# Top 50 NHS Trusts & Hospital Pay Directory 2026/27 (London Weighting HCAS)

> Official directory of the 50 largest NHS Hospital Trusts and Health Boards in the UK: exact High Cost Area Supplement (HCAS) allowances, starting Band 5 gross and net monthly take-home pay, and hospital sites.

Canonical: https://netpayscale.uk/trusts/
Last updated: 2026-10-26

## 1. High Cost Area Supplement (HCAS) Rules for 2026/27

Under Agenda for Change Section 4 (Annex 8 & Annex 9):
- **Inner London (20% of basic):** Minimum £5,794, Maximum £8,746 / year.
- **Outer London (15% of basic):** Minimum £4,870, Maximum £6,137 / year.
- **Fringe Zone (5% of basic):** Minimum £1,346, Maximum £2,270 / year.
- **National Standard (0%):** Standard national AfC pay rates across regional England, Scotland, Wales, and Northern Ireland.

## 2. Directory of 50 Major UK NHS Trusts

| NHS Trust / Health Board | ODS Code | Location | London Weighting (HCAS) | Starting Band 5 Gross | Starting Band 5 Net Pay |
| :--- | :--- | :--- | :--- | :--- | :--- |
| **Guy's and St Thomas' NHS Foundation Trust** | `RJ1` | London (Lambeth & Southwark) | Inner London (+20%, up to £8,746) | £38,488 | ~£2,384/mo |
| **Barts Health NHS Trust** | `R1H` | London (City, Tower Hamlets, Newham, Waltham Forest) | Inner London (+20%, up to £8,746) | £38,488 | ~£2,384/mo |
| **Imperial College Healthcare NHS Trust** | `RYJ` | London (Westminster, Hammersmith & Fulham) | Inner London (+20%, up to £8,746) | £38,488 | ~£2,384/mo |
| **King's College Hospital NHS Foundation Trust** | `RJZ` | London (Camberwell, Bromley, Orpington) | Inner London (+20%, up to £8,746) | £38,488 | ~£2,384/mo |
| **University College London Hospitals NHS Foundation Trust** | `RRV` | London (Camden & Westminster) | Inner London (+20%, up to £8,746) | £38,488 | ~£2,384/mo |
| **Royal Free London NHS Foundation Trust** | `RAL` | London (Hampstead, Barnet, Enfield) | Inner London (+20%, up to £8,746) | £38,488 | ~£2,384/mo |
| **Chelsea and Westminster Hospital NHS Foundation Trust** | `RQM` | London (Chelsea & Isleworth) | Inner London (+20%, up to £8,746) | £38,488 | ~£2,384/mo |
| **St George's University Hospitals NHS Foundation Trust** | `RJ7` | London (Tooting, Wandsworth) | Inner London (+20%, up to £8,746) | £38,488 | ~£2,384/mo |
| **Great Ormond Street Hospital for Children NHS Foundation Trust** | `RP4` | London (Bloomsbury, Camden) | Inner London (+20%, up to £8,746) | £38,488 | ~£2,384/mo |
| **Lewisham and Greenwich NHS Trust** | `RJ2` | London (Lewisham & Woolwich) | Inner London (+20%, up to £8,746) | £38,488 | ~£2,384/mo |
| **London North West University Healthcare NHS Trust** | `R1K` | London (Harrow, Brent, Ealing) | Outer London (+15%, up to £6,137) | £36,943 | ~£2,304/mo |
| **Barking, Havering and Redbridge University Hospitals NHS Trust** | `RF4` | London (Romford & Ilford) | Outer London (+15%, up to £6,137) | £36,943 | ~£2,304/mo |
| **Croydon Health Services NHS Trust** | `RJ6` | London (Croydon) | Outer London (+15%, up to £6,137) | £36,943 | ~£2,304/mo |
| **Kingston Hospital NHS Foundation Trust** | `RAX` | London (Kingston upon Thames) | Outer London (+15%, up to £6,137) | £36,943 | ~£2,304/mo |
| **Epsom and St Helier University Hospitals NHS Trust** | `RVR` | London (Sutton & Surrey) | Outer London (+15%, up to £6,137) | £36,943 | ~£2,304/mo |
| **The Hillingdon Hospitals NHS Foundation Trust** | `RAS` | London (Uxbridge & Northwood) | Outer London (+15%, up to £6,137) | £36,943 | ~£2,304/mo |
| **Frimley Health NHS Foundation Trust** | `RDU` | Berkshire & Surrey (Slough, Camberley, Ascot) | Fringe Zone (+5%, up to £2,270) | £33,677 | ~£2,166/mo |
| **West Hertfordshire Teaching Hospitals NHS Trust** | `RWG` | Hertfordshire (Watford, St Albans, Hemel) | Fringe Zone (+5%, up to £2,270) | £33,677 | ~£2,166/mo |
| **East and North Hertfordshire NHS Trust** | `RWH` | Hertfordshire (Stevenage & Welwyn Garden City) | Fringe Zone (+5%, up to £2,270) | £33,677 | ~£2,166/mo |
| **Royal Surrey County Hospital NHS Foundation Trust** | `RA2` | Surrey (Guildford) | Fringe Zone (+5%, up to £2,270) | £33,677 | ~£2,166/mo |
| **Surrey and Sussex Healthcare NHS Trust** | `RTP` | Surrey (Redhill, Crawley) | Fringe Zone (+5%, up to £2,270) | £33,677 | ~£2,166/mo |
| **Dartford and Gravesham NHS Trust** | `RN7` | Kent (Dartford) | Fringe Zone (+5%, up to £2,270) | £33,677 | ~£2,166/mo |
| **Manchester University NHS Foundation Trust** | `R0A` | Manchester | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **University Hospitals Birmingham NHS Foundation Trust** | `RRK` | Birmingham & Solihull | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Leeds Teaching Hospitals NHS Trust** | `RR8` | Leeds | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **The Newcastle upon Tyne Hospitals NHS Foundation Trust** | `RTD` | Newcastle upon Tyne | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **University Hospitals of Leicester NHS Trust** | `RJE` | Leicester | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Sheffield Teaching Hospitals NHS Foundation Trust** | `RHQ` | Sheffield | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Nottingham University Hospitals NHS Trust** | `RX1` | Nottingham | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Liverpool University Hospitals NHS Foundation Trust** | `REM` | Liverpool | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Oxford University Hospitals NHS Foundation Trust** | `RTH` | Oxford & Banbury | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Cambridge University Hospitals NHS Foundation Trust** | `RGT` | Cambridge | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **University Hospitals Bristol and Weston NHS Foundation Trust** | `RA7` | Bristol & Weston-super-Mare | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **University Hospital Southampton NHS Foundation Trust** | `RHM` | Southampton | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **North Bristol NHS Trust** | `RV3` | Bristol | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Hull University Teaching Hospitals NHS Trust** | `RWA` | Hull & Cottingham | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Norfolk and Norwich University Hospitals NHS Foundation Trust** | `RM1` | Norwich | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Royal Devon University Healthcare NHS Foundation Trust** | `RH8` | Exeter & Barnstaple | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **University Hospitals Plymouth NHS Trust** | `RK9` | Plymouth | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Gloucestershire Hospitals NHS Foundation Trust** | `RTE` | Gloucester & Cheltenham | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Royal Cornwall Hospitals NHS Trust** | `REF` | Truro, Cornwall | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Portsmouth Hospitals University NHS Trust** | `RHU` | Portsmouth | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Mid and South Essex NHS Foundation Trust** | `RAJ` | Southend, Basildon, Chelmsford | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **United Lincolnshire Hospitals NHS Trust** | `RWD` | Lincoln, Boston, Grantham | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **Wirral University Teaching Hospital NHS Foundation Trust** | `RBL` | Wirral, Merseyside | Standard National (No HCAS) | £32,073 | ~£2,080/mo |
| **NHS Lothian Health Board** | `S08000024` | Edinburgh & Lothians | Scottish AfC & 6-Band Tax | £32,073 | ~£2,060/mo |
| **NHS Greater Glasgow and Clyde** | `S08000031` | Glasgow & Clyde | Scottish AfC & 6-Band Tax | £32,073 | ~£2,060/mo |
| **Cardiff and Vale University Health Board** | `7A4` | Cardiff & Vale of Glamorgan | Welsh NHS (GIG Cymru) | £32,073 | ~£2,080/mo |
| **Belfast Health and Social Care Trust** | `BHSCT` | Belfast, Northern Ireland | HSC Northern Ireland Standard | £32,073 | ~£2,080/mo |
| **Swansea Bay University Health Board** | `7A6` | Swansea & Neath Port Talbot | Welsh NHS (GIG Cymru) | £32,073 | ~£2,080/mo |

## Related
- [Top 50 NHS Trusts Pay Directory (Interactive HTML)](https://netpayscale.uk/trusts/)
- [NHS Salary & Take-Home Calculator](https://netpayscale.uk/)
- [NHS Band 5 to Band 6 Promotion Trap Calculator](https://netpayscale.uk/promotion-calculator/)
- [NHS Unsocial Hours & Night Shift Pay Calculator](https://netpayscale.uk/unsocial-hours-calculator/)