Answers · UK 2025/26

What is the take-home pay for an NHS Band 4 employee?

NHS Band 4 roles -- assistant practitioners, senior administrators and technical assistants -- typically pay roughly £27,500 to £30,200 a year on the Agenda for Change pay scale. On a representative salary of £28,800 in 2026/27, take-home pay after Income Tax (£3,246) and National Insurance (£1,298.40) is £24,255.60 a year, or about £2,021.30 a month -- before NHS Pension Scheme contributions.

Last updated: 10 July 2026Last reviewed: 10 July 2026How we verify

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Band 4 on the NHS Agenda for Change pay scale covers assistant practitioners, senior administrative and clerical staff, and technical assistants, with pay points typically spanning roughly £27,500 to £30,200 a year -- exact figures depend on the annual pay award and any high-cost-area supplement. Taking a representative salary of £28,800 for 2026/27: taxable income after the £12,570 Personal Allowance is £16,230, all within the 20% basic rate band, giving £3,246 Income Tax. National Insurance is 8% of £16,230 = £1,298.40. Combined deductions of £4,544.40 leave £24,255.60 take-home pay a year, around £2,021.30 a month. NHS Pension Scheme employee contributions at Band 4 typically fall into a tier around 6.5% to 8.3% of pensionable pay, deducted before tax, which reduces the net figure shown above further. Band 4 is often the step before Band 5 registered roles for staff who complete a relevant apprenticeship or foundation degree while working.