NHS Band 8D take-home pay 2026/27
Band 8D runs from £94,356 to £108,814 in 2026/27. What matters is not the range but what each point leaves you, and the pension tier changes as you move up it.
That is £58,208 a year, after the NHS pension tier, income tax and National Insurance.
- Gross
- £94,356
- Pension tier
- 12.5%
- Income tax
- £20,457
- Marginal rate
- 42.0%
| A year | A month | |
|---|---|---|
| Basic pay | £94,356.00 | £7,863.00 |
| Gross pay | £94,356.00 | £7,863.00 |
| NHS pension at 12.5% | £-11,794.50 | £-982.88 |
| Income tax | £-20,456.60 | £-1,704.72 |
| National Insurance | £-3,897.12 | £-324.76 |
| Take-home pay | £58,207.78 | £4,850.65 |
Every pay point on Band 8D
| Pay point | Salary | Pension tier | Pension a year | Take-home a year | A month |
|---|---|---|---|---|---|
| Entry | £94,356 | 12.5% | £11,794 | £58,208 | £4,850.65 |
| 2 years | £100,140 | 12.5% | £12,518 | £61,129 | £5,094.06 |
| 5 years | £108,814 | 12.5% | £13,602 | £65,509 | £5,459.09 |
Three pay points, with steps at two and five years' service.
Band 8D in and around London
| Area | Basic | Supplement | Gross | Take-home | A month |
|---|---|---|---|---|---|
| Inner London | £108,814 | £8,746 | £117,560 | £69,353 | £5,779.40 |
| Outer London | £108,814 | £6,137 | £114,951 | £68,492 | £5,707.65 |
| London fringe | £108,814 | £2,270 | £111,084 | £66,655 | £5,554.62 |
| Outside a high cost area | £108,814 | £0 | £108,814 | £65,509 | £5,459.09 |
Who is on Band 8D
Typically director of nursing (smaller trust), head of division. Job titles vary between trusts and the same title can sit on different bands in different places, so treat this as indicative rather than definitive.
Moving off Band 8D
Moving from the top of Band 8D to the entry point of Band 9 is a gross rise of £3,968. After tax, National Insurance and a pension tier that goes from 12.5% to 12.5%, the net gain is £2,004 a year — about £166.99 a month. The Band 8D to Band 9 page works through it in full.
Also worth reading: the part-time calculator shows what each fraction leaves you.
These are the England Agenda for Change scales. Scotland received a different award (3.75%) applied to a re-based 2025/26 starting point and uses a different band point structure, so Scottish salaries are not England's figures plus a percentage. Wales received the same 3.3% headline but negotiates its own terms. Northern Ireland had not announced a 2026/27 award at the time of writing. We have not published Scottish, Welsh or Northern Irish scales here because we could not confirm them from a primary source, and a wrong salary is worse than no salary. Check your own nation's circular before relying on a figure.
Questions people actually ask
How much is Band 8D a month?
At the entry point, about £4,850.65 a month after the pension, tax and National Insurance. At the top of the band, about £5,459.09.
When do I move up a pay point on Band 8D?
Three pay points, with steps at two and five years' service.
What pension tier am I on?
On Band 8D it is 12.5% at the entry point and 12.5% at the top, based on actual pensionable pay. Adding a high cost area supplement or unsocial hours can push you into the next tier — the tier trap page explains why that matters.
Figures on this page are for the 2026/27 tax year (6 April 2026 to 5 April 2027) and were last checked on 29 August 2026. Every rate we use is listed on the sources page.