NHS Clinical Site Manager salary, 2026/27
Clinical site managers (sometimes called bleep holders or duty managers) cover the whole hospital out-of-hours, managing bed pressures, escalation, staffing crises and major incidents. The role is a senior nursing post, typically Band 7 with site team leads at Band 8a.
- Range (England)
- £49,387 to £64,750
- Typical bands
- Band 7, Band 8a
- Hourly entry
- £25.26
- Hourly top
- £33.11
Clinical Site Manager pay by band, England 2026/27
The table below shows the entry and top step at each band Clinical Site Managers are typically paid on. Most Clinical Site Managers move through the bands over the course of their career as they take on more senior or specialist responsibilities.
Clinical Site Manager salary after tax, 2026/27
The figures below show Clinical Site Manager take-home pay — the cash that lands in your bank account after income tax, employee National Insurance and the NHS pension contribution on the 2026/27 England scale. They exclude London weighting, unsocial hours and overtime. The band-level take-home pages have the full step-by-step breakdown and London weighting variants.
Gross vs net at the top of each band on the 2026/27 England scale
| Band | Entry net | Top net | Monthly at top | |
|---|---|---|---|---|
| Band 7 | £35,206 | £39,708 | £3,309 | Full breakdown |
| Band 8a | £40,230 | £43,955 | £3,663 | Full breakdown |
Assumes full-time pay, standard NHS Pension membership and no student loan. Open the band's take-home page for London weighting variants, or use the calculator to add part-time hours, student loan, or HCAS.
Clinical Site Manager career pay progression
Most Clinical Site Managers progress through more than one band over their career. The path below shows the typical pay journey on the 2026/27 England scale, from entry at the lowest banding to the top step at the highest. Promotion between bands depends on additional qualifications, experience or moving into a more senior post; it isn't automatic.
- 1 Step timeline
Band 7 £49,387 to £56,515 gross
Top step net: £39,708 a year (£3,309/month). 3 steps; 5 years from entry to top.
- 2 Step timeline
Band 8a £57,528 to £64,750 gross
Top step net: £43,955 a year (£3,663/month). 3 steps; 5 years from entry to top.
Across the typical Clinical Site Manager career on the 2026/27 England scale, gross pay rises by £15,363 a year from entry on Band 7 (£49,387) to the top of Band 8a (£64,750). National pay deals add a further cost-of-living rise on top each April.
Clinical Site Manager pay in Scotland
Scottish NHS staff are paid on a separate pay scale, negotiated by the Scottish Government rather than the UK Pay Review Body. Scotland consistently pays more than England at every band. The figures below are the Scottish equivalents for the same bands.
Common questions
- What pay band is a Clinical Site Manager on?
- NHS Clinical Site Managers sit at Band 7 or Band 8a depending on experience and the specific responsibilities of the role. Newly qualified Clinical Site Managers usually start on the lowest banding shown, with progression to the higher bands as they take on more senior or specialist work.
- How much does an NHS Clinical Site Manager earn in 2026/27?
- On the 2026/27 England pay scale, an NHS Clinical Site Manager earns between £49,387 and £64,750 a year gross, depending on band and step. At the lowest entry rate that works out to roughly £25.26 an hour, and at the top rate roughly £33.11 an hour. Take-home pay after tax, NI and the NHS pension contribution is typically 70% of the gross figure. Scottish Clinical Site Managers earn between £52,845 and £70,303 on the equivalent Scottish scale.
- Where can I find Clinical Site Manager jobs in the NHS?
- NHS Jobs (jobs.nhs.uk) lists all current vacancies across the four UK nations. Filter by 'Pay Band' to focus on roles at the band you're interested in. HSC Recruit covers Northern Ireland (jobs.hscni.net) and NHS Scotland Jobs covers Scotland (jobs.scot.nhs.uk). Most Trusts also list vacancies on their own websites alongside the national portal.
- What is an NHS Clinical Site Manager salary after tax?
- An NHS Clinical Site Manager starting on Band 7 (£49,387 gross) takes home around £35,206 a year after income tax, employee National Insurance and the NHS pension contribution — about £2,934 a month. At the top of Band 8a (£64,750 gross), take-home pay rises to £43,955 a year, or £3,663 a month. The figures exclude student loan repayments, unsocial hours and London weighting.
- Does Clinical Site Manager get London weighting?
- Only at NHS Trusts in England inside one of the three London weighting (HCAS) zones. Clinical Site Managers working at Inner London Trusts get 20% on top of basic pay (minimum £5,794, maximum £8,746 for 2026/27). Outer London is 15%, Fringe is 5%. Welsh, Scottish and Northern Irish Clinical Site Managers don't receive a London weighting equivalent.