KnowMyPay
NHS Agenda for Change

NHS Band 8c entry point pay in 2026/27

The entry point of NHS Band 8c pays £79,504 a year in England from 1 April 2026, which is £6,625 a month before deductions. Take-home is about £4,226 a month after income tax, National Insurance and the 12.5% pension tier that applies at this salary. Source: NHS Employers.

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

NHS Band 8c entry point: pay and deductions

YearlyMonthlyWeekly
Basic pay£79,504£6,625£1,529
Pension at 12.5%£9,938£828£191
Income tax£15,258£1,272£293
National Insurance£3,601£300£69
Take-home pay£50,707£4,226£975

Deductions take 36.2% of basic pay at this point. Pension contributions come off before income tax is worked out, so the £9,938 paid into the scheme reduces taxable pay to £69,566 and costs less than its face value. National Insurance is charged on the full £79,504.

Which pension tier applies at £79,504?

The NHS Pension Scheme charges a tiered member contribution on actual annual pensionable pay, not on the full-time equivalent. At £79,504 the rate is 12.5%, in the band above £67,668 and up to no upper limit. The tiers are set by NHS Employers and were unchanged for 2026/27.

Pensionable payMember contributionApplies here
Up to £13,259 5.2% No
£13,259 to £28,854 6.5% No
£28,854 to £35,155 8.3% No
£35,155 to £52,778 9.8% No
£52,778 to £67,668 10.7% No
Above £67,668 12.5% Yes

The full tier table and the effect of a pay rise that crosses a tier boundary are set out on the NHS pension calculator. Source: NHS Employers, NHS Pension Scheme member contributions.

NHS Band 8c entry point with a London supplement

A high cost area supplement is a percentage of basic pay with a cash floor and ceiling, paid on top of the band. It is pensionable, so it also decides the pension tier.

AreaSupplementTotal payPension tierTake-home a month
Rest of England None £79,504 12.5% £4,226
Fringe (5%) £2,270 £81,774 12.5% £4,321
Outer London (15%) £6,137 £85,641 12.5% £4,484
Inner London (20%) £8,746 £88,250 12.5% £4,594

NHS Band 8c entry point part time

Part-time pay is the full-time figure scaled by contracted hours over 37.5. The pension tier follows actual pay rather than the full-time equivalent, which is why a part-time contract can sit in a lower tier: at 22.5 hours the rate falls from 12.5% to 9.8%.

Hours a weekBasic payPension rateTake-home a yearA month
15£31,8028.3%£24,305£2,025
22.5£47,7029.8%£34,125£2,844
30£63,60310.7%£43,364£3,614
37.5£79,50412.5%£50,707£4,226

NHS Band 8c entry point with a student loan

Repayments are 9% of pay above the plan threshold, taken through payroll after income tax and National Insurance. Pension contributions do not reduce the pay a student loan is charged on.

PlanThresholdRepayment a yearA monthTake-home after loan
Plan 1£26,900£4,734£395£45,973
Plan 2£29,385£4,511£376£46,196
Plan 4 (Scotland)£33,795£4,114£343£46,593
Plan 5£25,000£4,905£409£45,802

The student loan repayment calculator covers every plan, including the postgraduate loan at 6%.

What is different in Scotland, Wales and Northern Ireland

Agenda for Change is a United Kingdom framework, but each country negotiates its own pay scale, so the cash figures above apply to England only. Scotland, Wales and Northern Ireland publish their own circulars, and their band values and the number of spine points can differ from the England scale in the same year. Check the figure for your country against your own health service before relying on it.

Income tax also differs. If £79,504 were paid in Scotland, Scottish rates would take £17,200 in income tax against £15,258 in England, so take-home would be about £48,766, £1,941 a year less. National Insurance and the pension tier are the same across the United Kingdom. The Scottish income tax calculator shows the band-by-band working.

Moving up from this point

Movement through the points inside a band happens after a set period in the role, subject to the appraisal requirements in the pay progression framework. Moving to a higher band requires a different post.

StepBasic payTake-home a month
Band 8b, top point£77,368£4,136
Band 8c, entry point£79,504£4,226
Band 8c, intermediate point£84,346£4,429

Work out your own figure

The tables above assume full-time hours, the standard tax code, no student loan and no unsocial hours payment. Open the NHS pay calculator to set your own band, point, hours, London area and student loan plan, or read the guide to the 2026/27 NHS pay bands for how the scale is structured.

Common questions

How much is NHS Band 8c entry point a year?

£79,504 a year for full-time work of 37.5 hours a week in England, on the Agenda for Change scale effective 1 April 2026. That is £6,625 a month before deductions.

What is NHS Band 8c entry point after tax?

About £50,707 a year, or £4,226 a month, after £15,258 income tax, £3,601 National Insurance and £9,938 in pension contributions at the 12.5% tier.

What pension contribution applies at £79,504?

12.5% of pensionable pay. The NHS Pension Scheme charges a tiered rate on actual annual pensionable pay, and £79,504 falls in the band above £67,668.

What does NHS Band 8c entry point pay in London?

Inner London adds a high cost area supplement of £8,746, giving £88,250. Outer London gives £85,641 and the fringe £81,774.

What is NHS Band 8c entry point per hour?

£40.77 an hour of basic pay, on 37.5 hours a week across 52 weeks, or about £26.00 an hour after tax, National Insurance and pension.

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. Check your own circumstances against a payslip before acting on them.