NHS Trusts
St George's University Hospitals: Pay
Last updated September 2026 · Independent guidance, not affiliated with NHS England or DHSC
Short answer
Pay at St George's University Hospitals NHS Foundation Trust follows the same national Agenda for Change bands as every other NHS employer in England — a Band 5 role here is on the identical base rate to a Band 5 role anywhere else in the country. Where it differs from a central London trust is HCAS zone: St George's sits in the Outer London High Cost Area Supplement zone, the middle of the three tiers, paid at a lower rate than Inner London but higher than Fringe. Use the NHS Pay Calculator with Outer London selected for your exact figure.
What kind of trust is St George's University Hospitals?
As an acute trust, St George's employs across the full range you'd expect from a large hospital group — nursing in most fields, medicine, midwifery, allied health professions, pharmacy, healthcare science, and the healthcare assistant, administrative and estates roles that support clinical teams. Whichever route you're considering, our allied health professionals and nursing guides cover how pay progresses band by band, independent of which specific acute trust you join.
Outer London HCAS: the middle tier explained
It's easy to assume "London trust" automatically means the top HCAS rate, but that's not how the zones work. Outer London covers boroughs and areas further from the centre, and the supplement reflects a lower — though still real — cost-of-living premium than Inner London. If you're comparing an offer here against one at an Inner London trust, don't assume the HCAS figures are close; run both through the pay calculator with the correct zone for each rather than estimating.
Your employer, not just your role
St George's University Hospitals NHS Foundation Trust is your legal employer if you work here, which is what continuous service and, where relevant, redundancy pay calculations are tied to — not "the NHS" as a single organisation. Our explainer on NHS structure covers how individual trusts fit into the wider system.
Frequently asked questions
Is Outer London HCAS the same as Inner London HCAS? +
No. Outer London is the middle of the three HCAS tiers — paid at a lower rate and cap than Inner London, but higher than the Fringe rate. St George's University Hospitals sits in the Outer London zone, so staff receive this middle-tier supplement rather than the Inner London rate.
Does St George's University Hospitals pay lower base salaries than an Inner London trust? +
No — the underlying Agenda for Change band and pay point rates are identical everywhere in England. Only the HCAS top-up differs between an Outer London trust like this one and an Inner London trust; base pay for a given band and point is the same.
What kinds of roles are typical at a large teaching hospital trust like this? +
A broad acute mix: nursing, medicine, midwifery, allied health professions, pharmacy, healthcare science, healthcare assistants, and administrative and estates staff, all on national pay scales.