Verified 2026/27 Trust & Health Board Benchmarks
Top 50 NHS Trusts & Hospitals Pay Directory (2026/27)
Find your hospital or trust to verify exact High Cost Area Supplements (London Weighting), starting Band 5 nurse net pay, and statutory Agenda for Change (+3.3%) pay rates.
Inner London (10 Trusts)
+20% Allowance
Up to +£8,746/yr extra. Band 5 starts at ~£2,384/mo net.
Outer London (6 Trusts)
+15% Allowance
Up to +£6,137/yr extra. Band 5 starts at ~£2,304/mo net.
London Fringe (6 Trusts)
+5% Allowance
Up to +£2,270/yr extra. Band 5 starts at ~£2,166/mo net.
National Standard (28 Trusts)
Standard Scale
Manchester, Birmingham, Leeds, Scotland, Wales. Band 5 starts at ~£2,080/mo net.
Zone / Region:
Showing 50 of 50 verified NHS Hospital Trusts & BoardsSynchronised with 2026/27 Agenda for Change (+3.3%)
ODS: RJ1+20% London Weighting
Guy's and St Thomas' NHS Foundation Trust
London (Lambeth & Southwark)•25,000+ staff
Major Hospitals & Sites:
- St Thomas' Hospital
- Guy's Hospital
- Evelina London Children's Hospital
- +2 more hospitals/clinics
Band 5 Starting Net Pay:~£2,384/mo
Gross Basic + HCAS:£38,488/yr
ODS: R1H+20% London Weighting
Barts Health NHS Trust
London (City, Tower Hamlets, Newham, Waltham Forest)•17,000+ staff
Major Hospitals & Sites:
- The Royal London Hospital
- St Bartholomew's Hospital
- Whipps Cross Hospital
- +2 more hospitals/clinics
Band 5 Starting Net Pay:~£2,384/mo
Gross Basic + HCAS:£38,488/yr
ODS: RYJ+20% London Weighting
Imperial College Healthcare NHS Trust
London (Westminster, Hammersmith & Fulham)•15,000+ staff
Major Hospitals & Sites:
- St Mary's Hospital (Paddington)
- Charing Cross Hospital
- Hammersmith Hospital
- +2 more hospitals/clinics
Band 5 Starting Net Pay:~£2,384/mo
Gross Basic + HCAS:£38,488/yr
ODS: RJZ+20% London Weighting
King's College Hospital NHS Foundation Trust
London (Camberwell, Bromley, Orpington)•14,000+ staff
Major Hospitals & Sites:
- King's College Hospital (Denmark Hill)
- Princess Royal University Hospital (PRUH)
- Orpington Hospital
Band 5 Starting Net Pay:~£2,384/mo
Gross Basic + HCAS:£38,488/yr
ODS: RRV+20% London Weighting
University College London Hospitals NHS Foundation Trust
London (Camden & Westminster)•11,000+ staff
Major Hospitals & Sites:
- University College Hospital (Euston)
- National Hospital for Neurology and Neurosurgery (Queen Square)
- UCH at Westmoreland Street
- +1 more hospitals/clinics
Band 5 Starting Net Pay:~£2,384/mo
Gross Basic + HCAS:£38,488/yr
ODS: RAL+20% London Weighting
Royal Free London NHS Foundation Trust
London (Hampstead, Barnet, Enfield)•12,000+ staff
Major Hospitals & Sites:
- Royal Free Hospital (Hampstead)
- Barnet Hospital
- Chase Farm Hospital (Enfield)
Band 5 Starting Net Pay:~£2,384/mo
Gross Basic + HCAS:£38,488/yr
ODS: RQM+20% London Weighting
Chelsea and Westminster Hospital NHS Foundation Trust
London (Chelsea & Isleworth)•7,500+ staff
Major Hospitals & Sites:
- Chelsea and Westminster Hospital (Fulham Rd)
- West Middlesex University Hospital (Isleworth)
Band 5 Starting Net Pay:~£2,384/mo
Gross Basic + HCAS:£38,488/yr
ODS: RJ7+20% London Weighting
St George's University Hospitals NHS Foundation Trust
London (Tooting, Wandsworth)•10,000+ staff
Major Hospitals & Sites:
- St George's Hospital (Tooting)
- Queen Mary's Hospital (Roehampton)
Band 5 Starting Net Pay:~£2,384/mo
Gross Basic + HCAS:£38,488/yr
ODS: RP4+20% London Weighting
Great Ormond Street Hospital for Children NHS Foundation Trust
London (Bloomsbury, Camden)•5,500+ staff
Major Hospitals & Sites:
- Great Ormond Street Hospital
Band 5 Starting Net Pay:~£2,384/mo
Gross Basic + HCAS:£38,488/yr
ODS: RJ2+20% London Weighting
Lewisham and Greenwich NHS Trust
London (Lewisham & Woolwich)•7,000+ staff
Major Hospitals & Sites:
- University Hospital Lewisham
- Queen Elizabeth Hospital (Woolwich)
Band 5 Starting Net Pay:~£2,384/mo
Gross Basic + HCAS:£38,488/yr
ODS: R1K+15% London Weighting
London North West University Healthcare NHS Trust
London (Harrow, Brent, Ealing)•10,500+ staff
Major Hospitals & Sites:
- Northwick Park Hospital
- Ealing Hospital
- Central Middlesex Hospital
- +1 more hospitals/clinics
Band 5 Starting Net Pay:~£2,304/mo
Gross Basic + HCAS:£36,943/yr
ODS: RF4+15% London Weighting
Barking, Havering and Redbridge University Hospitals NHS Trust
London (Romford & Ilford)•8,000+ staff
Major Hospitals & Sites:
- Queen's Hospital (Romford)
- King George Hospital (Goodmayes)
Band 5 Starting Net Pay:~£2,304/mo
Gross Basic + HCAS:£36,943/yr
ODS: RJ6+15% London Weighting
Croydon Health Services NHS Trust
London (Croydon)•4,500+ staff
Major Hospitals & Sites:
- Croydon University Hospital (Mayday)
- Purley War Memorial Hospital
Band 5 Starting Net Pay:~£2,304/mo
Gross Basic + HCAS:£36,943/yr
ODS: RAX+15% London Weighting
Kingston Hospital NHS Foundation Trust
London (Kingston upon Thames)•4,000+ staff
Major Hospitals & Sites:
- Kingston Hospital
Band 5 Starting Net Pay:~£2,304/mo
Gross Basic + HCAS:£36,943/yr
ODS: RVR+15% London Weighting
Epsom and St Helier University Hospitals NHS Trust
London (Sutton & Surrey)•6,000+ staff
Major Hospitals & Sites:
- St Helier Hospital (Carshalton)
- Epsom Hospital
Band 5 Starting Net Pay:~£2,304/mo
Gross Basic + HCAS:£36,943/yr
ODS: RAS+15% London Weighting
The Hillingdon Hospitals NHS Foundation Trust
London (Uxbridge & Northwood)•3,800+ staff
Major Hospitals & Sites:
- The Hillingdon Hospital
- Mount Vernon Hospital
Band 5 Starting Net Pay:~£2,304/mo
Gross Basic + HCAS:£36,943/yr
ODS: RDU+5% Fringe Allowance
Frimley Health NHS Foundation Trust
Berkshire & Surrey (Slough, Camberley, Ascot)•10,000+ staff
Major Hospitals & Sites:
- Frimley Park Hospital
- Wexham Park Hospital (Slough)
- Heatherwood Hospital (Ascot)
Band 5 Starting Net Pay:~£2,166/mo
Gross Basic + HCAS:£33,677/yr
ODS: RWG+5% Fringe Allowance
West Hertfordshire Teaching Hospitals NHS Trust
Hertfordshire (Watford, St Albans, Hemel)•5,500+ staff
Major Hospitals & Sites:
- Watford General Hospital
- St Albans City Hospital
- Hemel Hempstead Hospital
Band 5 Starting Net Pay:~£2,166/mo
Gross Basic + HCAS:£33,677/yr
ODS: RWH+5% Fringe Allowance
East and North Hertfordshire NHS Trust
Hertfordshire (Stevenage & Welwyn Garden City)•6,000+ staff
Major Hospitals & Sites:
- Lister Hospital (Stevenage)
- New Queen Elizabeth II Hospital
Band 5 Starting Net Pay:~£2,166/mo
Gross Basic + HCAS:£33,677/yr
ODS: RA2+5% Fringe Allowance
Royal Surrey County Hospital NHS Foundation Trust
Surrey (Guildford)•4,500+ staff
Major Hospitals & Sites:
- Royal Surrey County Hospital
- St Luke's Cancer Centre
Band 5 Starting Net Pay:~£2,166/mo
Gross Basic + HCAS:£33,677/yr
ODS: RTP+5% Fringe Allowance
Surrey and Sussex Healthcare NHS Trust
Surrey (Redhill, Crawley)•5,000+ staff
Major Hospitals & Sites:
- East Surrey Hospital (Redhill)
- Crawley Hospital (Day surgery)
Band 5 Starting Net Pay:~£2,166/mo
Gross Basic + HCAS:£33,677/yr
ODS: RN7+5% Fringe Allowance
Dartford and Gravesham NHS Trust
Kent (Dartford)•3,800+ staff
Major Hospitals & Sites:
- Darent Valley Hospital (Dartford)
Band 5 Starting Net Pay:~£2,166/mo
Gross Basic + HCAS:£33,677/yr
ODS: R0ANational Standard Pay
Manchester University NHS Foundation Trust
Manchester•28,000+ staff
Major Hospitals & Sites:
- Manchester Royal Infirmary
- Wythenshawe Hospital
- Royal Manchester Children's Hospital
- +2 more hospitals/clinics
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RRKNational Standard Pay
University Hospitals Birmingham NHS Foundation Trust
Birmingham & Solihull•22,000+ staff
Major Hospitals & Sites:
- Queen Elizabeth Hospital Birmingham
- Heartlands Hospital
- Good Hope Hospital (Sutton Coldfield)
- +1 more hospitals/clinics
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RR8National Standard Pay
Leeds Teaching Hospitals NHS Trust
Leeds•20,000+ staff
Major Hospitals & Sites:
- St James's University Hospital (Jimmy's)
- Leeds General Infirmary (LGI)
- Leeds Children's Hospital
- +1 more hospitals/clinics
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RTDNational Standard Pay
The Newcastle upon Tyne Hospitals NHS Foundation Trust
Newcastle upon Tyne•15,000+ staff
Major Hospitals & Sites:
- Royal Victoria Infirmary (RVI)
- Freeman Hospital
- Great North Children's Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RJENational Standard Pay
University Hospitals of Leicester NHS Trust
Leicester•17,000+ staff
Major Hospitals & Sites:
- Leicester Royal Infirmary
- Glenfield Hospital
- Leicester General Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RHQNational Standard Pay
Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield•18,500+ staff
Major Hospitals & Sites:
- Northern General Hospital
- Royal Hallamshire Hospital
- Weston Park Cancer Hospital
- +1 more hospitals/clinics
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RX1National Standard Pay
Nottingham University Hospitals NHS Trust
Nottingham•19,000+ staff
Major Hospitals & Sites:
- Queen's Medical Centre (QMC)
- Nottingham City Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: REMNational Standard Pay
Liverpool University Hospitals NHS Foundation Trust
Liverpool•14,000+ staff
Major Hospitals & Sites:
- Royal Liverpool University Hospital
- Aintree University Hospital
- Broadgreen Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RTHNational Standard Pay
Oxford University Hospitals NHS Foundation Trust
Oxford & Banbury•14,500+ staff
Major Hospitals & Sites:
- John Radcliffe Hospital
- Churchill Hospital
- Nuffield Orthopaedic Centre
- +1 more hospitals/clinics
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RGTNational Standard Pay
Cambridge University Hospitals NHS Foundation Trust
Cambridge•12,000+ staff
Major Hospitals & Sites:
- Addenbrooke's Hospital
- The Rosie Hospital (Maternity)
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RA7National Standard Pay
University Hospitals Bristol and Weston NHS Foundation Trust
Bristol & Weston-super-Mare•13,500+ staff
Major Hospitals & Sites:
- Bristol Royal Infirmary (BRI)
- Bristol Royal Hospital for Children
- St Michael's Hospital
- +1 more hospitals/clinics
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RHMNational Standard Pay
University Hospital Southampton NHS Foundation Trust
Southampton•12,500+ staff
Major Hospitals & Sites:
- Southampton General Hospital
- Princess Anne Hospital
- Southampton Children's Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RV3National Standard Pay
North Bristol NHS Trust
Bristol•9,000+ staff
Major Hospitals & Sites:
- Southmead Hospital (Brunel Building)
- Cossham Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RWANational Standard Pay
Hull University Teaching Hospitals NHS Trust
Hull & Cottingham•9,500+ staff
Major Hospitals & Sites:
- Hull Royal Infirmary
- Castle Hill Hospital (Cottingham)
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RM1National Standard Pay
Norfolk and Norwich University Hospitals NHS Foundation Trust
Norwich•10,000+ staff
Major Hospitals & Sites:
- Norfolk and Norwich University Hospital (NNUH)
- Cromer Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RH8National Standard Pay
Royal Devon University Healthcare NHS Foundation Trust
Exeter & Barnstaple•15,000+ staff
Major Hospitals & Sites:
- Royal Devon and Exeter Hospital (Wonford)
- North Devon District Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RK9National Standard Pay
University Hospitals Plymouth NHS Trust
Plymouth•9,000+ staff
Major Hospitals & Sites:
- Derriford Hospital
- Royal Eye Infirmary
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RTENational Standard Pay
Gloucestershire Hospitals NHS Foundation Trust
Gloucester & Cheltenham•8,500+ staff
Major Hospitals & Sites:
- Gloucestershire Royal Hospital
- Cheltenham General Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: REFNational Standard Pay
Royal Cornwall Hospitals NHS Trust
Truro, Cornwall•6,500+ staff
Major Hospitals & Sites:
- Royal Cornwall Hospital (Treliske)
- St Michael's Hospital (Hayle)
- West Cornwall Hospital (Penzance)
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RHUNational Standard Pay
Portsmouth Hospitals University NHS Trust
Portsmouth•8,000+ staff
Major Hospitals & Sites:
- Queen Alexandra Hospital (QA)
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RAJNational Standard Pay
Mid and South Essex NHS Foundation Trust
Southend, Basildon, Chelmsford•16,000+ staff
Major Hospitals & Sites:
- Basildon University Hospital
- Broomfield Hospital (Chelmsford)
- Southend University Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RWDNational Standard Pay
United Lincolnshire Hospitals NHS Trust
Lincoln, Boston, Grantham•8,000+ staff
Major Hospitals & Sites:
- Lincoln County Hospital
- Pilgrim Hospital (Boston)
- Grantham and District Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: RBLNational Standard Pay
Wirral University Teaching Hospital NHS Foundation Trust
Wirral, Merseyside•6,500+ staff
Major Hospitals & Sites:
- Arrowe Park Hospital
- Clatterbridge Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: S08000024National Standard Pay
NHS Lothian Health Board
Edinburgh & Lothians•26,000+ staff
Major Hospitals & Sites:
- Royal Infirmary of Edinburgh
- Western General Hospital
- St John's Hospital (Livingston)
- +1 more hospitals/clinics
Band 5 Starting Net Pay:~£2,060/mo
Gross Basic + HCAS:£32,073/yr
ODS: S08000031National Standard Pay
NHS Greater Glasgow and Clyde
Glasgow & Clyde•39,000+ staff
Major Hospitals & Sites:
- Queen Elizabeth University Hospital (QEUH)
- Glasgow Royal Infirmary
- Royal Hospital for Children
- +1 more hospitals/clinics
Band 5 Starting Net Pay:~£2,060/mo
Gross Basic + HCAS:£32,073/yr
ODS: 7A4National Standard Pay
Cardiff and Vale University Health Board
Cardiff & Vale of Glamorgan•14,500+ staff
Major Hospitals & Sites:
- University Hospital of Wales (Heath Park, Cardiff)
- University Hospital Llandough
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: BHSCTNational Standard Pay
Belfast Health and Social Care Trust
Belfast, Northern Ireland•20,000+ staff
Major Hospitals & Sites:
- Royal Victoria Hospital (Belfast)
- Belfast City Hospital
- Mater Infirmorum Hospital
- +1 more hospitals/clinics
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
ODS: 7A6National Standard Pay
Swansea Bay University Health Board
Swansea & Neath Port Talbot•12,500+ staff
Major Hospitals & Sites:
- Morriston Hospital (Swansea)
- Singleton Hospital
- Neath Port Talbot Hospital
Band 5 Starting Net Pay:~£2,080/mo
Gross Basic + HCAS:£32,073/yr
How NHS High Cost Area Supplements (HCAS) Work
Under Agenda for Change Section 4 (Annex 8 and Annex 9), HCAS is paid to help clinical and administrative staff cope with elevated housing, transport, and living costs in the Greater London area.
Inner London (20%)
Min: £5,794 · Max: £8,746
Applies to all trusts in the 12 Inner London boroughs (Camden, Greenwich, Hackney, Hammersmith & Fulham, Islington, Kensington & Chelsea, Lambeth, Lewisham, Southwark, Tower Hamlets, Wandsworth, Westminster) and City of London.
Outer London (15%)
Min: £4,870 · Max: £6,137
Applies to all trusts in the 20 Outer London boroughs (Barnet, Bexley, Brent, Bromley, Croydon, Ealing, Enfield, Haringey, Harrow, Havering, Hillingdon, Hounslow, Kingston, Merton, Newham, Redbridge, Richmond, Sutton, Waltham Forest).
Fringe Zone (5%)
Min: £1,346 · Max: £2,270
Applies to designated hospital locations in Berkshire, Buckinghamshire, Essex, Hertfordshire, Kent, and Surrey bordering London (e.g. Watford, Slough, Stevenage, Guildford, Dartford).
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Frequently Asked Questions About NHS Trust Salaries
Which NHS Trusts pay Inner London Weighting (+20%)?
Major NHS Trusts paying 20% Inner London Weighting (HCAS) include Guy's and St Thomas' NHS Foundation Trust, Barts Health NHS Trust, Imperial College Healthcare NHS Trust, University College London Hospitals NHS Foundation Trust (UCLH), King's College Hospital NHS Foundation Trust, Royal Free London NHS Foundation Trust, Chelsea and Westminster Hospital NHS Foundation Trust, St George's University Hospitals NHS Foundation Trust, Great Ormond Street Hospital for Children (GOSH), and Lewisham and Greenwich NHS Trust.
What are the London Weighting (HCAS) minimum and maximum rates for 2026/27?
For the 2026/27 Agenda for Change year, Inner London pays 20% of basic salary (minimum £5,794, maximum £8,746). Outer London pays 15% of basic salary (minimum £4,870, maximum £6,137). The Fringe Zone pays 5% of basic salary (minimum £1,346, maximum £2,270).
Do NHS Trusts in Scotland, Wales, and Northern Ireland pay London Weighting?
No. High Cost Area Supplements only apply to trusts in Greater London and designated fringe counties. However, NHS Scotland operates a distinct Agenda for Change pay scale subject to Scottish 6-band income tax rates, while NHS Wales (GIG Cymru) and HSC Northern Ireland adhere to national standard AfC agreements.
Is NHS London Weighting pensionable?
Yes, High Cost Area Supplements (HCAS) are fully pensionable pay under Agenda for Change Section 4 and the 2015 NHS CARE pension scheme. Your pension contributions and pension pot accrual (1/54th) are calculated on your combined basic salary plus London Weighting.