NHS Band 8d Salary

£91,342 - £105,337
2025/26 England pay scale - 3 pay points over 5 years
Calculate Your Take-Home Pay

2025/26 Pay Scale - England

Pay PointAnnualMonthly
Entry Level£91,342£7,611.83
Intermediate (2 yrs)£96,941£8,078.42
Top of Band (5 yrs)£105,337£8,778.08

2026/27 Pay Scale - England

Pay PointAnnualMonthly
Entry Level£94,356£7,863.00
Intermediate (2 yrs)£100,140£8,345.00
Top of Band (5 yrs)£108,814£9,067.83

About Band 8d

Band 8d is one of the most senior bands within the NHS Agenda for Change pay structure, reserved for highly experienced leaders and clinicians in strategic roles. This includes deputy chief nurses, divisional directors, senior directors of operations, chief allied health professionals, and very senior clinical leaders.

Band 8d has 3 pay points. You start at entry level and progress to the intermediate point after 2 years, then to the top of the band after 5 years total, subject to satisfactory performance at your annual appraisal.

Your actual take-home pay will depend on your pension scheme contributions (12.5% at this salary level), income tax, National Insurance, and any additional payments such as unsocial hours enhancements or High Cost Area Supplements if you work in London.

Frequently Asked Questions

What is the NHS Band 8d salary in 2025/26?
NHS Band 8d salary in England for 2025/26 ranges from £91,342 at entry level to £105,337 at the top of the band. There are 3 pay points: Entry (£91,342), Intermediate after 2 years (£96,941), and Top of Band after 5 years (£105,337).
What is the NHS Band 8d salary in 2026/27?
NHS Band 8d salary in England for 2026/27 ranges from £94,356 at entry level to £108,814 at the top of the band, reflecting a pay uplift from the 2025/26 rates.
What will my Band 8d take-home pay be?
Band 8d take-home pay depends on your pay point, pension scheme, tax code, student loans, and any additional payments like unsocial hours. At Band 8d salary levels, pension contributions are 12.5% and you will be paying the additional rate of income tax on earnings above the higher rate threshold. Use our free calculator to get your exact figure.
What jobs are NHS Band 8d?
NHS Band 8d roles include deputy chief nurses, divisional directors, senior directors of operations, chief allied health professionals, and very senior clinical leaders. These are strategic leadership positions with significant organisational responsibility.
How long does it take to reach the top of Band 8d?
It takes 5 years to reach the top of Band 8d in England, with an intermediate pay point at 2 years. Progression is subject to satisfactory performance demonstrated through your annual appraisal.

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