NHS Band 9 — Full Pay Point Breakdown 2026/27
Directors and the most senior NHS leadership roles.
| Point | Gross | Income Tax | National Insurance | Take-Home /yr | Take-Home /mo |
|---|---|---|---|---|---|
| Entry | £112,782 | £33,823 | £4,266 | £74,693 | £6,224 |
| Intermediate | £119,583 | £37,224 | £4,402 | £77,957 | £6,496 |
| Top | £129,783 | £42,091 | £4,606 | £83,085 | £6,924 |
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 9 pay in 2026/27?
NHS Band 9 ranges from £112,782 a year at the entry point to £129,783 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 9?
At the top of Band 9 (£129,783 gross), take-home pay is £83,085 a year (£6,924 a month) in England, Wales and Northern Ireland, after £42,091 Income Tax and £4,606 National Insurance. In Scotland, take-home is £78,515 due to different Income Tax bands.
What roles are in NHS Band 9?
Directors and the most senior NHS leadership roles. 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 9 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.