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📅 Updated with 2026/27 Agenda for Change rates — effective 1 April 2026.

NHS Band 8a Salary 2026/27

Band 8a pays £57,528–£64,750 a year under Agenda for Change in England from 1 April 2026. Full-time take-home pay is about £3,147 a month at entry, rising to £3,432 at the top.

Band 8a pay points and take-home pay

Pay pointAnnualMonthly grossHourlyTake-home / month
Entry£57,528£4,794£29.40£3,147
Intermediate£60,417£5,035£30.88£3,261
Top£64,750£5,396£33.09£3,432

Full-time 37.5 hours a week. Take-home after income tax (1257L), National Insurance and NHS pension. Excludes student loan and unsocial hours.

Band 8a deductions at entry

Income tax

£10,443

National Insurance

£3,161

NHS pension

£6,156

Take-home (year)

£37,768

Band 8a London weighting (HCAS)

AreaEntry with HCASTop with HCAS
Inner London£66,274£73,496
Outer London£63,665£70,887
Fringe£59,798£67,020

Who is on Band 8a?

Typical Band 8a roles include consultant practitioners, modern matrons, service managers and principal clinicians. Band 8a has three pay points: entry, after 2 years and after 5 years.

Calculate your exact Band 8a take-home pay

Band 8a pay questions

How much is NHS Band 8a pay in 2026/27?

Band 8a pays £57,528–£64,750 a year for a full-time (37.5 hour) role in England from 1 April 2026.

What is the Band 8a hourly rate?

The Band 8a hourly rate is £29.40 at entry, rising to £33.09 at the top pay point, before tax.

What is Band 8a take-home pay per month?

A full-time Band 8a employee takes home about £3,147 a month at entry and £3,432 at the top point, after tax, National Insurance and NHS pension (tax code 1257L, no student loan).

How do you progress through Band 8a?

Band 8a has three pay points: entry, after 2 years and after 5 years.

NHS salary by band 2026/27

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