KnowMyPay
NHS Agenda for Change

NHS pay bands and take-home pay, 2026/27

Agenda for Change runs from £25,272 at the bottom of Band 2 to £129,783 at the top of Band 9 for full-time work in England, on the scale effective 1 April 2026 after a 3.3 per cent award. Each band has its own page with take-home pay, the pension tier that applies at that salary and the London supplement. Source: NHS Employers.

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

NHS pay bands 2026/27, Band 2 to Band 9

BandPointsBottom of bandTop of bandTake-home a month, bottomTake-home a month, top
NHS Band 2 1 £25,272 £25,272 £1,700 £1,700
NHS Band 3 2 £25,760 £27,476 £1,727 £1,823
NHS Band 4 2 £28,392 £31,157 £1,874 £1,990
NHS Band 5 3 £32,073 £39,043 £2,040 £2,381
NHS Band 6 3 £39,959 £48,117 £2,430 £2,866
NHS Band 7 3 £49,387 £56,515 £2,934 £3,309
NHS Band 8a 3 £57,528 £64,750 £3,353 £3,663
NHS Band 8b 3 £66,582 £77,368 £3,742 £4,136
NHS Band 8c 3 £79,504 £91,609 £4,226 £4,735
NHS Band 8d 3 £94,356 £108,814 £4,851 £5,459
NHS Band 9 3 £112,782 £129,783 £5,626 £6,115

Take-home is after income tax, National Insurance and the tiered pension contribution, on the standard tax code with no student loan. Unsocial hours payments, overtime and recruitment premia are excluded, and they can be a large part of pay in shift-working roles.

Every pay point, band by band

Each point has its own page, because the pension tier, the tax band and the student loan position can all differ between two points in the same band.

NHS Band 2

  • Single point: £25,272

NHS Band 3

NHS Band 4

NHS Band 5

NHS Band 6

NHS Band 7

NHS Band 8a

NHS Band 8b

NHS Band 8c

NHS Band 8d

NHS Band 9

Pension contribution tiers

The rate is set by actual annual pensionable pay for the post, not by the full-time equivalent, so a part-time contract can sit in a lower tier than the band suggests. Contributions come off before income tax.

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.

High cost area supplements

A supplement is paid on top of basic pay in and around London, as a percentage of basic pay between a cash floor and a cash ceiling. It is pensionable and counts towards the pension tier.

AreaPercentage of basic payMinimumMaximum
Inner London20%£5,794£8,746
Outer London15%£4,870£6,137
Fringe5%£1,346£2,270

Scotland, Wales and Northern Ireland

Agenda for Change covers the whole United Kingdom, but each country negotiates its own pay scale, so the cash figures on these pages apply to England. The band structure is broadly similar, but the values and the number of points in a band can differ in the same year, and Scotland has in some years agreed a different number of points. Check your own country's circular before relying on a figure. Income tax also differs in Scotland, which the Scottish income tax calculator covers.

Work out your own figure

These pages are the clean case: full-time hours, the standard tax code and no student loan. 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 put together.

Common questions

What are the NHS pay bands in 2026/27?

Agenda for Change runs from Band 2 at £25,272 to Band 9 at £129,783 for full-time work in England, on the scale effective 1 April 2026 following a 3.3 per cent award.

How many pay points are in an NHS band?

It varies. Band 2 has one point, Bands 3 and 4 have two, and Bands 5 to 9 have three each. Movement between points follows the pay progression framework.

How much pension do NHS staff pay?

Between 5.2% and 12.5% of pensionable pay, on a tiered scale set by actual annual pensionable pay rather than the full-time equivalent.

Do NHS pay bands include London weighting?

No. A high cost area supplement is paid on top of the band: 20 per cent in inner London, 15 per cent in outer London and 5 per cent on the fringe, each with a cash floor and ceiling. It is pensionable.

Are NHS pay bands the same across the United Kingdom?

No. Agenda for Change is a United Kingdom framework, but Scotland, Wales and Northern Ireland negotiate their own scales, so the cash values differ from England in the same year.

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.