NHS Band 4 Pay Scale 2026/27
Band 4 roles bridge support staff and registered practitioners. Salaries range from £28,392 (entry) to £31,157 (3+ years experience).
Typical NHS Band 4 NHS Roles
NHS Band 4 2026/27 Pay Progression & Take-Home Pay
Assumes standard England 1257L tax code, actual NHS Pension tier deduction, and no student loan.
| Experience Step | Annual Gross | Monthly Gross | Pension Tier | Monthly Take-Home | Annual Take-Home |
|---|---|---|---|---|---|
| < 3 years | £28,392 | £2,366 | 8.3% | £1,840 | £22,077 |
| 3+ years | £31,157 | £2,596 | 8.3% | £1,990 | £23,884 |
NHS Band 4 London Weighting (HCAS) for 2026/27
If you work in a London NHS trust, you receive a High Cost Area Supplement (HCAS) on top of your basic pay:
20% of basic pay, subject to min/max caps. For NHS Band 4 entry: £34,186.
15% of basic pay, subject to min/max caps.
5% of basic pay for designated surrounding counties.
England vs Scotland NHS Band 4 Pay Comparison
Scotland Band 4 pays £29,116 to £31,670. NHS Scotland negotiates pay separately through NHS Scotland Agenda for Change circulars and is also subject to separate Scottish Income Tax rates (19% Starter, 20% Basic, 21% Intermediate, 42% Higher).
NHS Band 4 Unsocial Hours Enhancements (Section 2)
Staff working shift patterns earn Agenda for Change Section 2 uplifts on their basic hourly rate:
Calculate your exact NHS Band 4 take-home pay
Include your specific overtime hours, unsocial shifts, London weighting, and student loan deductions in our interactive calculator.
Explore Other NHS Agenda for Change Pay Bands
Frequently Asked Questions About NHS Band 4
What is the 2026/27 NHS Band 4 salary for a Nursing Associate?
Nursing Associates on Band 4 start at £28,392 (£2,366/month gross) and advance to £31,157 (£2,596/month gross) after 3 years.
What is the net take-home pay for Band 4 in the NHS?
Estimated net take-home pay is £1,819 per month at entry and £1,968 per month at top of band after Income Tax, NI, and 8.3% NHS pension.