£26,530 – £29,114 a year
Assistant-practitioner level — delivering care or technical work under the supervision of a registered professional. The figure above is the England national base pay for 2025/26; London and high-cost areas add a High Cost Area Supplement, and clinical roles often earn more through unsocial-hours and on-call enhancements.
Indicative only — each employer maps roles to bands through job evaluation, so the same job title can sit on different bands at different trusts.
Within Band 4 you move up the pay points over time through annual increments, from £26,530 up to £29,114. The next step up is Band 5 (£29,970 – £36,483).
NHS Band 4 pays from £26,530 to £29,114 a year in 2025/26 (England). You start near the bottom of the band and move up the pay points through annual increments; London and high-cost areas add a supplement on top.
Assistant-practitioner level — delivering care or technical work under the supervision of a registered professional. Typical Band 4 roles include Assistant practitioner, Theatre support worker, Medical secretary, Pharmacy technician.
The next band up is Band 5, paying £29,970 – £36,483 a year in 2025/26.