ODS: RQMLondon (Inner)2026/27 Agenda for Change (+3.3%) Verified

Chelsea and Westminster Hospital NHS Foundation TrustSalary Scales, London Weighting & Monthly Take-Home Pay (2026/27)

Official Agenda for Change pay bands, High Cost Area Supplement (HCAS) weighting, and estimated net monthly pay for clinical and non-clinical healthcare staff across Chelsea and Westminster.

2026/27 Verified Pay Summary · Chelsea and Westminster

Under the 2026/27 NHS Agenda for Change pay deal (+3.3%), healthcare staff at Chelsea and Westminster Hospital NHS Foundation Trust receive Inner London (+20%, up to £8,746). A newly qualified Band 5 nurse starts at £38,488/year gross (approx. £2,384 net/month in take-home pay after PAYE tax, National Insurance, and 8.3% NHS CARE pension deductions).

HMRC & NHSBSA Audited•Locations: London (Chelsea & Isleworth)
Allowance Zone
Inner London (+20%, up to £8,746)
High Cost Area Supplement
Band 5 Starting Take-Home
~£2,384/mo
£38,488/yr gross
Clinical Workforce
7,500+ staff
ODS Code: RQM
Hospital Sites
2 Campuses
Chelsea and Westminster Hospital (Fulham Rd)

2026/27 Pay Scales at Chelsea and Westminster (Bands 2–8a)

Basic Agenda for Change pay plus Inner London (+20%, up to £8,746) showing entry and top spine points.

+3.3% AfC Uplift Applied
Pay BandSpine PointBasic GrossHCAS AllowanceTotal GrossEstimated Net/MoHourly RateAction
Band 2Healthcare AssistantEntry (Step 0)£25,272+£5,794£31,066~£1,985/mo£12.92/hrCalculate →
↳ Top of Band 2Top (Single point)£25,272+£5,794£31,066~£1,985/mo£12.92/hrCalculate →
Band 3Senior Healthcare AssistantEntry (Step 0)£25,760+£5,794£31,554~£2,012/mo£13.17/hrCalculate →
↳ Top of Band 3Top (2 yrs)£27,476+£5,794£33,270~£2,105/mo£14.05/hrCalculate →
Band 4Nursing AssociateEntry (Step 0)£28,392+£5,794£34,186~£2,155/mo£14.52/hrCalculate →
↳ Top of Band 4Top (3 yrs)£31,157+£6,231£37,388~£2,292/mo£15.93/hrCalculate →
Band 5Staff Nurse (RN)Entry (Step 0)£32,073+£6,415£38,488~£2,351/mo£16.40/hrCalculate →
↳ Top of Band 5Top (4 yrs)£39,043+£7,809£46,852~£2,798/mo£19.97/hrCalculate →
Band 6Junior Sister / Charge NurseEntry (Step 0)£39,959+£7,992£47,951~£2,857/mo£20.44/hrCalculate →
↳ Top of Band 6Top (5 yrs)£48,117+£8,746£56,863~£3,324/mo£24.61/hrCalculate →
Band 7Ward Manager / SisterEntry (Step 0)£49,387+£8,746£58,133~£3,379/mo£25.26/hrCalculate →
↳ Top of Band 7Top (5 yrs)£56,515+£8,746£65,261~£3,685/mo£28.90/hrCalculate →
Band 8aMatronEntry (Step 0)£57,528+£8,746£66,274~£3,728/mo£29.42/hrCalculate →
↳ Top of Band 8aTop (5 yrs)£64,750+£8,746£73,496~£3,973/mo£33.11/hrCalculate →

*Net pay calculations assume standard 2026/27 PAYE personal allowance (1257L tax code), standard National Insurance, and 2015 NHS CARE Pension scheme member contribution tiers. Excludes student loan deductions and overtime.

Hospital Sites & Clinical Facilities (2)

Agenda for Change staff at any of the following Chelsea and Westminster facilities receive the Inner London (+20%, up to £8,746) allowance:

Chelsea and Westminster Hospital (Fulham Rd)
Chelsea and Westminster
West Middlesex University Hospital (Isleworth)
Chelsea and Westminster
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