Band 4 NHS pay 2026/27
Band 4 covers assistant practitioners, nursery nurses and senior administrative roles. It has two pay steps, with progression after three years.
Band 4 pay steps
Full-time annual salary (37.5 hours/week, England). The 2026/27 rates include the 3.3% award effective 1 April 2026.
| Pay step | 2025/26 | 2026/27 | Increase | Hourly (26/27) |
|---|---|---|---|---|
| Entry (< 3 years) | £27,485 | £28,392 | +£907 | £14.52 |
| Top (3+ years) | £30,162 | £31,157 | +£995 | £15.93 |
Band 4 take-home pay 2026/27
Estimated deductions at each pay step, assuming NHS Pension membership, standard tax code (1257L), no student loan and no other deductions.
| Pay step | Gross | Pension | Income tax | Nat. Insurance | Take-home / year | Take-home / month |
|---|---|---|---|---|---|---|
| Entry (< 3 years) | £28,392 | £1,845 (6.5%) | £2,795 | £1,266 | £22,485 | £1,874 |
| Top (3+ years) | £31,157 | £2,586 (8.3%) | £3,200 | £1,487 | £23,884 | £1,990 |
Add student loan, switch tax year or turn pension off in the calculator.
Band 4 pay: quick answers
How much does a Band 4 earn in the NHS in 2026/27?+
In England, NHS Band 4 pay in 2026/27 runs from £28,392 at entry to £31,157 at the top step (full-time, 37.5 hours a week), including the 3.3% Agenda for Change pay award.
What is the monthly take-home pay for a Band 4 in 2026/27?+
Estimated take-home pay for a full-time Band 4 is roughly £1,874 to £1,990 a month depending on pay step, assuming NHS Pension membership, tax code 1257L and no student loan.
What is the Band 4 hourly rate in 2026/27?+
The full-time equivalent hourly rate for Band 4 ranges from £14.52 to £15.93 before deductions, based on 37.5 hours a week.
Sources & data checks
Salaries on this page are the official Agenda for Change pay scales for England published by NHS Employers. Deductions are calculated from HMRC 2026/27 tax and National Insurance thresholds and the NHS Pension member contribution tiers. Every figure is re-checked by an independent calculation before publication — last reviewed 17 July 2026.