NHS Band 4 entry take-home (£26,530 gross): £21,418/year (£1,785/month) after income tax, NI and 6.1% NHS pension. Top of Band 4 (£29,114 gross): £23,218/year (£1,935/month). London Inner HCAS adds £5,132 to gross.

NHS Band 4 Take-Home Pay 2026-27

Agenda for Change 2026-27. Take-home after income tax, National Insurance and 6.1% NHS pension. Updated April 2026.

London High Cost Area Supplement (HCAS)

NHS staff working in or around London receive a High Cost Area Supplement added to their gross salary. These supplements increase take-home proportionally after tax.

NHS Pension Scheme — Band 4 Contribution

Band 4 employees contribute 6.1% to the NHS Pension Scheme 2015 — a defined benefit CARE scheme. The employer contributes approximately 23.7%. The pension accrues at 1/54 of pensionable pay per year.

Frequently Asked Questions

Common questions about NHS Band 4 take-home pay.

NHS Band Pay Guides