NHS Band 4 Salary After Tax 2025-26
Nursing associate, science technician · Pay range: £26,530 – £29,114
NHS Band 4 tax breakdown 2025-26
| Item | Annual | Monthly | Weekly |
|---|---|---|---|
| Gross salary | £27,822 | £2,319 | £535 |
| Personal Allowance (tax-free) | £12,570 | £1,048 | £242 |
| Income Tax | −£3,050 | −£254 | −£59 |
| National Insurance | −£1,220 | −£102 | −£23 |
| Net take-home | £23,552 | £1,963 | £453 |
About NHS Band 4
NHS Band 4 sits within the Agenda for Change (AfC) pay framework, which applies to the majority of NHS staff in England. Typical roles at this band include Nursing associate, science technician.
The pay range runs from £26,530 to £29,114. Staff progress through incremental pay points, usually annually subject to satisfactory performance. The mid-band salary of £27,822 is used for the calculations on this page.
To progress to Band 5, staff typically need to demonstrate competencies at the higher level, take on additional responsibilities, or apply for a substantive post at that band. Some trusts offer development programmes to support AfC progression.
For context, Band 5 is the most common clinical entry point (e.g. newly qualified nurses and allied health professionals). Band 4 roles are support or technical positions that underpin frontline clinical teams.
Frequently asked questions
What is the take-home pay for NHS Band 4?
On the mid-band salary of £27,822, an NHS Band 4 worker takes home £23,552 per year after Income Tax (£3,050) and National Insurance (£1,220). That is £1,963 per month.
How much is NHS Band 4 after tax per month?
Based on the mid-band salary of £27,822, NHS Band 4 take-home pay is £1,963 per month in 2025-26, after Income Tax and National Insurance deductions.
What jobs are NHS Band 4?
Typical NHS Band 4 roles include: Nursing associate, science technician. These positions sit within the NHS Agenda for Change pay framework, which sets out standardised pay scales for NHS staff in England.
What is the hourly rate for NHS Band 4?
The mid-band gross salary of £27,822 works out at £14 per hour (based on 37.5 hours per week, 52 weeks per year). After tax and NI, the net hourly rate is approximately £12.
How much tax does an NHS Band 4 worker pay?
On the mid-band salary of £27,822, an NHS Band 4 worker pays £3,050 in Income Tax and £1,220 in National Insurance — £4,270 in total deductions. The effective tax rate is 15.35%.
What is the difference between NHS Band 4 and Band 5?
NHS Band 4 has a mid-band salary of £27,822 (take-home £23,552/year). Band 5 starts at a higher salary, typically reflecting greater responsibility, specialist expertise, or management duties. Progression to Band 5 usually requires demonstrating competencies at the higher level or applying for a substantive post.