Band 8d NHS take-home pay 2026/27
Quick answer
Band 8d on the NHS Agenda for Change scale pays £94,356 to £108,814 a year (2026/27). After Income Tax, National Insurance and NHS pension contributions, that's a take-home pay of £58,207 to £65,508 a year. Typical roles: Deputy director, consultant-level lead.
Band 8d take-home (entry point)
£4,851
per month · £58,207/yr on the £94,356 entry point
Adjust for part-time or HCAS- Gross (entry point)
- £94,356
- NHS pension (12.5%)
- − £11,795
- Income Tax
- − £20,457
- National Insurance
- − £3,898
- Take-home pay
- £58,207
How much is Band 8d after tax?
Band 8d ranges from £94,356 at the entry point to £108,814 at the top of the band. On the entry point you take home £58,207 a year — about £4,851 a month — after £11,795 NHS pension (12.5%), £20,457 Income Tax and £3,898 National Insurance.
These figures are for England and exclude any High Cost Area Supplement (HCAS) for London and the South East, overtime and unsocial-hours enhancements. For part-time hours or a different pension position, use the salary calculator.
Band 8d take-home at every pay point
| Gross salary | NHS pension | Tax + NI | Take-home/yr | Per month |
|---|---|---|---|---|
| £94,356 | 12.5% (£11,795) | £24,354 | £58,207 | £4,851 |
| £100,959 | 12.5% (£12,620) | £26,797 | £61,542 | £5,128 |
| £108,814 | 12.5% (£13,602) | £29,704 | £65,508 | £5,459 |
2026/27 Agenda for Change scale. NHS pension is a net-pay arrangement, so it reduces your taxable pay before Income Tax is worked out.
How NHS pay and pension fit together
Your NHS pension contribution is set by which tier your salary falls in and is taken before tax, so it lowers your Income Tax bill — it is not lost money, it buys a guaranteed (defined-benefit) pension. The contribution rates for 2026/27 run from 5.2% on the lowest pay up to 12.5% on the highest. National Insurance, by contrast, is charged on your full salary. Add HCAS, bank shifts or overtime on top and your gross — and tax — rise accordingly.
