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Band 4 NHS Pay 2026

Band 4 is one of the key Agenda for Change pay bands in 2026, and this page focuses only on Band 4. It covers the England, Wales, and Northern Ireland pay points used in the live calculator, the separate Scotland settlement, pension positioning, London weighting, and the real take-home impact once deductions are applied.

This page is targeted to the 2026 search intent and keeps the calculator preloaded to Band 4, so you can move straight from the headline salary scale to a usable monthly take-home estimate.

Band 4 preselected
2026 UK pay points
Scotland rates included
London weighting modelled

Band 4 pay calculator

Pay band Experience step Contract hours Location / HCAS

Shifts and overtime

Night / Saturday hours Sunday / bank holiday hours Overtime (x1.5) Overtime (x2.0)

Deductions

Pension (26/27 tiers) Student loan Salary sacrifice (£ monthly) Tax code

Projected pay rise simulator

Related NHS pages

The wider 2026 pay award matters, but the pages below help break down the deductions and pay drivers that most affect Band 4 take-home pay in practice.

NHS Pay Rise 2026 NHS Take Home Pay Calculator NHS Overtime Pay Calculator NHS Pension Calculator NHS Tax Calculator

Band 4 NHS Pay 2026: Official Scales, Hourly Rates, and Take-Home Guide

Band 4 is the bridge between support staffing and more specialist technical or assistant-practitioner roles. For 2026, the England, Wales, and Northern Ireland figures below reflect the same pay points used by the live home calculator and are aligned to the confirmed pay award for the current tax year.

These are full-time equivalent figures before deductions. Monthly take-home depends on tax code, student loan, NHS pension, contract hours, and any London weighting or enhancements you add in the calculator.

Pay Point	Annual Salary (2026)	Monthly (Gross)	Hourly Rate	Base Pension Rate
Entry	£28,392	£2,366.00	£14.52	8.3%
Top	£31,157	£2,596.42	£15.93	8.3%

Band 4 Pay in Scotland 2026

NHS Scotland uses a separate settlement and a 36-hour full-time week. The Scottish figures below are the current band values loaded into the live calculator for Band 4.

Scottish Pay Point	Annual Salary	Monthly (Gross)	Hourly Rate	Base Pension Rate
Entry	£31,492	£2,624.33	£16.78	7%
Top	£34,254	£2,854.50	£18.25	8.7%

London Weighting (HCAS) for Band 4

HCAS applies only in England. The examples below use the same London weighting logic as the live calculator, including the zone percentage and current minimum and maximum caps.

Zone	Rate	Entry HCAS	Entry Total Salary	Top HCAS	Top Total Salary
Inner London	20%	£5,867	£34,259	£6,231	£37,388
Outer London	15%	£4,933	£33,325	£4,933	£36,090
Fringe	5%	£1,420	£29,812	£1,558	£32,715

Because HCAS is pensionable and taxable, it matters for take-home pay as well as gross salary. The calculator above already applies the right zone treatment when you switch location.

Pension Position for Band 4

On base salary alone, Band 4 sits between 8.3% and 8.3% in the England, Wales, and Northern Ireland calculator rules. Scotland uses separate pension thresholds, and those are applied automatically when you switch nation in the calculator.

London weighting can push some Band 4 roles into a higher pension contribution bracket. That matters because a small rise in gross salary can still produce a smaller-than-expected banked increase once pension has adjusted upward.

Typical Band 4 Roles in 2026

Assistant Practitioners
Associate Ambulance Practitioners
Pharmacy Technicians
Theatre Support Practitioners
Senior Administrators

How Band 4 Compares

The entry point for Band 4 is £28,392, compared with £27,476 at the top of Band 3. That means the jump into Band 4 is £916 per year before tax, NI, and pension.

That gross comparison is only the first step. The calculator above is the faster way to see what the move really looks like once pension, NI, student loan, part-time hours, and London weighting are applied.

Frequently Asked Questions

These are the main Band 4 questions that come up once the 2026 pay rates are published.

When will the 2026 pay rise be paid?

The award is effective from 1 April 2026. Most NHS employers are expected to apply the updated Band 4 rates in the April or early subsequent payroll run, so the new salary should be reflected quickly once your employer processes the award.

Does the 3.3% rise apply to Bank shifts?

Yes. Bank hourly rates are derived from the underlying Band 4 salary scale, so the 2026 rates feed through there as well. On the current scale that is roughly £14.52 per hour at entry and £15.93 per hour at the top in England, Wales, and Northern Ireland before any local holiday pay or other enhancements.

How does Band 4 compare with Band 3 in 2026?