NHS Band 8c pay 2026/27

Band 8c pays £79,504 to £91,609 a year in England from 1 April 2026 — about £4,226 a month take-home at entry, or £40.66 an hour.

Entry
£79,504
a year, full time
Top of band
£91,609
after progression
Take-home
£4,226
a month at entry
Hourly
£40.66
at entry, 37.5 hours

Work out your exact take-home →

Pay points

Pay pointAnnualMonthly (gross)Take-home a monthHourly
Entry£79,504£6,625£4,226£40.66
After 2 years£84,346£7,029£4,429£43.14
After 5 years£91,609£7,634£4,735£46.85

Full time, 37.5 hours, England. Take-home after 2026/27 income tax, National Insurance and NHS pension, outside London. Source: NHS Employers pay scales 2026/27.

With London weighting

Fringe
£81,774 (+£2,270)
Outer London
£85,641 (+£6,137)
Inner London
£88,250 (+£8,746)

At the entry point, with the 2026/27 High Cost Area Supplement.

Part time

30 hours a week
£63,603 · £3,614/month take-home
22.5 hours a week
£47,702 · £2,844/month take-home

At the entry point, pro rata on 37.5 hours.

On top of basic pay

Hours workedEnhancementHourly at entry
Standard hours—£40.66
Saturdays, and weekdays 8pm–6am+30%£52.86
Sundays and public holidays+60%£65.06
OvertimeNot paid at Bands 8–9—

Annual leave is 27 days on appointment, 29 days after five years, 33 days after ten years, plus 8 public holidays. The NHS Pension Scheme adds an employer contribution of 23.7% of pay on top of salary. Source: NHS Terms and Conditions of Service Handbook.

Band 8c against the bands either side

  • Band 8b starts at £66,582 — Band 8c pays £12,922 a year more at entry (about £484 a month after deductions).
  • Band 8d starts at £94,356 — £14,852 a year more than Band 8c at entry.

You move up a band by applying for a role that has been evaluated at the higher band — not by time served. Time served moves you up the pay points within your band. Training such as a degree apprenticeship, a registered qualification or advanced practice training is usually what opens the next band.

Typical Band 8c roles

  • Head of service
  • Consultant clinical psychologist

Common questions

How much is NHS Band 8c pay in 2026/27?
Band 8c runs from £79,504 at entry to £91,609 at the top of the band, for a full-time 37.5-hour week in England, from 1 April 2026.
How much does a Band 8c take home a month?
About £4,226 a month at entry after income tax, National Insurance and NHS pension, outside London, rising to about £4,735 at the top of the band.
What is the Band 8c hourly rate?
£40.66 an hour at entry and £46.85 at the top, based on 37.5 hours a week. Unsocial hours, overtime and London weighting are paid on top.
How long does it take to reach the top of Band 8c?
5 years. Pay moves up a step after 2 years and 5 years in the band, subject to meeting the normal expectations of the role.
How much extra does a Band 8c get for nights and weekends?
Band 8c unsocial hours are paid at time plus 30% on Saturdays and weekday nights (8pm to 6am), and time plus 60% on Sundays and public holidays. At the entry point that is about £52.86 and £65.06 an hour.
Does Band 8c get paid overtime?
No. Staff in Bands 8 and 9 are not entitled to overtime payments under Agenda for Change; extra hours are usually managed as time off in lieu.
What jobs are Band 8c?
Typical Band 8c roles include head of service, consultant clinical psychologist. Every NHS role is banded by job evaluation, so the same title can sit in different bands at different trusts.