Guy's and St Thomas' 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 Guy's & St Thomas'.
Under the 2026/27 NHS Agenda for Change pay deal (+3.3%), healthcare staff at Guy's and St Thomas' 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).
2026/27 Pay Scales at Guy's & St Thomas' (Bands 2–8a)
Basic Agenda for Change pay plus Inner London (+20%, up to £8,746) showing entry and top spine points.
| Pay Band | Spine Point | Basic Gross | HCAS Allowance | Total Gross | Estimated Net/Mo | Hourly Rate | Action |
|---|---|---|---|---|---|---|---|
| Band 2Healthcare Assistant | Entry (Step 0) | £25,272 | +£5,794 | £31,066 | ~£1,985/mo | £12.92/hr | Calculate → |
| ↳ Top of Band 2 | Top (Single point) | £25,272 | +£5,794 | £31,066 | ~£1,985/mo | £12.92/hr | Calculate → |
| Band 3Senior Healthcare Assistant | Entry (Step 0) | £25,760 | +£5,794 | £31,554 | ~£2,012/mo | £13.17/hr | Calculate → |
| ↳ Top of Band 3 | Top (2 yrs) | £27,476 | +£5,794 | £33,270 | ~£2,105/mo | £14.05/hr | Calculate → |
| Band 4Nursing Associate | Entry (Step 0) | £28,392 | +£5,794 | £34,186 | ~£2,155/mo | £14.52/hr | Calculate → |
| ↳ Top of Band 4 | Top (3 yrs) | £31,157 | +£6,231 | £37,388 | ~£2,292/mo | £15.93/hr | Calculate → |
| Band 5Staff Nurse (RN) | Entry (Step 0) | £32,073 | +£6,415 | £38,488 | ~£2,351/mo | £16.40/hr | Calculate → |
| ↳ Top of Band 5 | Top (4 yrs) | £39,043 | +£7,809 | £46,852 | ~£2,798/mo | £19.97/hr | Calculate → |
| Band 6Junior Sister / Charge Nurse | Entry (Step 0) | £39,959 | +£7,992 | £47,951 | ~£2,857/mo | £20.44/hr | Calculate → |
| ↳ Top of Band 6 | Top (5 yrs) | £48,117 | +£8,746 | £56,863 | ~£3,324/mo | £24.61/hr | Calculate → |
| Band 7Ward Manager / Sister | Entry (Step 0) | £49,387 | +£8,746 | £58,133 | ~£3,379/mo | £25.26/hr | Calculate → |
| ↳ Top of Band 7 | Top (5 yrs) | £56,515 | +£8,746 | £65,261 | ~£3,685/mo | £28.90/hr | Calculate → |
| Band 8aMatron | Entry (Step 0) | £57,528 | +£8,746 | £66,274 | ~£3,728/mo | £29.42/hr | Calculate → |
| ↳ Top of Band 8a | Top (5 yrs) | £64,750 | +£8,746 | £73,496 | ~£3,973/mo | £33.11/hr | Calculate → |
*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 (5)
Agenda for Change staff at any of the following Guy's & St Thomas' facilities receive the Inner London (+20%, up to £8,746) allowance:
Model Your Exact Take-Home Pay at Guy's & St Thomas'
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.
Other NHS Trusts in London (Inner)
Compare pay scales and London weighting allowances across nearby healthcare trusts
Barts Health NHS Trust
Inner London (+20%, up to £8,746)
Imperial College Healthcare NHS Trust
Inner London (+20%, up to £8,746)
King's College Hospital NHS Foundation Trust
Inner London (+20%, up to £8,746)
University College London Hospitals NHS Foundation Trust
Inner London (+20%, up to £8,746)
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