Band 8b sits in a higher earnings range where both pension contributions and marginal tax rates can have a noticeable impact on take-home pay. Even when gross pay rises in line with the pay award, the net increase can look smaller once deductions are applied.

This page explains Band 8b take-home mechanics and shows the 2026/27 salary points. For the broader pay award context, see: NHS pay update 2026/27.

Calculate your Band 8b numbers:

Prefer the all-band calculator? Use: NHS Take-Home Pay Calculator


1. Band 8b salary and hourly rate (2026/27)

Band 8b position Gross annual salary (2026/27) Hourly rate (gross)
Entry level £66,582 *£34.05
Intermediate £70,896 *£36.26
Top of band £77,368 *£39.57

*Gross hourly rate orientation. For a precise calculation based on your contract, use NHS Salary to Hourly.

2. 2026/27 vs 2025/26 (Band 8b pay comparison)

Band 8b position Gross annual salary 2025/26 Gross annual salary 2026/27 Annual increase Hourly 2025/26 Hourly 2026/27 Hourly increase
Entry level £64,455 £66,582 +£2,127 £28.48 £34.05 +£5.57
Intermediate £68,631 £70,896 +£2,265 £29.91 £36.26 +£6.35
Top of band £74,896 £77,368 +£2,472 £32.06 £39.57 +£7.51

3. NHS pension and Band 8b: 12.5% bracket

Based on the pension brackets you provided, many Band 8b salaries fall into a contribution rate of 12.5% for whole-time equivalent pensionable pay of £65,191 and above.

Why this matters

A 12.5% pension contribution significantly affects take-home pay. When gross salary rises, the additional earnings are also subject to pension deductions at this rate, reducing the visible net increase.

4. Estimated Band 8b take-home pay (monthly)

Typical monthly take-home range

  • Entry level: ~£3,700 – £4,000 per month
  • Intermediate: ~£3,900 – £4,300 per month
  • Top of band: ~£4,200 – £4,500 per month

These are broad estimates. For a personalised calculation including pension, tax code and student loans, use: the Band 8b take-home calculator.

Calculate your exact Band 8b take-home pay

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