454 | ₦750,772 |
| Housing (50%) | ₦312,091 | ₦324,750 | ₦337,409 | ₦350,068 | ₦362,727 | ₦375,386 |
| Transport (25%) | ₦156,046 | ₦162,375 | ₦168,705 | ₦175,034 | ₦181,364 | ₦187,693 |
| Hazard (50%) | ₦312,091 | ₦324,750 | ₦337,409 | ₦350,068 | ₦362,727 | ₦375,386 |
| Call Duty Allowance | ₦100,000 | ₦100,000 | ₦100,000 | ₦100,000 | ₦100,000 | ₦100,000 |
| Rural Posting (if applicable) | ₦35,000 | ₦35,000 | ₦35,000 | ₦35,000 | ₦35,000 | ₦35,000 |
| Total Gross (excl. rural) | ₦1,504,410 | ₦1,561,375 | ₦1,618,341 | ₦1,675,306 | ₦1,732,272 | ₦1,789,237 |
Basic (Step 1)
₦624,182
Basic (Step 6)
₦750,772
Gross (Step 1)
₦1,504,410
Gross (Step 6)
₦1,789,237
Call Duty
₦100,000
Hazard
50% of basic
CONMESS 06
Consultant (Grade I) / Chief Consultant
| Component | Step 1 | Step 2 | Step 3 | Step 4 | Step 5 | Step 6 |
|---|---|---|---|---|---|---|
| Basic Salary | ₦824,610 | ₦856,000 | ₦887,390 | ₦918,780 | ₦950,170 | ₦981,560 |
| Housing (50%) | ₦412,305 | ₦428,000 | ₦443,695 | ₦459,390 | ₦475,085 | ₦490,780 |
| Transport (25%) | ₦206,153 | ₦214,000 | ₦221,848 | ₦229,695 | ₦237,543 | ₦245,390 |
| Hazard (50%) | ₦412,305 | ₦428,000 | ₦443,695 | ₦459,390 | ₦475,085 | ₦490,780 |
| Call Duty Allowance | ₦120,000 | ₦120,000 | ₦120,000 | ₦120,000 | ₦120,000 | ₦120,000 |
| Rural Posting (if applicable) | ₦40,000 | ₦40,000 | ₦40,000 | ₦40,000 | ₦40,000 | ₦40,000 |
| Total Gross (excl. rural) | ₦1,975,373 | ₦2,046,000 | ₦2,116,628 | ₦2,187,255 | ₦2,257,883 | ₦2,328,510 |
Basic (Step 1)
₦824,610
Basic (Step 6)
₦981,560
Gross (Step 1)
₦1,975,373
Gross (Step 6)
₦2,328,510
Call Duty
₦120,000
Hazard
50% of basic
Salary Comparison by Role
How do salaries compare across career stages? This table summarizes the range for each role, from entry-level house officer to chief consultant.
| Role | Grade | Basic Salary Range | Gross Range | Est. Net Range | Years to Reach |
|---|---|---|---|---|---|
| House Officer | CONMESS 01 | N254,616 - N287,031 | N633,388 - N706,820 | N520,000 - N600,000 | 0 (entry level) |
| Medical Officer | CONMESS 02 | N281,380 - N324,480 | N703,450 - N800,600 | N580,000 - N680,000 | 1-2 years |
| Registrar | CONMESS 03 | N339,181 - N400,776 | N848,952 - N981,940 | N700,000 - N850,000 | 3-5 years |
| Senior Registrar | CONMESS 04 | N451,516 - N534,936 | N1,118,790 - N1,303,170 | N950,000 - N1,100,000 | 6-9 years |
| Consultant | CONMESS 05 | N624,182 - N750,772 | N1,505,409 - N1,788,463 | N1,250,000 - N1,500,000 | 10-14 years |
| Chief Consultant | CONMESS 06 | N824,610 - N981,560 | N1,975,375 - N2,323,900 | N1,650,000 - N1,950,000 | 15+ years |
House Officer
CONMESS 01Gross Range
N633,388 - N706,820
Est. Net Range
N520,000 - N600,000
Years to Reach
0 (entry level)
Medical Officer
CONMESS 02Gross Range
N703,450 - N800,600
Est. Net Range
N580,000 - N680,000
Years to Reach
1-2 years
Registrar
CONMESS 03Gross Range
N848,952 - N981,940
Est. Net Range
N700,000 - N850,000
Years to Reach
3-5 years
Senior Registrar
CONMESS 04Gross Range
N1,118,790 - N1,303,170
Est. Net Range
N950,000 - N1,100,000
Years to Reach
6-9 years
Consultant
CONMESS 05Gross Range
N1,505,409 - N1,788,463
Est. Net Range
N1,250,000 - N1,500,000
Years to Reach
10-14 years
Chief Consultant
CONMESS 06Gross Range
N1,975,375 - N2,323,900
Est. Net Range
N1,650,000 - N1,950,000
Years to Reach
15+ years
Understanding CONMESS Allowances
Housing Allowance (50%)
Calculated as 50% of basic salary. Paid to doctors who do not occupy government quarters.
Transport Allowance (25%)
25% of basic salary to cover transportation costs. Paid monthly alongside basic salary.
Hazard Allowance (50%)
50% of basic salary. Recognises the occupational health risks inherent in medical practice.
Call Duty Allowance
Fixed monthly amount that varies by grade. Compensates for after-hours on-call duties.
Rural Posting Allowance
Additional allowance for doctors posted to rural/underserved areas. Not paid in urban centres.
Specialist Allowance
Additional allowance for consultants with postgraduate fellowship qualifications (varies by institution).
Frequently Asked Questions
What is CONMESS?
CONMESS stands for Consolidated Medical Salary Structure. It is the approved salary scale for medical and dental officers employed in the Nigerian public sector, including federal and state government hospitals.
Does CONMESS apply to private hospitals?
No. CONMESS only applies to government-employed doctors. Private hospitals set their own pay scales, though many use CONMESS as a benchmark.
How often is CONMESS reviewed?
CONMESS reviews happen periodically, typically during broader public service salary negotiations. The last major review was implemented in 2023/2024.
Are these figures before or after tax?
The gross figures include all allowances but are before deductions (PAYE tax, pension contributions, NHF). Estimated net figures account for typical deductions but will vary by individual circumstances.
How do I move up steps?
You advance one step per year of satisfactory service within your current grade. Promotion to the next grade requires meeting criteria such as passing professional exams, completing residency requirements, or accumulating the required years of service.
What are doctors actually earning?
CONMESS is the official scale, but real take-home pay varies by facility. See what verified professionals report on CadreHealth.
Verify before you act
Exam fees, visa costs, and requirements change frequently. The information on this page was last reviewed in April 2026. Always confirm fees and requirements directly with the official body before making payments or decisions.
Exchange rates are approximate and fluctuate daily.