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

87 live vacancies at this grade · 68 NHS employers · salary £28,392 - £31,157

Open Positions

£26k - £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 87 live band 4 healthcare assistant vacancies across 68 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 £25,760 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 Southampton, Hastings, Leeds, Dorchester, and Sheffield. Location pages help you compare local trusts, travel expectations, and live job counts before applying.

Employer mix

Recent listings include employers such as Betsi Cadwaladr University Health Board, Norfolk and Suffolk NHS Foundation Trust, Hertfordshire Partnership University NHS Foundation Trust, and Hampshire and Isle of Wight Healthcare 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

Southampton, South East3 jobs

Hastings, South East3 jobs

Leeds, North East and Yorkshire2 jobs

Dorchester, South West2 jobs

Sheffield, North East and Yorkshire2 jobs

Loughborough, Midlands2 jobs

Nottingham, Midlands2 jobs

Bristol, South West2 jobs

London, London2 jobs

Exeter, South West2 jobs

Croesnewydd Hall Wrexham, North Wales1 jobs

Cleator Moor, North East and Yorkshire1 jobs

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