Estimated Monthly Payslip
Payments Amount
Basic Pay 162.9 hrs at £14.52/hr £2,366
Deductions Amount
PAYE Tax £233
National Insurance £105
NHS Pension 6.5% Tier 6.5% of £2,366 pensionable pay £154
Hourly rate £14.52
Annual take-home £22,485
Gross annual £28,392

In simple terms

As a Band 4 in England on 37.5 hours a week, your basic hourly rate is £14.52. After tax, NI, and NHS pension, you'd take home roughly £1,874 a month, or £22,485 over the year.

Last updated based on the 2026/27 NHS England Pay Award.

Estimates only. Your payslip may differ depending on tax code, trust payroll, and how unsocial hours are recorded.

About Band 4 pay in England

Band 4 roles commonly include Nursing Associate, Assistant Practitioner, Dental Nurse, Theatre Support Worker. For 2026/27 in England, this band pays £28,392 to £31,157 basic across 2 pay points before tax, National Insurance, pension, student loans, or unsocial enhancements.

Full-time (37.5 hours), tax code 1257L, pension on, no extras: about £1,874 a month take-home at the first pay point.

England uses standard UK income tax bands for PAYE. Staff in designated London zones may also receive High Cost Area Supplements (HCAS). Use the calculator above to set contracted hours, shifts, and deductions for an estimated monthly and annual take-home figure.

If you work in a London High Cost Area, choose Inner, Outer, or Fringe HCAS in the form. Read the London HCAS guide for zone rates and caps.

For shift enhancements, see the unsocial hours pay guide. To weigh two offers, use the job comparison calculator.

Frequently asked questions

What is the Band 4 basic salary in England for 2026/27?

Under the 2026/27 Agenda for Change pay scale in England, Band 4 basic annual pay ranges from £28,392 to £31,157 depending on pay point and length of service. Figures are gross basic salary before tax, pension, and enhancements.

What jobs are typically paid at Band 4 in the NHS?

Nursing Associate, Assistant Practitioner, Dental Nurse, Theatre Support Worker

How much is Band 4 take-home pay after tax in England?

Take-home pay depends on your pay point, tax code, NHS pension tier, student loan plan, and any unsocial hours. UK income tax and National Insurance rates apply. On a full-time 37.5-hour contract with tax code 1257L, NHS pension on, and no student loan or unsocial hours, entry is about £1,874 a month (£22,485 a year) and top of band about £1,990 a month (£23,884 a year). Change the settings above if your hours or deductions differ.

Does Band 4 receive unsocial hours enhancements in the NHS?

Yes. Under Section 2 of the NHS Terms and Conditions of Service, eligible staff receive percentage uplifts for night, Saturday, Sunday, and bank holiday work based on their band. Enter your typical shift counts in the calculator to see how enhancements affect gross and net pay.