NHS Agenda for Change Pay Bands 2026/27: NHS pay points for England, Wales and Scotland, with allowances and deductions

NHS Agenda for Change annual pay for 2026/27 in England, Wales and Scotland, one row per pay point (entry, intermediate and top) in bands 2 to 9, with the years in the band before each point. It also holds the High Cost Area Supplement, unsocial hours enhancements, and the rates a take-home calculation needs: personal allowance, National Insurance, student loan thresholds and NHS pension contribution tiers. There are 83 pay points, 9 supplement rows, 26 deduction rows and 18 profession starting-band notes, with 7 official source pages. Pay is effective from 1 April 2026. Published by MedicSail (https://medicsail.com), a licensing consultancy for internationally trained doctors, nurses, dentists, pharmacists and allied health professionals. The same figures appear on MedicSail's free guides and tools, where they are kept up to date. Files nhs_pay_points.csv: Annual NHS pay by nation, band and pay point for 2026/27. (83 rows) Column Type Meaning nation string England, Wales or Scotland band string Agenda for Change band pay_point string Entry, Intermediate or Top annual_pay_gbp integer Annual gross pay in pounds years_in_band_before_this_point integer Years in the band before reaching this point from the previous one, blank for entry full_time_hours_per_week number Full-time hours the pay is based on effective_from string Date the pay applies from source_name string Official publication source_url string URL of the publication checked_on datetime Date checked (yyyy-mm-dd) medicsail_page string MedicSail pay band explorer nhs_supplements.csv: High Cost Area Supplement and unsocial hours enhancements. (9 rows) Column Type Meaning supplement string Supplement and nation area_or_bands string Area (high cost supplement) or bands (unsocial hours) rate_percent number High Cost Area Supplement as a percentage of basic pay min_gbp integer Minimum supplement in pounds a year max_gbp integer Maximum supplement in pounds a year night_percent number Night enhancement in percent sunday_percent number Sunday enhancement in percent effective string When it applies source_name string Official publication source_url string URL checked_on datetime Date checked (yyyy-mm-dd) medicsail_page string MedicSail take-home calculator nhs_deductions.csv: UK personal allowance, National Insurance, student loan thresholds and NHS pension tiers for 2026/27. (26 rows) Column Type Meaning category string Type of deduction jurisdiction string UK, or the pension scheme the tier belongs to name string What the row is threshold_gbp number Threshold in pounds a year rate_percent number Rate in percent unit string Unit of the threshold effective string When it applies source_name string Official publication source_url string URL checked_on datetime Date checked (yyyy-mm-dd) nhs_usual_starting_bands.csv: The band each profession usually starts at, as MedicSail's UK guides state it. (18 rows) Column Type Meaning profession string Profession usual_starting_bands string Band or bands the guide says people start at sentence_from_guide string The sentence from the guide medicsail_page string MedicSail guide for the profession in the UK Notes Nothing is estimated. Pay points are annual gross pay in pounds as published. Scotland's scale is on a 36-hour week; England and Wales are on 37.5 hours. Doctors and dentists are not on Agenda for Change; their pay is set separately. usual_starting_bands is what MedicSail's UK guide for each profession says; the sentence is quoted. It is a description, not a guarantee of the band any employer will offer. Income tax bands are not included. Deduction rows are the figures as held for MedicSail's take-home calculator. Check the source page before you rely on or pay anything. Rules and fees change. This is general information, not immigration, legal or professional advice. MedicSail is independent and is not affiliated with any regulator or government body. Licence CC BY 4.0. You may reuse the data with attribution: "MedicSail, NHS Agenda for Change Pay Bands 2026/27 (October 2026), https://medicsail.com". Also on Kaggle: kaggle.com/datasets/medicsail/nhs-agenda-for-change-pay-bands-2026. Current figures and guides: medicsail.com.