Band 8d NHS pay 2026/27
Band 8d Agenda for Change pay in England is £94,356 to £108,814 a year from 1 April 2026.
- Updated for 2026/27
- Official NHS and HMRC figures
- Checked 20 October 2026
| Pay point | Salary | Hourly | Take-home / month | Pension rate | Locum break-even | Inc. pension |
|---|---|---|---|---|---|---|
| Entry (2 years) | £94,356 | £48.26 | £4,851 | 12.5% | £48.69 | £84.37 |
| Intermediate (3 years) | £100,140 | £51.21 | £5,094 | 12.5% | £51.67 | £89.63 |
| Top | £108,814 | £55.65 | £5,459 | 12.5% | £56.15 | £97.51 |
Full-time (37.5 hours a week), England income tax, NHS Pension Scheme member, no student loan. Locum break-even rates are PAYE hourly rates that match yearly take-home over the same hours actually worked (35 days' paid leave). "Inc. pension" also makes up for the value of NHS pension contributions.
Typical Band 8d roles
Roles are banded locally using the NHS Job Evaluation Handbook, so the same job title can sit in different bands at different employers. Typical Band 8d roles include:
- Deputy director
- Head of psychology services
Band 8d vs locum and bank work
A Band 8d salary of £94,356 works out at £48.26 an hour. But that salary also pays you for 35 days of leave and comes with an employer pension contribution of 23.7%. A locum or agency shift needs to pay about £48.69 an hour (PAYE) to give the same take-home pay over a year, and about £84.37 to make up for the pension too.
Compare a Band 8d salary with your own locum rate or work out your exact take-home pay.
Unsocial hours
Band 8d staff working unsocial hours get +30% for Saturdays and weekday nights (8pm to 6am) and +60% for Sundays and public holidays. At the entry point that's £62.74 and £77.22 an hour.
Frequently asked questions
- How much is Band 8d NHS pay in 2026/27?
- Band 8d pay in England is £94,356 to £108,814 a year from 1 April 2026, which is £48.26 to £55.65 an hour for a 37.5-hour week.
- What is Band 8d take-home pay a month?
- A full-time Band 8d employee in England in the NHS Pension Scheme takes home about £4,851 a month at the entry point and £5,459 at the top, with no student loan.
- What locum or agency rate matches a Band 8d salary?
- To take home the same as a Band 8d entry-point salary over the same hours actually worked, a PAYE locum needs about £48.69 an hour, or £84.37 an hour to also make up for the NHS pension.
- How long does it take to reach the top of Band 8d?
- Band 8d has 3 pay points. You move from entry to the next point after 2 years and to the top after a further 3 years, so about 5 years in total.
Other bands
Band 1 · Band 2 · Band 3 · Band 4 · Band 5 · Band 6 · Band 7 · Band 8a · Band 8b · Band 8c · Band 9
Sources
- Pay scales for 2026/27 (Agenda for Change), NHS Employers. Checked 20 October 2026.
- NHS Terms and Conditions of Service Handbook (version 63), NHS Employers. Checked 20 October 2026.
- Pay and contributions, NHS Business Services Authority. Checked 20 October 2026.
- Income Tax rates and Personal Allowances, GOV.UK. Checked 20 October 2026.
Last updated .