What is the salary for NHS healthcare assistant Band 4 roles?

NHS Band 4 roles pay between £28,392 and £31,157 per year under the 2026/27 pay scale. Additional allowances may apply for unsocial hours or high-cost area supplements.

What qualifications do I need for NHS healthcare assistant Band 4 jobs?

Band 4 roles often require a foundation degree, HNC/HND, or completion of an assistant practitioner programme. Nursing associate roles require the specific two-year nursing associate qualification.

What qualifications do I need to become an NHS healthcare support worker?

Many trusts accept candidates without formal qualifications and provide the Care Certificate on the job. GCSEs in English and maths, any patient-facing experience, and evidence of caring values will strengthen an application.

Are healthcare assistant jobs the same as healthcare support worker jobs?

Many NHS adverts use healthcare assistant, HCA, clinical support worker, and healthcare support worker for closely related patient-care roles. The exact duties and band depend on the employer and service.

Band 4 Healthcare Assistant Jobs in the NHS

45 live vacancies at this grade · 37 NHS employers · salary £28,392 - £31,157

Open Positions

£27k - £37k

Salary Range

NHS Trusts

New This Week

What to expect from Band 4 Healthcare Assistant roles

Band 4 posts include assistant practitioners, nursing associates, senior therapy assistants, and specialist administrative roles. These positions require a foundation degree, apprenticeship, or equivalent competency and sit between support staff and registered professionals. For healthcare assistant candidates, this usually means matching the advertised responsibilities to your evidence before applying: the same band can cover different service settings, rota patterns, and levels of supervision across NHS employers.

Job Clerk is currently tracking 45 live band 4 healthcare assistant vacancies across 37 NHS employers. Use this page to compare the broad market, then narrow into a city page when you need local salary expectations, employers, and closing-date pressure.

Recent salary data for band 4 healthcare assistant roles ranges from about £27,485 to £37,389 per year, depending on employer, setting, rota pattern, and high-cost area supplements.

Band expectations

Foundation degree or equivalent qualification
Nursing Associate qualification (for some roles)
Relevant experience and competencies
Ability to work autonomously within scope

Role evidence to prepare

Recording and escalating vital signs observations (NEWS2, PEWS)
Phlebotomy, ECGs, or wound care (where trained and competent)
Supporting patients with nutrition, hydration, and mealtime assistance
Infection prevention: hand hygiene, PPE, equipment decontamination

Typical requirements

Care Certificate (completed within first 12 weeks of starting)
NVQ/QCF Level 2-3 in Health and Social Care (desirable)
Previous care, support, or patient-facing experience (desirable)
Manual handling certification (usually provided on induction)

Hiring locations

Current band 4 healthcare assistant demand is visible in London, London, Merthyr Tydfil, Ballymena, and Bolton. Location pages help you compare local trusts, travel expectations, and live job counts before applying.

Employer mix

Recent listings include employers such as Cwm Taf Morgannwg University Health Board, Northern Health and Social Care Trust, Inclusion, and Lancashire and South Cumbria NHS Foundation Trust. Review each advert for the person specification, application method, and whether the post closes early after enough applications.

Band 4 Healthcare Assistant Jobs by City

Browse band 4 healthcare assistant jobs in the UK's biggest NHS hubs.

Band 4 Healthcare Assistant in London Band 4 Healthcare Assistant in Cardiff

Where Band 4 Healthcare Assistant Roles Are Hiring

London, London2 jobs

London2 jobs

Merthyr Tydfil2 jobs

Ballymena, North1 jobs

Bolton1 jobs

Bradford, Yorkshire and the Humber1 jobs

Belfast Trust Schools, Belfast1 jobs

Burton, Wales1 jobs

Chelmsford, Eastern1 jobs

Chorley, North West1 jobs

Craigavon Area Hosp-Main Building, South1 jobs

Bristol, South West1 jobs

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