NHS Band 9 pay 2026/27

Band 9 pays £112,782 to £129,783 a year in England from 1 April 2026 — about £5,626 a month take-home at entry, or £57.68 an hour.

Entry
£112,782
a year, full time
Top of band
£129,783
after progression
Take-home
£5,626
a month at entry
Hourly
£57.68
at entry, 37.5 hours

Work out your exact take-home →

Pay points

Pay pointAnnualMonthly (gross)Take-home a monthHourly
Entry£112,782£9,399£5,626£57.68
After 2 years£119,583£9,965£5,874£61.16
After 5 years£129,783£10,815£6,228£66.37

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
£115,052 (+£2,270)
Outer London
£118,919 (+£6,137)
Inner London
£121,528 (+£8,746)

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

Part time

30 hours a week
£90,226 · £4,677/month take-home
22.5 hours a week
£67,669 · £3,728/month take-home

At the entry point, pro rata on 37.5 hours.

On top of basic pay

Hours workedEnhancementHourly at entry
Standard hours—£57.68
Saturdays, and weekdays 8pm–6am+30%£74.98
Sundays and public holidays+60%£92.29
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 9 against the bands either side

  • Band 8d starts at £94,356 — Band 9 pays £18,426 a year more at entry (about £775 a month after deductions).

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 9 roles

  • Director-level manager

Common questions

How much is NHS Band 9 pay in 2026/27?
Band 9 runs from £112,782 at entry to £129,783 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 9 take home a month?
About £5,626 a month at entry after income tax, National Insurance and NHS pension, outside London, rising to about £6,228 at the top of the band.
What is the Band 9 hourly rate?
£57.68 an hour at entry and £66.37 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 9?
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 9 get for nights and weekends?
Band 9 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 £74.98 and £92.29 an hour.
Does Band 9 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 9?
Typical Band 9 roles include director-level manager. Every NHS role is banded by job evaluation, so the same title can sit in different bands at different trusts.