NHS pay bands 2026/27: Agenda for Change England

Tax year 2026/27 (6 April 2026 to 5 April 2027) · Last checked 5 November 2026 against HMRC rates · Sources and methodology

England’s Agenda for Change salaries from 1 April 2026.

These are annual basic salaries for 37.5 hours a week, before tax, pension and other deductions. HCAS and unsocial hours payments are additional. Band 1 is closed to new entrants.

Agenda for Change pay scales, England 2026/27
BandEntryIntermediateTop
Band 1 (closed)£25,272——
Band 2£25,272—£25,272
Band 3£25,760—£27,476
Band 4£28,392—£31,157
Band 5£32,073£34,592£39,043
Band 6£39,959£42,170£48,117
Band 7£49,387£51,932£56,515
Band 8a£57,528£60,417£64,750
Band 8b£66,582£70,896£77,368
Band 8c£79,504£84,346£91,609
Band 8d£94,356£100,140£108,814
Band 9£112,782£119,583£129,783

Source: NHS Employers, pay scales for 2026/27. Scotland, Wales and Northern Ireland have separate pay scales.

When do pay points change?

Bands 2 and 3 have entry and top points at under two and two or more years. Band 4 uses under three and three or more years. Band 5 has points at entry, two and four years. Bands 6 to 9 have points at entry, two and five years.

Pay progression depends on meeting the pay-step requirements. NHS terms and conditions handbook, Annex 2.

From basic salary to take-home pay

Choose your band, point, hours and London Weighting in the NHS pay calculator. NHS Pension is included by default and uses actual pensionable pay.

How we calculate NHS pay.