Last updated 29 April 2026
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NHS Band 8a Pay
At a glance
Band 8a includes Modern matrons, nurse consultants across 3 pay points. Your salary is taxed at the higher rate (40%) across all pay points, and your pension contribution is at tier 5 (10.7%). If you have children under 18, the High Income Child Benefit Charge could apply to you. The Annual Allowance is also worth watching for long-service staff.
NHS Agenda for Change
Modern matrons, nurse consultants
Full-time, standard tax code, no student loan.
BAND
8a
Take-home / month
£3,353
£40,231 per year · entry point
Pay progression(gross / month)
tap to compare£4,794
£5,035
£5,396
Year 1
Year 2
Year 5+
Pension rate
10.7%
£513/mo
Real hourly
£20.63
After tax & pension
2026/27England
NHS pay without the guesswork