NHS Band 4 take-home pay
A Band 4 salary in England runs from £28,392 to £31,157 a year in 2026/27. The tables below show what that is each month after NHS Pension, tax and National Insurance.
NHS Band 4 salary and take-home pay: England
| Pay point | Annual | Hourly | Pension | Take-home a month | Inner London |
|---|---|---|---|---|---|
| Entry | £28,392 | £14.52 | 6.5% | £1,873.83 | £2,155.34 |
| Top | £31,157 | £15.93 | 8.3% | £1,990.36 | £2,292.37 |
Full-time (37.5 hours), NHS Pension, no student loan, tax code 1257L. The Inner London column adds the 20% high cost area supplement.
NHS Scotland Band 4 pay
| Pay point | Annual | Hourly | Pension* | Take-home a month |
|---|---|---|---|---|
| Entry | £31,537 | £16.80 | 8.3% | £2,014.36 |
| Top | £34,303 | £18.27 | 8.3% | £2,163.41 |
Full-time (36 hours), Scottish income tax bands, official 3.75% award. *Scottish pension bandings are not yet verified, so the England tiers are used as an estimate. Sources: gov.scot and NHS Employers.
Band 4 unsocial hours pay
At Band 4 you are paid time plus 30% for weekday hours between 8pm and 6am and for all of Saturday, and time plus 60% on Sundays and bank holidays. For your own figure, put your hours into the NHS pay calculator, which also takes London weighting and a student loan.
Related: all NHS pay scales for 2026/27, NHS Pension contribution rates and the 2026/27 pay rise.
NHS Band 4 questions
How much does an NHS Band 4 earn?
In England a Band 4 salary runs from £28,392 to £31,157 a year in 2026/27, depending on your pay point. In Scotland it runs from £31,537 to £34,303.
What is Band 4 take-home pay each month?
At the entry point in England, a full-time Band 4 employee in the NHS Pension Scheme with no student loan takes home about £1,873.83 a month, and about £1,990.36 at the top point. Your own figure depends on hours, pension, tax code and any loan.
What unsocial hours rates apply to Band 4?
Band 4 is paid time plus 30% for weekday hours between 8pm and 6am and all Saturday hours, and time plus 60% on Sundays and public holidays.