NHS Therapy Assistant salary, 2026/27
Therapy assistants support physiotherapists, occupational therapists and speech and language therapists with patient care, exercise programmes and routine therapy interventions. The role typically requires NVQ level 3 or equivalent. Most therapy assistants sit at Band 3 or Band 4.
- Range (England)
- £25,760 to £31,157
- Typical bands
- Band 3, Band 4
- Hourly entry
- £13.17
- Hourly top
- £15.93
Therapy Assistant pay by band, England 2026/27
The table below shows the entry and top step at each band Therapy Assistants are typically paid on. Most Therapy Assistants move through the bands over the course of their career as they take on more senior or specialist responsibilities.
Therapy Assistant salary after tax, 2026/27
The figures below show Therapy Assistant take-home pay — the cash that lands in your bank account after income tax, employee National Insurance and the NHS pension contribution on the 2026/27 England scale. They exclude London weighting, unsocial hours and overtime. The band-level take-home pages have the full step-by-step breakdown and London weighting variants.
Gross vs net at the top of each band on the 2026/27 England scale
| Band | Entry net | Top net | Monthly at top | |
|---|---|---|---|---|
| Band 3 | £20,727 | £21,874 | £1,823 | Full breakdown |
| Band 4 | £22,485 | £23,884 | £1,990 | Full breakdown |
Assumes full-time pay, standard NHS Pension membership and no student loan. Open the band's take-home page for London weighting variants, or use the calculator to add part-time hours, student loan, or HCAS.
Therapy Assistant career pay progression
Most Therapy Assistants progress through more than one band over their career. The path below shows the typical pay journey on the 2026/27 England scale, from entry at the lowest banding to the top step at the highest. Promotion between bands depends on additional qualifications, experience or moving into a more senior post; it isn't automatic.
- 1 Step timeline
Band 3 £25,760 to £27,476 gross
Top step net: £21,874 a year (£1,823/month). 2 steps; 2 years from entry to top.
- 2 Step timeline
Band 4 £28,392 to £31,157 gross
Top step net: £23,884 a year (£1,990/month). 2 steps; 3 years from entry to top.
Across the typical Therapy Assistant career on the 2026/27 England scale, gross pay rises by £5,397 a year from entry on Band 3 (£25,760) to the top of Band 4 (£31,157). National pay deals add a further cost-of-living rise on top each April.
Therapy Assistant pay in Scotland
Scottish NHS staff are paid on a separate pay scale, negotiated by the Scottish Government rather than the UK Pay Review Body. Scotland consistently pays more than England at every band. The figures below are the Scottish equivalents for the same bands.
Common questions
- What pay band is a Therapy Assistant on?
- NHS Therapy Assistants sit at Band 3 or Band 4 depending on experience and the specific responsibilities of the role. Newly qualified Therapy Assistants usually start on the lowest banding shown, with progression to the higher bands as they take on more senior or specialist work.
- How much does an NHS Therapy Assistant earn in 2026/27?
- On the 2026/27 England pay scale, an NHS Therapy Assistant earns between £25,760 and £31,157 a year gross, depending on band and step. At the lowest entry rate that works out to roughly £13.17 an hour, and at the top rate roughly £15.93 an hour. Take-home pay after tax, NI and the NHS pension contribution is typically 70% of the gross figure. Scottish Therapy Assistants earn between £29,103 and £34,303 on the equivalent Scottish scale.
- Where can I find Therapy Assistant jobs in the NHS?
- NHS Jobs (jobs.nhs.uk) lists all current vacancies across the four UK nations. Filter by 'Pay Band' to focus on roles at the band you're interested in. HSC Recruit covers Northern Ireland (jobs.hscni.net) and NHS Scotland Jobs covers Scotland (jobs.scot.nhs.uk). Most Trusts also list vacancies on their own websites alongside the national portal.
- What is an NHS Therapy Assistant salary after tax?
- An NHS Therapy Assistant starting on Band 3 (£25,760 gross) takes home around £20,727 a year after income tax, employee National Insurance and the NHS pension contribution — about £1,727 a month. At the top of Band 4 (£31,157 gross), take-home pay rises to £23,884 a year, or £1,990 a month. The figures exclude student loan repayments, unsocial hours and London weighting.
- Does Therapy Assistant get London weighting?
- Only at NHS Trusts in England inside one of the three London weighting (HCAS) zones. Therapy Assistants working at Inner London Trusts get 20% on top of basic pay (minimum £5,794, maximum £8,746 for 2026/27). Outer London is 15%, Fringe is 5%. Welsh, Scottish and Northern Irish Therapy Assistants don't receive a London weighting equivalent.