Band 8d NHS pay 2026/27
Band 8d covers directors and the most senior clinical and managerial leaders below board level. It has three pay steps across roughly five years.
Band 8d 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 step | 2025/26 | 2026/27 | Increase | Hourly (26/27) |
|---|---|---|---|---|
| Entry (< 2 years) | £91,342 | £94,356 | +£3,014 | £48.25 |
| 2+ years | £96,941 | £100,140 | +£3,199 | £51.21 |
| Top (5+ years) | £105,337 | £108,814 | +£3,477 | £55.65 |
Band 8d 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 step | Gross | Pension | Income tax | Nat. Insurance | Take-home / year | Take-home / month |
|---|---|---|---|---|---|---|
| Entry (< 2 years) | £94,356 | £11,795 (12.5%) | £20,457 | £3,898 | £58,207 | £4,851 |
| 2+ years | £100,140 | £12,518 (12.5%) | £22,481 | £4,013 | £61,128 | £5,094 |
| Top (5+ years) | £108,814 | £13,602 (12.5%) | £25,517 | £4,187 | £65,508 | £5,459 |
Add student loan, switch tax year or turn pension off in the calculator.
Band 8d pay: quick answers
How much does a Band 8d earn in the NHS in 2026/27?+
In England, NHS Band 8d pay in 2026/27 runs from £94,356 at entry to £108,814 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 8d in 2026/27?+
Estimated take-home pay for a full-time Band 8d is roughly £4,851 to £5,459 a month depending on pay step, assuming NHS Pension membership, tax code 1257L and no student loan.
What is the Band 8d hourly rate in 2026/27?+
The full-time equivalent hourly rate for Band 8d ranges from £48.25 to £55.65 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.