KnowMyPay
NHS Agenda for Change

NHS Band 8b pay in 2026/27

NHS Band 8b runs from £66,582 to £77,368 a year in England from 1 April 2026, across 3 pay points. Take-home at the bottom of the band is about £3,742 a month and at the top about £4,136 a month, after income tax, National Insurance and pension. Source: NHS Employers.

Data as of 1 April 2026 · England · 37.5 hour week · standard 1257L tax code · last reviewed 2026-09-06

Every pay point on NHS Band 8b

Pay pointBasic payPension rateTake-home a yearA month
Entry point £66,582 10.7% £44,900 £3,742
Intermediate point £70,896 12.5% £46,360 £3,863
Top point £77,368 12.5% £49,628 £4,136

The band spans £10,786 from bottom to top. Each point has its own page with the full working, the London supplement, part-time figures and the student loan position at that salary.

Pension contributions on NHS Band 8b

The NHS Pension Scheme charges a tiered member contribution on actual annual pensionable pay. The bottom of the band pays 10.7% and the top pays 12.5%, because the band crosses a tier boundary. Contributions are taken before income tax, so the cost to take-home pay is less than the headline percentage.

Pensionable payMember contribution
Up to £13,259 5.2%
£13,259 to £28,854 6.5%
£28,854 to £35,155 8.3%
£35,155 to £52,778 9.8%
£52,778 to £67,668 10.7%
Above £67,668 12.5%

Source: NHS Employers, NHS Pension Scheme member contributions. The NHS pension calculator shows what the contribution builds up.

NHS Band 8b with a London supplement

A high cost area supplement is a percentage of basic pay between a cash floor and a cash ceiling. It is pensionable and it counts towards the pension tier.

Pay pointRest of EnglandFringeOuter LondonInner London
Entry point £66,582 £68,852 £72,719 £75,328
Intermediate point £70,896 £73,166 £77,033 £79,642
Top point £77,368 £79,638 £83,505 £86,114

What is different in Scotland, Wales and Northern Ireland

Agenda for Change is a United Kingdom framework, but pay is negotiated separately in each country, so the cash values above are the England scale only. Scotland, Wales and Northern Ireland publish their own scales, and the band values and the number of points in a band can differ in the same year. Income tax also differs in Scotland: at £66,582 Scottish rates would leave about £43,161 against £44,900 in England. The Scottish income tax calculator shows the working.

Bands either side of Band 8b

BandBottom of bandTop of band
NHS Band 8a£57,528£64,750
NHS Band 8b£66,582£77,368
NHS Band 8c£79,504£91,609

Work out your own figure

The tables assume full-time hours, the standard tax code and no student loan, and they exclude unsocial hours payments and overtime. Open the NHS pay calculator to set your own band, point, hours, London area and loan plan, or read the guide to the 2026/27 NHS pay bands.

Common questions

How much does NHS Band 8b pay?

£66,582 at the bottom of the band and £77,368 at the top, for full-time work in England on the scale effective 1 April 2026. There are 3 pay points.

What is NHS Band 8b after tax?

Between about £3,742 and £4,136 a month depending on the pay point, after income tax, National Insurance and a pension contribution of 10.7% to 12.5%.

How long does it take to move up NHS Band 8b?

Movement between the 3 points follows the pay progression framework, which sets a period in the role and appraisal requirements before each step. The full span of the band is £10,786.

What is NHS Band 8b in London?

Inner London adds £8,746 to the bottom of the band, giving £75,328. Outer London gives £72,719 and the fringe £68,852.

What is NHS Band 8b per hour?

£34.14 an hour at the bottom of the band and £39.68 at the top, on 37.5 hours a week across 52 weeks.

Sources & Rate Verification

Rates verified against official statutory guidance on 6 September 2026.

Information, not financial advice. Pay figures are the England Agenda for Change scale effective 1 April 2026; tax figures use the published 2026/27 rates for England, Wales and Northern Ireland on the standard tax code. Unsocial hours payments, overtime and recruitment premia are not included.