NHS Band 4 take-home pay 2026/27
What Band 4 staff take home at every pay point on the 2026/27 Agenda for Change scale in England.
Band 4 take-home pay at every pay point
| Pay point | Salary | Take-home a month | A year | With Plan 2 loan |
|---|---|---|---|---|
| Pay point 1 | £28,392 | £1,996.86 | £23,962.32 | £1,996.86 |
| Pay point 2 | £31,157 | £2,162.76 | £25,953.16 | £2,149.51 |
England pay scale from 1 April 2026, NHS Employers. Excludes unsocial hours enhancements and High Cost Area Supplements.
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NHS Band 4 pay questions
How much does Band 4 take home a month?
Band 4 staff on the first pay point on £28,392 takes home £1,996.86 a month in England after income tax and National Insurance, before NHS Pension contributions and any student loan.
Is Band 4 pay different in Scotland?
Yes, in two ways. The Agenda for Change scale is agreed separately in Scotland, and MyNetIncome shows the England scale rather than the Scottish one. Income tax differs too: £28,392 on the England scale leaves £2,000.17 a month under the Scottish bands, £39.67 a year less tax than in England, Wales and Northern Ireland. That monthly figure is after income tax and National Insurance, before NHS Pension contributions and any student loan.
How much is Band 4 an hour?
Over a 37.5-hour week, £28,392 is £14.56 an hour before tax and £12.29 an hour after income tax and National Insurance. Unsocial hours enhancements and any High Cost Area Supplement are paid on top and are not included.