NHS Band 4 covers Associate Practitioner roles. Here is exactly what you take home at every pay point within the band after income tax and National Insurance in 2026/27.
For context on how Band 4 compares across the NHS pay structure, see our NHS Salary Band Guides.
NHS Band 4 Take Home Pay Summary
| Pay point | Gross salary | Income tax | NI | Take home | Monthly | Weekly |
|---|---|---|---|---|---|---|
| Minimum | £26,530 | −£2,792 | −£1,117 | £22,621 | £1,885 | £435 |
| Maximum | £29,114 | −£3,309 | −£1,324 | £24,482 | £2,040 | £471 |
Figures assume a standard 1257L tax code, England or Wales residency (Scottish taxpayers see below), no student loan deductions, and no pension contributions reducing taxable income.
Income Tax Breakdown at Band 4 Minimum (£26,530)
| Band | Taxable amount | Rate | Tax |
|---|---|---|---|
| Personal Allowance | £12,570 | 0% | £0 |
| Basic rate | £13,960 | 20% | £2,792 |
| Total income tax | £2,792 |
National Insurance at Band 4 Minimum
| Earnings | Rate | NI |
|---|---|---|
| Up to £12,570 | 0% | £0 |
| £12,571–£26,530 | 8% | £1,117 |
| Total employee NI | £1,117 |
Monthly Take Home at Band 4 — Breakdown
| Component | Monthly (min pay) | Monthly (max pay) |
|---|---|---|
| Gross pay | £2,211 | £2,426 |
| Income tax | −£233 | −£276 |
| Employee NI | −£93 | −£110 |
| Net pay | £1,885 | £2,040 |
NHS Pension Impact on Band 4 Take Home
NHS pension contributions are deducted before income tax, giving basic rate relief at source. The NHS pension contribution rate for Band 4 salaries is between 5.1% and 6.5% depending on exact pay, reducing take-home pay but building a defined benefit pension.
| Contribution rate | Monthly gross contribution | Monthly take home (after tax relief) | Net cost |
|---|---|---|---|
| 5.1% (typical) | £113 | £1,795 | ~£90/month |
| 6.5% | £144 | £1,770 | ~£115/month |
The NHS pension is a defined benefit scheme — one of the most valuable benefits in employment. The employer contributes an additional 23.7% of salary to the scheme.
Band 4 Take Home With Student Loan
Many Band 4 staff joined with a degree-level qualification and carry student loan debt. Deductions reduce take-home further:
| Student loan plan | Threshold | Annual deduction at min pay | Take home after SL |
|---|---|---|---|
| Plan 1 | £24,990 | £139 | £22,482 |
| Plan 2 | £27,295 | £0 | £22,621 |
| Plan 4 (Scotland) | £31,395 | £0 | £22,621 |
Scottish NHS Band 4 Take Home
Scottish NHS staff pay Scottish income tax which differs from England:
| England | Scotland | |
|---|---|---|
| Annual take home (min pay) | £22,621 | Lower — see Scottish take-home pay guides |
| Key difference | Standard IT bands | Starter (19%), Intermediate (21%), Higher (42%) apply earlier |
Scottish NHS Band 4 staff take home slightly less than England equivalents at the same salary level due to Scotland’s different income tax structure.
Band 4 Progression — Impact on Take Home
| Year | Approximate gross | Approximate monthly take home |
|---|---|---|
| Year 1 (entry) | £26,530 | £1,885 |
| Year 2–3 | Mid-band (varies) | Between £1,885–£2,040 |
| Top of band | £29,114 | £2,040 |
Progression within NHS bands is annual, subject to the appraisal process.