ODS: RP4London (Inner)2026/27 Agenda for Change (+3.3%) Verified

Great Ormond Street Hospital for Children 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 GOSH.

2026/27 Verified Pay Summary · GOSH

Under the 2026/27 NHS Agenda for Change pay deal (+3.3%), healthcare staff at Great Ormond Street Hospital for Children 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 (Bloomsbury, Camden)
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
5,500+ staff
ODS Code: RP4
Hospital Sites
1 Campuses
Great Ormond Street Hospital

2026/27 Pay Scales at GOSH (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 (1)

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

Great Ormond Street Hospital
GOSH
Custom Pay & Shift Modeler

Model Your Exact Take-Home Pay at GOSH

Add night shifts (+30% / +44%), Sunday shifts (+60% / +88%), student loans (Plan 1, 2, 4, 5, Postgraduate), or part-time contracted hours to see your exact monthly ESR bank deposit.

Share GOSH Pay Scales with Colleagues
Instant summary formatted for ward WhatsApp groups and staff rooms
Share Trust Pay Breakdown
Share to WhatsApp

Other NHS Trusts in London (Inner)

Compare pay scales and London weighting allowances across nearby healthcare trusts

Specialist NHS Agenda for Change Calculators

Explore specialized tools for promotion traps, night shifts, pensions, and maternity leave