NHS Pay Check

NHS Pay Bands 2026/27

Agenda for Change has nine pay bands for most NHS staff, with Band 8 split into 8a, 8b, 8c and 8d. In England for 2026/27 they run from £25,272 on Band 2 to £129,783 at the top of Band 9, after a 3.3% award. Below: every pay point, its hourly rate and take home pay, the other three countries, and how a job gets its band.

England pay points, 2026/27

Annual salary, hourly rate (37.5-hour week) and monthly take home for a full-timer with the NHS pension, a 1257L tax code and no student loan. Most bands have an entry, middle and top point.

Starting salary for each band, by country

Each country agrees its own award: 3.3% in England and Wales, 3.75% in Scotland (on top of a 4.4% rise for 2025/26, and on a 36-hour week), and Northern Ireland's is still waiting for budget approval.

BandEnglandScotlandWalesN. Ireland
2£25,272£26,696£26,300£24,853
3£25,760£29,103£26,300£24,937
4£28,392£31,537£28,819£27,485
5£32,073£34,544£32,557£31,049
6£39,959£43,231£40,559£38,682
7£49,387£52,845£50,129£47,810
8a£57,528£65,125£58,379£55,690
8b£66,582£76,888£67,583£64,455
8c£79,504£90,808£80,698£76,965
8d£94,356£107,810£95,773£91,342
9£112,782£127,521£114,475£109,179

The highest starting salary for each band is in bold.

How a job gets its band

Bands belong to jobs, not people. Every Agenda for Change post is banded through the NHS Job Evaluation Scheme, which measures the skills, responsibility and effort the job needs. Most jobs are matched to a national job profile; jobs that don't fit one are evaluated locally. Either way the job is scored on 16 factors:

  1. 1Communications and relationship skills
  2. 2Knowledge, training and experience
  3. 3Analytical and judgemental skills
  4. 4Planning and organisational skills
  5. 5Physical skills
  6. 6Responsibility for patient or client care
  7. 7Responsibility for policy and service development
  8. 8Responsibility for financial and physical resources
  9. 9Responsibility for human resources
  10. 10Responsibility for information resources
  11. 11Responsibility for research and development
  12. 12Freedom to act
  13. 13Physical effort
  14. 14Mental effort
  15. 15Emotional effort
  16. 16Working conditions

Matching has strict rules. The panel compares the job with the profile factor by factor, and a job only matches if:

±1No factor is more than one level away from the profile
0No difference at all on knowledge, training and experience or on freedom to act
≤5Differences affect no more than five factors

That's why two jobs with the same title can sit in different bands at different trusts.

If your job has grown beyond its job description, the route to a higher band is to get the description updated and the job re-evaluated, not to ask for a pay rise. In England every Band 5 nursing role is being reviewed this way by October 2028.

Moving up a band, and moving up within one

Within a band you move to the next pay point on your pay step date, after two or three years depending on the band, if you meet the progression conditions (in England: an appraisal in the last 12 months, mandatory training done, and no formal capability process or live disciplinary sanction).

When you're promoted, your basic pay goes to the bottom point of the new band and your pay step date starts again. If that would leave you worse off once unsocial hours payments and any long-term recruitment and retention premium are counted, your old salary is protected until the new one overtakes it. Paid overtime isn't protected, which matters for a move from Band 7 to 8a, where overtime stops.

How hourly rates are worked out

The NHS terms and conditions set a week's pay as 7/365ths of the annual salary. Divide that by your weekly hours and you have the hourly rate. For Band 5 in England:

£32,073×7÷365÷37.5=£16.40

That matches NHS Employers' published rates to the penny. Some calculators divide by 52 weeks or by 1,957.5 hours instead, which is why their hourly figures can be a few pence out. Scotland's hourly rates are worked out on a 36-hour week, so they're higher for the same salary.

Pay band questions

In England: Band 2 £25,272; Band 3 £25,760 to £27,476; Band 4 £28,392 to £31,157; Band 5 £32,073 to £39,043; Band 6 £39,959 to £48,117; Band 7 £49,387 to £56,515; Band 8a £57,528 to £64,750; Band 8b £66,582 to £77,368; Band 8c £79,504 to £91,609; Band 8d £94,356 to £108,814; Band 9 £112,782 to £129,783. Scotland and Wales pay more at every band, and Northern Ireland is still on 2025/26 rates.