England · Agenda for Change · 3.3% pay award from 1 April 2026

Band 3 NHS pay 2026/27

Band 3 covers experienced support roles with additional responsibility, such as senior healthcare assistants and administrative roles. It has two pay steps.

Senior healthcare assistantEmergency care assistantWard clerkMedical secretary (entry)

Band 3 pay steps

Full-time annual salary (37.5 hours/week, England). The 2026/27 rates include the 3.3% award effective 1 April 2026.

Pay step2025/262026/27IncreaseHourly (26/27)
Entry (< 2 years)£24,937£25,760+£823£13.17
Top (2+ years)£26,598£27,476+£878£14.05

Band 3 take-home pay 2026/27

Estimated deductions at each pay step, assuming NHS Pension membership, standard tax code (1257L), no student loan and no other deductions.

Pay stepGrossPensionIncome taxNat. InsuranceTake-home / yearTake-home / month
Entry (< 2 years)£25,760£1,674 (6.5%)£2,303£1,055£20,727£1,727
Top (2+ years)£27,476£1,786 (6.5%)£2,624£1,192£21,874£1,823
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Band 3 pay: quick answers

How much does a Band 3 earn in the NHS in 2026/27?+

In England, NHS Band 3 pay in 2026/27 runs from £25,760 at entry to £27,476 at the top step (full-time, 37.5 hours a week), including the 3.3% Agenda for Change pay award.

What is the monthly take-home pay for a Band 3 in 2026/27?+

Estimated take-home pay for a full-time Band 3 is roughly £1,727 to £1,823 a month depending on pay step, assuming NHS Pension membership, tax code 1257L and no student loan.

What is the Band 3 hourly rate in 2026/27?+

The full-time equivalent hourly rate for Band 3 ranges from £13.17 to £14.05 before deductions, based on 37.5 hours a week.

Sources & data checks

Salaries on this page are the official Agenda for Change pay scales for England published by NHS Employers. Deductions are calculated from HMRC 2026/27 tax and National Insurance thresholds and the NHS Pension member contribution tiers. Every figure is re-checked by an independent calculation before publication — last reviewed 17 July 2026.

How we verify our figures