Band 4 covers assistant practitioners, nursing support roles and senior administrative posts in NHS Scotland. The two points below are the official rates from 1 April 2026 (confirmed 3.75% uplift, circular PCS(AFC)2026/1). Unsocial hours are not included.
If your gross pay is £34,303 a year, after Scottish income tax, National Insurance and this pension contribution your take-home is about £25,852 a year — that’s £2,154 a month, £497 a week.
| Year | Month | Week | |
|---|---|---|---|
| Gross pay | £34,303 | £2,859 | £660 |
| Income tax (Scottish rates) | −£3,728 | −£311 | −£72 |
| National Insurance | −£1,739 | −£145 | −£33 |
| Pension contribution (SPPA) | −£2,984 | −£249 | −£57 |
| Take-home pay | £25,852 | £2,154 | £497 |
Effective deduction rate: 25% of gross, leaving 75p in every pound. Marginal rate: 36%, so an extra £100 pay rise or overtime puts about £64 in your pocket.
NHS Scotland pension contributions (SPPA) are tiered by pay — nine tiers from 5.7% to 12.7%, and the tier applies to your whole salary. At £34,303 the 2026/27 member rate is 8.7%, which is what the table above deducts. Scotland’s tiers differ from NHS England’s — most online calculators use the English rates for everyone and get Scotland wrong.
Your SPPA contribution comes off your pay before income tax — a net pay arrangement — so relief is automatic at your top Scottish rate and there is nothing to claim back. The £2,984 contribution above cuts your tax bill by £627, so its real cost to your take-home is £2,358 a year. Calculators that tax your whole salary and then subtract the pension understate your take-home by that £627.
Scotland vs England: the same point in England pays £31,157 gross (about £23,884 take-home). In Scotland you earn £3,146 more gross and, after Scottish income tax and the SPPA pension, keep about £1,968 more a year.
NHS Scotland’s standard full-time week is 36 hours (England’s is 37.5), so the per-hour figure above is based on a 36-hour week — another reason Scottish and English figures aren’t directly comparable.
Figures based on the official NHS Scotland Agenda for Change pay rates from 1 April 2026 (circular PCS(AFC)2026/1) and the SPPA NHS Pension Scheme (Scotland) contribution tiers from 1 April 2026 (NHS Circular 2026/03), with Scottish income tax at 2026/27 rates. Actual take-home depends on your exact tax code, student loan plan, and whether you pay into the pension. Sources: PCS(AFC)2026/1 pay circular · SPPA contribution circular 2026/03
Your actual take-home may differ because of your tax code, student loan, unsocial-hours enhancements or pension opt-out. Put your real numbers into our free salary calculator — it handles Scottish tax bands — nothing is recorded.
Band 4 NHS (Scotland) pay points
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Other NHS Scotland bands
Band 2 NHS (Scotland) · Band 3 NHS (Scotland) · Band 5 Nurse (Scotland) · Band 6 Nurse (Scotland) · Band 7 Nurse (Scotland) · Band 8a NHS (Scotland)
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