NHS Band 4 Salary 2026/27
NHS Band 4 pays £28,392 to £31,157 a year under Agenda for Change. That's about £1,873.79 a month take-home at the entry point.
| Pay point | Annual salary | NHS pension | Monthly take-home | Scotland taxpayer |
|---|---|---|---|---|
| Entry | £28,392 | 6.5% | £1,873.79 | £1,877.09 |
| Top | £31,157 | 8.3% | £1,990.32 | £1,993.62 |
Band 4 take home pay calculator
Band 4 take-home pay (entry)
£1,873.79 / month
£22,485.46 a year from £28,392 gross
- Take-home 79.2%
- Income Tax 9.8%
- NI 4.5%
- Pension 6.5%
NHS pension: 6.5% tier = £153.79 a month
Breakdown
| Yearly | Monthly | Weekly | Daily | Hourly | |
|---|---|---|---|---|---|
| Gross pay | £28,392.00 | £2,366.00 | £546.00 | £109.20 | £14.56 |
| Pension | −£1,845.48 | −£153.79 | −£35.49 | −£7.10 | −£0.95 |
| Income Tax | −£2,795.30 | −£232.94 | −£53.76 | −£10.75 | −£1.43 |
| National Insurance | −£1,265.76 | −£105.48 | −£24.34 | −£4.87 | −£0.65 |
| Take-home pay | £22,485.46 | £1,873.79 | £432.41 | £86.48 | £11.53 |
Uses the Agenda for Change pay scales for England from 1 April 2026. Excludes high cost area supplements, unsocial hours and overtime.
Frequently asked questions
How much does an NHS Band 4 earn in 2026/27?
Band 4 pays £28,392 to £31,157 a year for a full-time (37.5-hour) role in England from 1 April 2026.
What is Band 4 take-home pay per month?
At the entry point (£28,392), a full-time Band 4 takes home about £1,873.79 a month after Income Tax, National Insurance and a 6.5% NHS pension contribution.
What is the Band 4 hourly rate?
Based on 37.5 hours a week, Band 4 pays £14.56 to £15.98 an hour before tax.
What jobs are Band 4?
Typical Band 4 roles include assistant practitioners, nursing associates, senior administrators.