Within the NHS, there are a variety of clinical roles available at the Band 8C level. Some notable examples include positions such as Head of Midwifery, Head of Nursing Emergency Care, Assistant Director of Clinical Standards, and Lead Nurse, among others. These roles involve direct involvement in patient care and require specialized clinical expertise.
In addition to clinical roles, there are also numerous non-clinical positions at the Band 8C level within the NHS. These roles encompass a range of responsibilities and include positions such as General Managers, Programme Managers, Head of Information Governance, Head of Primary Care Development, Financial Senior Business partners, and more. These non-clinical roles play a vital role in supporting the efficient functioning of healthcare organizations and ensuring the delivery of high-quality care to patients.
Band 8C – 1st Pay Point (£70,417 per annum)
Effective from 1st April 2023, following the implementation of the 5% NHS pay rise, the annual salary for individuals at Band 8C on the 1st pay point will amount to £70,417. Prior to deductions, this equates to a monthly income of £5,868.08. Deductions for individuals at this NHS pay point include £410.50 per month for National Insurance, £733.51 per month for NHS Pension contributions, and £1006.50 per month for Income Tax. Consequently, their net (take-home) pay stands at £3,717.58 per month.
“As a result of the 5% NHS pay rise, the pay point for Band 8C has seen an increment from £67,064 to £70,41720 annually. This translates to a total increase of £3,353 per year (£0.279 per month). Commencing 1st April 2023, the revised net take-home pay for NHS employees at this level will amount to £3,718 per month, reflecting a noteworthy boost of £141.09 per month attributed to the NHS 5% pay rise.”
| Details | Amount in pounds (£) |
|---|---|
| Yearly Salary | £70,417 |
| Monthly Gross Salary | £5,868.08 |
| Pension from Oct ’22 | £733.51 |
| National Insurance Deduction | £410.50 |
| Tax Deduction | £1006.50 |
| Monthly Net Pay after all deductions | £3,717.58 |
The calculation of pension contributions is based on a rate of 12.5%, which applies to earnings falling within the range of £56,164 to £72,030.99 per year. Regarding income tax, there is a 20% tax rate applied to earnings between £12,570 and £50,270 annually, while a 40% tax rate is applicable to earnings between £50,270 and £125,140. As for National Insurance (NI), a rate of 12% is applied to earnings ranging from £1,048.01 to £4,189 per month, and a rate of 2% is applied to earnings exceeding £4,189 per month.
“In relation to the overall salary, the NHS net pay, which represents the take-home pay, accounts for approximately 63%. This implies that for every £1 earned, approximately 63 pence is retained as net pay, while approximately 37 pence is deducted for various contributions and taxes.”
If an individual within this band were to be promoted from the 1st pay point to the 2nd & final pay point of Band 8C, they would experience an increase in earnings amounting to £410.56 per month after all relevant deductions have been accounted for. This amounts to a cumulative increase of £893.33 over the designated period. Such a promotion would result in a notable boost to their monthly income, reflecting the progress and advancement in their professional position.
Band 8C – 2nd & Final Pay Point (£81,137 per annum)
Effective from 1st April 2023, incorporating the 5% NHS pay rise, the annual salary for an individual on the 2nd & final pay point of Band 8C will be £81,137. This equates to a monthly pre-deduction income of £6,761.42. Within this pay point, the individual will make monthly contributions towards National Insurance amounting to £428.37, NHS Pension contributions totaling £912.79, and income tax payments of £1,292.12. Consequently, their net take-home pay will amount to £4,128.14 per month.
“With the implementation of the 5% NHS pay rise, the pay point for this specific role has been elevated from £77,274 to £81,137 per annum. This represents an overall increase of £3,863 annually, equivalent to £0.322 per month. As of 1st April 2023, individuals in this pay point will experience an enhanced net take-home pay amounting to £4,128 per month, which is £160.62 higher than before, thanks to the NHS 5% pay rise.”
| Details | Amount in pounds (£) |
|---|---|
| Yearly Salary | £81,137 |
| Monthly Gross Salary | £6,761.42 |
| Pension from Oct ’22 | £912.79 |
| National Insurance Deduction | £428.37 |
| Tax Deduction | £1292.12 |
| Monthly Net Pay after all deductions | £4,128.14 |
The calculation of pension contributions in this scenario is based on a 13.5% rate, which applies to earnings exceeding £72,031 per annum. Regarding Income Tax, a rate of 20% is applicable to earnings falling within the range of £12,570 to £50,270 annually. For earnings between £50,270 and £125,140, the Income Tax rate increases to 40%. Furthermore, National Insurance contributions are set at 12% for monthly earnings between £1,048.01 and £4,189, while earnings surpassing £4,189 per month incur a rate of 2%.
“When considering the NHS net pay, which refers to the take-home pay after deductions, it accounts for approximately 61% of the total salary. In practical terms, for every £1 earned, approximately 61 pence is retained, while 39 pence is deducted towards various contributions and taxes.”
In the event that an individual progresses from Band 8C on the 2nd & final pay point to Band 8D on the 1st pay point, their earnings would increase by £101.21 per month after accounting for all necessary deductions. This corresponds to a total increment of £202.83 in their overall earnings.
Important Note
Tax calculations are performed after the deduction of Pension contributions. As a result,
individuals may not earn enough, after accounting for pension contributions, to fall within the
20%, 40%, or 45% tax brackets.
It is important to note that all calculations are based on the 2023/2024 NHS Pension, National Insurance, and Income Tax rates. In the NHS, additional income can be earned through the provision of unsocial hours, such as weekends, evenings, Bank Holidays, and overnight shifts. The remuneration for these hours is calculated on an hourly basis, with each enhancement
being added to the monthly payment. This provides an opportunity for NHS workers to supplement their regular income and reflects the value placed on their dedication and availability during non-standard working hours.
