The nine regional league winners along with the bottom three teams from Premier League 3 take part in the Premier League Play-Offs to decide who will compete in Premier League 3 the following season.
The Premier League Play-Offs will be available to livestream with Joymo, head to englandnetball.tv to watch.
Group Tables
| Saturday 20th April 2024 | |||
| Time | Court A | Court B | Court C |
| 10:30 | Deeside | Bridgford | Hatfield Hawks |
| 60 – 44 | 35 – 49 | 45 – 43 | |
| Team Jets | Swan Netball Club | Dudley Leisure NC | |
| 12:15 | Premier Romans | Thoroughbreds | Leyton |
| 58 – 54 | 43 – 61 | 46 – 44 | |
| Hyde Park | DNC Netball | Riverside NC | |
| 15:30 | Thoroughbreds | Leyton | Deeside |
| 37 – 64 | 43 – 55 | 45 – 50 | |
| Swan Netball Club | Hatfield Hawks | Premier Romans | |
| 17:15 | Bridgford | Riverside NC | Team Jets |
| 34-45 | 62-54 | 53-67 | |
| DNC Netball | Dudley Leisure NC | Hyde Park | |
| Sunday 21st April 2024 | |||
| Time | Court A | Court B | Court C |
| 09:30 | Leyton | Riverside NC | Deeside |
| 66-53 | 52-61 | 47-46 | |
| Dudley Leisure NC | Hatfield Hawks | Hyde Park | |
| 11:15 | DNC Netball | Thoroughbreds | Team Jets |
| 46-46 | 41-39 | 47-70 | |
| Swan Netball Club | Bridgford | Premier Romans | |
| 14:30 | Premier Romans | Hatfield Hawks | Swan Netball Club |
| 61-39 | 49-47 | 45-56 | |
| DNC Netball | Deeside | Leyton | |