NHS Band 8d — Full Pay Point Breakdown 2026/27
Associate directors, deputy directors.
| Point | Gross | Income Tax | National Insurance | Take-Home /yr | Take-Home /mo |
|---|---|---|---|---|---|
| Entry | £94,356 | £25,174 | £3,898 | £65,284 | £5,440 |
| Intermediate | £100,140 | £27,502 | £4,013 | £68,625 | £5,719 |
| Top | £108,814 | £31,839 | £4,187 | £72,788 | £6,066 |
Figures use England, Wales & Northern Ireland Income Tax bands and 2026/27 rates, basic pay only — before any unsocial hours enhancement, overtime or High Cost Area Supplement (London weighting).
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Compare Two Salaries →Pay scale sourced from the NHS Employers 2026/27 Agenda for Change pay circular (3.3% uplift, effective 1 April 2026). Tax and NI calculated using published 2026/27 HMRC rates — not an official NHS or HMRC tool. Verify at nhsemployers.org or gov.uk/estimate-income-tax.
Frequently Asked Questions
How much does NHS Band 8d pay in 2026/27?
NHS Band 8d ranges from £94,356 a year at the entry point to £108,814 at the top of the band, under the 2026/27 Agenda for Change pay scale (3.3% uplift from 1 April 2026).
What is the take-home pay for NHS Band 8d?
At the top of Band 8d (£108,814 gross), take-home pay is £72,788 a year (£6,066 a month) in England, Wales and Northern Ireland, after £31,839 Income Tax and £4,187 National Insurance. In Scotland, take-home is £69,091 due to different Income Tax bands.
What roles are in NHS Band 8d?
Associate directors, deputy directors. Exact job titles vary by trust and role profile — check your trust's job description against the NHS Job Evaluation Scheme for a definitive banding.
Does NHS Band 8d pay include unsocial hours or overtime?
No — these figures are basic Agenda for Change pay only. Unsocial hours enhancements, overtime, high-cost area supplements (London weighting) and on-call payments are calculated separately and added on top of basic pay.