NHS pay rise 2026/27

The tables below compare the 2025/26 and 2026/27 Agenda for Change pay scales for each band and pay point. The last column shows what the rise adds to take-home pay each month, after income tax, National Insurance and NHS pension.

England

These are the NHS Employers pay scales. They apply from 1 April 2026.

NHS pay rise 2026/27 in England
Band and point2025/262026/27RiseRise %Take-home rise a month
Band 1 · 1£24,465£25,272£8073.3%£44.92
Band 2 · 1£24,465£25,272£8073.3%£44.92
Band 2 · 2£24,465£25,272£8073.3%£44.92
Band 3 · 1£24,937£25,760£8233.3%£45.81
Band 3 · 2£26,598£27,476£8783.3%£48.88
Band 4 · 1£27,485£28,392£9073.3%£50.49
Band 4 · 2£30,162£31,157£9953.3%£54.20
Band 5 · 1£31,049£32,073£1,0243.3%£55.77
Band 5 · 2£33,487£34,592£1,1053.3%£60.18
Band 5 · 3£37,796£39,043£1,2473.3%£66.67
Band 6 · 1£38,682£39,959£1,2773.3%£68.28
Band 6 · 2£40,823£42,170£1,3473.3%£72.02
Band 6 · 3£46,580£48,117£1,5373.3%£82.18
Band 7 · 1£47,810£49,387£1,5773.3%£84.32
Band 7 · 2£50,273£51,932£1,6593.3%£96.99
Band 7 · 3£54,710£56,515£1,8053.3%£101.30
Band 8a · 1£55,690£57,528£1,8383.3%£88.13
Band 8a · 2£58,487£60,417£1,9303.3%£82.96
Band 8a · 3£62,682£64,750£2,0683.3%£88.88
Band 8b · 1£64,455£66,582£2,1273.3%£91.43
Band 8b · 2£68,631£70,896£2,2653.3%£95.32
Band 8b · 3£74,896£77,368£2,4723.3%£104.03
Band 8c · 1£76,965£79,504£2,5393.3%£106.85
Band 8c · 2£81,652£84,346£2,6943.3%£113.37
Band 8c · 3£88,682£91,609£2,9273.3%£123.18
Band 8d · 1£91,342£94,356£3,0143.3%£126.84
Band 8d · 2£96,941£100,140£3,1993.3%£134.63
Band 8d · 3£105,337£108,814£3,4773.3%£146.32
Band 9 · 1£109,179£112,782£3,6033.3%£151.63
Band 9 · 2£115,763£119,583£3,8203.3%£105.09
Band 9 · 3£125,637£129,783£4,1463.3%£114.14

Scotland

NHS Scotland sets its own Agenda for Change pay scales through a pay circular, so the figures are not the same as in England.

NHS pay rise 2026/27 in Scotland
Band and point2025/262026/27RiseRise %Take-home rise a month
Band 1 · 1£25,597£26,557£9603.8%£53.51
Band 2 · 1£25,731£26,696£9653.8%£53.78
Band 2 · 2£27,941£28,988£1,0473.7%£46.76
Band 3 · 1£28,051£29,103£1,0523.8%£46.99
Band 3 · 2£30,274£31,409£1,1353.7%£62.80
Band 4 · 1£30,397£31,537£1,1403.8%£63.08
Band 4 · 2£33,063£34,303£1,2403.8%£29.26
Band 5 · 1£33,295£34,544£1,2493.8%£29.48
Band 5 · 2£35,576£36,911£1,3353.8%£71.34
Band 5 · 3£41,483£43,039£1,5563.8%£51.98
Band 6 · 1£41,668£43,231£1,5633.8%£52.22
Band 6 · 2£43,503£45,135£1,6323.8%£65.23
Band 6 · 3£50,775£52,679£1,9043.7%£79.19
Band 7 · 1£50,935£52,845£1,9103.7%£79.44
Band 7 · 2£52,880£54,863£1,9833.8%£63.91
Band 7 · 3£59,244£61,466£2,2223.8%£79.79
Band 8A · 1£62,772£65,125£2,3533.7%£96.61
Band 8A · 2£67,762£70,303£2,5413.7%£104.33
Band 8B · 1£74,109£76,888£2,7793.7%£114.10
Band 8B · 2£79,278£82,251£2,9733.8%£122.07
Band 8C · 1£87,526£90,808£3,2823.7%£125.85
Band 8C · 2£93,820£97,338£3,5183.7%£134.90
Band 8D · 1£103,913£107,810£3,8973.8%£149.44
Band 8D · 2£108,362£112,426£4,0643.8%£155.83
Band 9 · 1£122,912£127,521£4,6093.7%£101.36
Band 9 · 2£128,236£133,044£4,8083.7%£105.62

How the take-home column is worked out

For each pay point we work out a full year's take-home pay on the old salary and on the new one, and show the monthly difference. Both years use the 2026/27 tax rates. This means the column shows what the rise itself adds, and not the effect of any change to tax rates between the two years.

Each figure takes off income tax, National Insurance and NHS pension contributions at the tier rate for that salary. It assumes the standard tax code, full-time pay and no student loan. Scottish figures use Scottish income tax.

A rise is taxed at your highest rate, so you keep less of it than of your pay as a whole. If a rise moves you into a higher pension tier, your contribution rate goes up on all of your pay, and the take-home gain can be small. The NHS pension calculator shows your tier and what it costs you after tax relief.

What else to check

Official sources

Every figure is listed with its source on our sources page.

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