NHS Band 4 Pay — Take-Home Breakdown
Assistant practitioners, senior admin. Salary range: £27,485–£30,162 (2 pay points).
2025/26 Take-Home Breakdown
Take-home pay for each Band 4 pay point, assuming England tax rates, standard tax code (1257L), NHS Pension Scheme contributions, and no student loan.
| Year 1 | Year 3+ | |
|---|---|---|
| Gross | £27,485 | £30,162 |
| Pension tier | 6.5% | 8.3% |
| Pension | £1,787 | £2,503 |
| Taxable income | £25,698 | £27,659 |
| Income tax | £2,626 | £3,018 |
| National Insurance | £1,193 | £1,407 |
| Monthly take-home | £1,823 | £1,936 |
| Annual take-home | £21,879 | £23,234 |
Notes
- Figures use HMRC 2025/26 income tax and NI rates for England, Wales, and Northern Ireland.
- NHS pension tier boundaries are from the 2025/26 scheme year.
- Scotland has different income tax bands — Scottish take-home will differ.
- Student loan repayments are not included. Use the calculator for a personalised breakdown.
Related
- Band 3 Pay — £24,937–£26,598
- Band 5 Pay — £31,049–£37,796
- NHS Pension Scheme — contribution tiers, NET pay, and how pension affects take-home
- NHS Take-Home Pay Calculator — personalised breakdown with student loans, salary sacrifice, and Scotland
- How UK Take-Home Pay Is Calculated — the PAYE deduction pipeline step by step
- All Resources