Royal Free London 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 Royal Free London.
Under the 2026/27 NHS Agenda for Change pay deal (+3.3%), healthcare staff at Royal Free London 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 Royal Free London (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 (3)
Agenda for Change staff at any of the following Royal Free London facilities receive the Inner London (+20%, up to £8,746) allowance:
Model Your Exact Take-Home Pay at Royal Free London
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
Guy's and St Thomas' NHS Foundation Trust
Inner London (+20%, up to £8,746)
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)
Specialist NHS Agenda for Change Calculators
Explore specialized tools for promotion traps, night shifts, pensions, and maternity leave
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