What is the take-home pay for an NHS Band 8a Intermediate in 2026/27?

An NHS Band 8a on the intermediate step has a basic salary of £60,417. After the Tier 5 · 10.7% NHS pension contribution (£6,465), £9,013 PAYE income tax and £3,219 Class 1 National Insurance, the net take-home is £41,720 per year — £3,476.71 per month.

How much more does Band 8a earn with London weighting?

On top of the £60,417 basic, Inner London adds a £8,746 HCAS supplement (20%, clamped to the statutory floor/cap) and Outer London adds £6,137 (15%). That lifts the monthly take-home to £3,790 (Inner) and £3,741 (Outer) respectively — though a larger HCAS can push pensionable pay into a higher cliff-edge pension tier.

Which NHS pension tier applies to Band 8a Intermediate?

At a pensionable gross of £60,417, an NHS Band 8a Intermediate falls in Tier 5 · 10.7%. The NHS scheme is a Net Pay Arrangement, so the contribution is deducted before PAYE — granting immediate tax relief — while National Insurance is still charged on the full gross.

NHS · Agenda for Change · FY 2026/27 Calc-engine routed

NHS Band 8a intermediate step.

Penny-accurate take-home for an NHS Band 8a on the intermediate step — basic pay of £60,417, the cliff-edge Tier 5 · 10.7% NHS pension as a Net Pay Arrangement, and Inner / Outer London HCAS side by side.

Engine note · `computeNhsBreakdown()` — HCAS floor/cap clamp, cliff-edge pension on the whole gross, NI on full gross, PAYE on the post-pension base. Integer pence, no float drift.

Basic (national): £60,417
Net monthly: £3,477
Effective rate: 30.9%

National

No HCAS supplement

Monthly take-home

£3,477

Annual take-home: £41,720
Pensionable gross: £60,417
HCAS supplement: —

Outer London

15% HCAS · floor / cap clamped

Monthly take-home

£3,741

Annual take-home: £44,886
Pensionable gross: £66,554
HCAS supplement: +£6,137

Inner London

20% HCAS · floor / cap clamped

Monthly take-home

£3,790

Annual take-home: £45,485
Pensionable gross: £69,163
HCAS supplement: +£8,746

Deduction stack · NHS Band 8a Intermediate

Standard tax code 1257L, no student loan. NHS pension is a Net Pay Arrangement (deducted before PAYE); NI is charged on the full pensionable gross. Layer pension tiers, HCAS and student loans live in the NHS calculator.

Line item	National	Outer London	Inner London
Pensionable gross	£60,417	£66,554	£69,163
HCAS supplement	£0	£6,137	£8,746
NHS pension	£6,465	£7,121	£8,645
Income tax (PAYE)	£9,013	£11,205	£11,639
National Insurance	£3,219	£3,342	£3,394
Annual take-home	£41,720	£44,886	£45,485
Monthly take-home	£3,477	£3,741	£3,790

Reference · 2026/27 FROZEN

The Tier 5 · 10.7% NHS pension and HMRC thresholds driving the national column above.

Basic salary £60,417
NHS pension tier Tier 5 · 10.7%
Pension contribution £6,465
Inner London HCAS £8,746
Outer London HCAS £6,137
Personal Allowance £12,570

Step through the pay grid

Adjacent steps in this band and the same step on neighbouring bands — plus the interactive tool for pension, HCAS and student-loan overlays.