NHS Band 4 pay 2026/27
Band 4 pays £28,392 to £31,157 a year in England from 1 April 2026 — about £1,874 a month take-home at entry, or £14.52 an hour.
- Entry
- £28,392
- a year, full time
- Top of band
- £31,157
- after progression
- Take-home
- £1,874
- a month at entry
- Hourly
- £14.52
- at entry, 37.5 hours
Pay points
| Pay point | Annual | Monthly (gross) | Take-home a month | Hourly |
|---|---|---|---|---|
| Entry | £28,392 | £2,366 | £1,874 | £14.52 |
| After 3 years | £31,157 | £2,596 | £1,990 | £15.93 |
Full time, 37.5 hours, England. Take-home after 2026/27 income tax, National Insurance and NHS pension, outside London. Source: NHS Employers pay scales 2026/27.
With London weighting
- Fringe
- £29,812 (+£1,420)
- Outer London
- £33,262 (+£4,870)
- Inner London
- £34,186 (+£5,794)
At the entry point, with the 2026/27 High Cost Area Supplement.
Part time
- 30 hours a week
- £22,714 · £1,558/month take-home
- 22.5 hours a week
- £17,035 · £1,242/month take-home
At the entry point, pro rata on 37.5 hours.
On top of basic pay
| Hours worked | Enhancement | Hourly at entry |
|---|---|---|
| Standard hours | — | £14.52 |
| Saturdays, and weekdays 8pm–6am | +30% | £18.88 |
| Sundays and public holidays | +60% | £23.23 |
| Overtime | Time and a half (double on public holidays) | £21.78 |
Annual leave is 27 days on appointment, 29 days after five years, 33 days after ten years, plus 8 public holidays. The NHS Pension Scheme adds an employer contribution of 23.7% of pay on top of salary. Source: NHS Terms and Conditions of Service Handbook.
Band 4 against the bands either side
- Band 3 starts at £25,760 — Band 4 pays £2,632 a year more at entry (about £147 a month after deductions).
- Band 5 starts at £32,073 — £3,681 a year more than Band 4 at entry.
You move up a band by applying for a role that has been evaluated at the higher band — not by time served. Time served moves you up the pay points within your band. Training such as a degree apprenticeship, a registered qualification or advanced practice training is usually what opens the next band.
Typical Band 4 roles
- Assistant practitioner
- Nursing associate
- Senior administrator
Common questions
- How much is NHS Band 4 pay in 2026/27?
- Band 4 runs from £28,392 at entry to £31,157 at the top of the band, for a full-time 37.5-hour week in England, from 1 April 2026.
- How much does a Band 4 take home a month?
- About £1,874 a month at entry after income tax, National Insurance and NHS pension, outside London, rising to about £1,990 at the top of the band.
- What is the Band 4 hourly rate?
- £14.52 an hour at entry and £15.93 at the top, based on 37.5 hours a week. Unsocial hours, overtime and London weighting are paid on top.
- How long does it take to reach the top of Band 4?
- 3 years. Pay moves up a step after 3 years in the band, subject to meeting the normal expectations of the role.
- How much extra does a Band 4 get for nights and weekends?
- Band 4 unsocial hours are paid at time plus 30% on Saturdays and weekday nights (8pm to 6am), and time plus 60% on Sundays and public holidays. At the entry point that is about £18.88 and £23.23 an hour.
- Does Band 4 get paid overtime?
- Yes. Overtime beyond 37.5 hours a week is paid at time and a half — about £21.78 an hour at entry — and double time on public holidays. Part-time staff are paid plain time for extra hours until they pass 37.5 hours in the week.
- What jobs are Band 4?
- Typical Band 4 roles include assistant practitioner, nursing associate, senior administrator. Every NHS role is banded by job evaluation, so the same title can sit in different bands at different trusts.