NHS Band 8b Pay Scale 2026/27
Band 8b covers heads of clinical services and clinical consultants, earning £66,582 to £77,368.
Typical NHS Band 8b NHS Roles
NHS Band 8b 2026/27 Pay Progression & Take-Home Pay
Assumes standard England 1257L tax code, actual NHS Pension tier deduction, and no student loan.
| Experience Step | Annual Gross | Monthly Gross | Pension Tier | Monthly Take-Home | Annual Take-Home |
|---|---|---|---|---|---|
| < 5 years | £66,582 | £5,549 | 12.5% | £3,682 | £44,181 |
| 5+ years | £70,896 | £5,908 | 12.5% | £3,863 | £46,360 |
| 5++ years | £77,368 | £6,447 | 12.5% | £4,136 | £49,628 |
NHS Band 8b London Weighting (HCAS) for 2026/27
If you work in a London NHS trust, you receive a High Cost Area Supplement (HCAS) on top of your basic pay:
20% of basic pay, subject to min/max caps. For NHS Band 8b entry: £75,328.
15% of basic pay, subject to min/max caps.
5% of basic pay for designated surrounding counties.
England vs Scotland NHS Band 8b Pay Comparison
Scotland Band 8b covers equivalent senior roles. NHS Scotland negotiates pay separately through NHS Scotland Agenda for Change circulars and is also subject to separate Scottish Income Tax rates (19% Starter, 20% Basic, 21% Intermediate, 42% Higher).
NHS Band 8b Unsocial Hours Enhancements (Section 2)
Staff working shift patterns earn Agenda for Change Section 2 uplifts on their basic hourly rate:
Calculate your exact NHS Band 8b take-home pay
Include your specific overtime hours, unsocial shifts, London weighting, and student loan deductions in our interactive calculator.
Explore Other NHS Agenda for Change Pay Bands
Frequently Asked Questions About NHS Band 8b
What does Band 8b pay in the NHS?
Salaries range from £66,582 to £77,368, subject to a 12.5% NHS pension tier and 40% Higher Rate tax.