NHS Band 4 Salary 2026/27
Band 4 pays £28,392–£31,157 a year under Agenda for Change in England from 1 April 2026. Full-time take-home pay is about £1,843 a month at entry, rising to £1,947 at the top.
Band 4 pay points and take-home pay
| Pay point | Annual | Monthly gross | Hourly | Take-home / month |
|---|---|---|---|---|
| Entry | £28,392 | £2,366 | £14.51 | £1,843 |
| Top | £31,157 | £2,596 | £15.92 | £1,947 |
Full-time 37.5 hours a week. Take-home after income tax (1257L), National Insurance and NHS pension. Excludes student loan and unsocial hours.
Band 4 deductions at entry
Income tax
£3,164
National Insurance
£1,266
NHS pension
£1,845
Take-home (year)
£22,116
Band 4 London weighting (HCAS)
| Area | Entry with HCAS | Top with HCAS |
|---|---|---|
| Inner London | £34,186 | £37,388 |
| Outer London | £33,262 | £36,027 |
| Fringe | £29,812 | £32,715 |
Who is on Band 4?
Typical Band 4 roles include assistant practitioners, nursing associates, medical secretaries and team administrators. Band 4 has two pay points. You normally move to the top point after 3 years.
Calculate your exact Band 4 take-home payBand 4 pay questions
How much is NHS Band 4 pay in 2026/27?
Band 4 pays £28,392–£31,157 a year for a full-time (37.5 hour) role in England from 1 April 2026.
What is the Band 4 hourly rate?
The Band 4 hourly rate is £14.51 at entry, rising to £15.92 at the top pay point, before tax.
What is Band 4 take-home pay per month?
A full-time Band 4 employee takes home about £1,843 a month at entry and £1,947 at the top point, after tax, National Insurance and NHS pension (tax code 1257L, no student loan).
How do you progress through Band 4?
Band 4 has two pay points. You normally move to the top point after 3 years.