NHS Trusts
Nottingham University Hospitals: Pay and Bands
Last updated September 2026 · Independent guidance, not affiliated with NHS England or DHSC
Short answer
Nottingham University Hospitals NHS Trust pays every band and point on the same national Agenda for Change scale used across England. There's no High Cost Area Supplement here — the East Midlands sits outside the London-focused HCAS zones entirely — so a given band pays exactly the plain national rate. Run the NHS Pay Calculator to see your specific figure.
What kind of trust is Nottingham University Hospitals?
As one of the larger acute trusts in the East Midlands, Nottingham University Hospitals covers the usual wide spread of clinical and support roles: nursing across most fields, medicine, midwifery, allied health professions, pharmacy, healthcare science, plus the healthcare assistant, administrative and estates staff every large hospital site needs. Our nursing guide and allied health professionals guide cover how pay steps up through the bands regardless of which acute trust you join.
No HCAS, and what that actually means
Some candidates assume a lack of HCAS means a trust pays "less," which isn't accurate — it means one specific London-related addition doesn't apply, not that the base rate is discounted. A Band 8a role at Nottingham University Hospitals is paid at exactly the national Band 8a rate; a Band 8a role at an Inner London trust gets that same base rate plus HCAS on top for that specific location. Comparing offers properly means looking at total pay including HCAS where relevant, not headline salary alone.
Your employer, not just your role
Nottingham University Hospitals NHS Trust, rather than "the NHS" as one body, is your legal employer if you take a post here, which is what continuous service and, where applicable, redundancy pay calculations rest on. See our guide to how the NHS is structured for how individual trusts sit within the wider system.
Frequently asked questions
Does Nottingham University Hospitals pay HCAS? +
No. Nottingham University Hospitals NHS Trust is in the East Midlands, outside all High Cost Area Supplement zones, so pay follows the plain national Agenda for Change rate for your band and point.
Is the underlying pay rate lower here than at an HCAS-zone trust? +
No — the Agenda for Change band and point figures are exactly the same nationally. HCAS is an addition specific to London and its fringe, not a sign that other areas are paid on a lower base scale.
What roles does a large East Midlands acute trust typically offer? +
The standard broad acute range — nursing, medicine, midwifery, allied health professions, pharmacy, healthcare science, and healthcare assistant, administrative and estates roles — all on national pay structures.