NHS Band 8d pay 2026/27

Band 8d is a deputy-director grade, one step below the top of the Agenda for Change structure.

Checked 7 September 2026 · NHS Employers pay scales poster (Feb 2026)

Band 8d pay steps

Band 8d, England, from 1 April 2026 (2025/26 shown for comparison)
Step2026/27 salary2025/26 salaryHourly (2026/27)Progression
Entry£94,356£91,342£48.262 years to next step
Intermediate£100,140£96,941£51.213 years to next step
Top£108,814£105,337£55.65Top of band

Hourly rates use the NHS standard divisor of 1,955.36 hours a year (37.5 hours × 52.143 weeks), the same method NHS Employers uses on the poster. Progression to each step needs the required time in post plus a satisfactory pay step review.

Who is on Band 8d

Deputy directors of nursing, chief pharmacists, directors of operations for large divisions.

London weighting

Band 8d staff in the capital get a high cost area supplement on top of the figures above: inner london adds 20% (between £5,794 and £8,746), outer london adds 15% (between £4,899 and £6,162), fringe adds 5% (between £1,339 and £2,323).

Common questions

How much does NHS Band 8d pay in 2026/27?

Band 8d pays between £94,356 and £108,814 a year in England from 1 April 2026. New starters begin on £94,356 and reach the top of the band through timed progression steps.

How long does it take to reach the top of Band 8d?

5 years, if each progression check is passed: 2 years at entry, then 3 years at intermediate.

What was Band 8d pay in 2025/26?

£91,342 to £105,337. The 3.3% award from 1 April 2026 took it to the current figures.