What an NHS Band 4 (Assistant Practitioner) payslip looks like
A typical UK nhs band 4 (assistant practitioner) payslip is paid monthly and shows a basic pay line at the top. NHS Band 4 covers Assistant Practitioners, Nursing Associates and Administrative Officers in clinical settings. The line items below depend on grade, shift pattern and contractual additions, but the structure usually mirrors HMRC's recommended payslip layout: a payments block, a deductions block, a year-to-date column, and a net pay summary.
Common employers in this occupation include NHS Trusts (England), NHS Scotland, NHS Wales. Each employer runs payroll slightly differently, but the underlying PAYE computation against tax code 1257L and Class 1 National Insurance is identical across the UK (excluding Scotland for income tax). The biggest variability between two nhs band 4 (assistant practitioner) payslips at the same gross will be in the additions block: Band 4 runs £28,392 to £31,157 from 1 April 2026. The entry step is in the 6.5% NHS Pension tier and the top of the band in the 8.3% tier, so the deduction rises by more than the pay step alone.
Year-to-date columns are critical to verify on this role because the additions and salary sacrifice items change month to month. If your YTD gross divided by months elapsed in the tax year does not match your expected annual run-rate, that is the single best signal that something is mis-coded.
Band 4: £28,392 to £31,157 from 1 April 2026
Band 4 straddles a pension tier boundary: the entry step sits in the 6.5% tier and the top of the band in the 8.3% tier, so the deduction rises by more than the pay step alone.
| Step | Published / year | Pension | Tax + NI | Net / month |
|---|---|---|---|---|
| Entry step | £28,392 | £1,845 (6.5%) | £4,061 | £1,874 |
| Top of band | £31,157 | £2,586 (8.3%) | £4,687 | £1,990 |
- From £28,392 to £31,157 is £2,765 of gross progression and £1,398 after deductions, which is £117 a month, or 51p in the pound.
- The top of the grade is £31,157, but the 8.3% pension contribution comes off before tax, so income tax is charged on £28,571. That is £21,699 short of £50,270, so no part of this grade is taxed at 40% on basic pay alone.
- Band 5 entry starts at £32,073, £916 above the top of this grade and about £50 a month more in the hand.
NHS Employers, pay scales for 2026/27. England rates before any High Cost Area Supplement or Section 2 unsocial-hours enhancement; Scotland, Wales and Northern Ireland negotiate their own scales. Net figures are estimates on 1257L with rUK bands and no student loan, NHS Pension Scheme 2015 off before tax but not before NI. Full scale, allowances and NHS Pension Scheme 2015 tiers.
Common deductions for an NHS Band 4 (Assistant Practitioner)
- PAYE income tax.Calculated against tax code 1257L. Cumulative coding means refunds can appear if you start mid-year.
- National Insurance (Class 1).8% between £12,570 and £50,270 of annual earnings, then 2% above. Period-by-period method is standard.
- Pension.Auto-enrolment minimum 5% employee on qualifying earnings (£6,240 - £50,270), unless your employer runs a more generous scheme such as the NHS, Teachers Pension or Civil Service alpha.
- Salary sacrifice patterns.Common in this occupation: cycle-to-work, electric-car salary sacrifice, additional pension contributions, and where applicable workplace nursery vouchers (still tax-efficient via pre-existing schemes).
- Union or professional body.Tax-deductible for HMRC-listed bodies. NHS Band 4 (Assistant Practitioner)s commonly hold subscriptions covered by section 344 ITEPA 2003 (List 3).
NHS Band 4 (Assistant Practitioner) payslip FAQ
How much does an NHS Band 4 (Assistant Practitioner) earn in 2026/27?
Band 4 is published at £28,392 to £31,157, effective 1 April 2026, in NHS Employers, pay scales for 2026/27. England rates before any High Cost Area Supplement or Section 2 unsocial-hours enhancement; Scotland, Wales and Northern Ireland negotiate their own scales.
What is the take-home pay for an NHS Band 4 (Assistant Practitioner)?
At the top of the grade, £31,157, income tax and National Insurance come to about £4,687 a year, and NHS Pension Scheme 2015 takes a further £2,586, leaving roughly £1,990 a month. At the bottom of the grade, £28,392, it is roughly £1,874 a month. Estimated on tax code 1257L with England, Wales and Northern Ireland bands and no student loan.
What is unusual about an NHS Band 4 (Assistant Practitioner) payslip?
Band 4 runs £28,392 to £31,157 from 1 April 2026. The entry step is in the 6.5% NHS Pension tier and the top of the band in the 8.3% tier, so the deduction rises by more than the pay step alone.
Which tax code should an NHS Band 4 (Assistant Practitioner) typically be on?
Most people in this role on standard PAYE will see 1257L. Check the prefix and suffix carefully: a K-prefix means deductions exceed your allowance (often after a bonus or P11D benefit), 0T means you have no allowance left at this employer, and BR means basic rate on the whole job (common in second jobs).
Related roles
Pay figures: NHS Employers, pay scales for 2026/27, the determination in force from 1 April 2026. Tax, National Insurance and pension figures are estimates from this site's 2026/27 engine.