NHS Band 4 Take Home Pay Calculator 2026/27
Band 4 covers assistant practitioners, nursing associates and senior administrators. Starting salary is £28,392 for 2026/27.
Starting Salary
£28,392
Top of Band
£31,157
Starting Take Home
£1,873.79/mo
Top Take Home
£1,990.32/mo
Band 4 Take Home Pay Table 2026/27
| Step | Gross Salary | Monthly Take Home |
|---|---|---|
| Step 1 | £28,392 | £1,873.79 |
| Step 2 | £31,157 | £1,990.32 |
Based on standard 37.5-hour week, Rest of UK (no HCAS), with NHS pension, no student loan. Use calculator below for exact figures.
Calculate Your Exact Band 4 Take Home Pay
Monthly Take Home Pay
Net Monthly Pay
£1,873.79
£432.41/week · £22,485.46/year
Income
Deductions
Band 4 Jobs — Roles & Qualifications
Here are the typical roles you'll find at Band 4, what qualifications you need, and how long it takes to get there.
Assistant Practitioner
Delivers protocol-based clinical care under the supervision of a registered practitioner, carrying out tasks such as wound care, medication administration, and patient assessments.
Training
2 years
Setting
Hospital
Nursing Associate
Bridges the gap between healthcare assistants and registered nurses, providing hands-on nursing care and supporting the wider nursing team across a range of clinical settings.
Training
2 years
Registration
NMC
Setting
Hospital & Community
Pharmacy Technician
Dispenses and checks prescriptions, manages medicine supplies, and supports clinical pharmacists with medicines reconciliation and patient counselling.
Training
2 years
Registration
GPhC
Setting
Hospital & Community
Senior Administrator
Manages complex administrative processes such as clinic scheduling, data reporting, and staff coordination, often acting as the administrative lead for a department or service.
Training
No formal qualification
Setting
Hospital
Dental Hygienist
Carries out dental scaling, polishing, and fluoride treatments, and provides oral health education to patients to help prevent gum disease and tooth decay.
Training
2 years
Registration
GDC
Setting
Dental Practice
Dental Nurse (Band 4)
Provides advanced chairside support during complex dental procedures, manages infection control protocols, and may take on additional responsibilities such as dental radiography or oral health education.
Training
2-3 years
Registration
GDC
Setting
Dental Practice
Theatre Support Worker
Assists the surgical team in operating theatres by preparing equipment, positioning patients, and maintaining a sterile field during procedures.
Training
1-2 years
Setting
Hospital
Assistant Radiographer
Supports registered radiographers by carrying out routine imaging examinations under supervision, positioning patients, and assisting with equipment preparation in the imaging department.
Training
2 years
Setting
Hospital
Medical Engineering Technician
Maintains, repairs, and calibrates medical devices and equipment across the hospital, ensuring they meet safety standards and are available for clinical use.
Training
2 years
Setting
Hospital
Audio-Visual Technician
Sets up and maintains audio-visual equipment for clinical consultations, training events, and telemedicine sessions, providing technical support across hospital departments.
Training
2 years
Setting
Hospital
Frequently Asked Questions — Band 4
NHS Band 4 salary starts at £28,392 and rises to £31,157 at the top of the band for 2026/27. Band 4 has 2 pay points.
Thinking about moving bands?
Compare Band 4against other bands — see the salary difference, take-home impact, and what qualifications you'll need.
Compare Band 4 vs Band 5