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 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.
- 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.