Healthcare · Greater London

Nurse salary in London, 2026

Median annual salary £44,800 based on ONS ASHE, Greater London regional adjustment
Lower quartile
£36,480
Upper quartile
£54,400
vs UK median
+28%
Open jobs (est.)
182
Nurses in London earn a median £44,800 per year — 28% well above the UK average for the role, a function of the capital's wage premium and dense employer pool. The middle 50% of earners sit between £36,480 and £54,400, and senior practitioners with a strong specialism push past £76,800. Pay rises are typically banded by experience rather than annual increment, so the route to higher earnings is changing employer or stepping up a level — not waiting for a cost-of-living adjustment.

Source: ONS Annual Survey of Hours and Earnings, 2025, adjusted for the Greater London regional pay differential. Updated 2026-04-21. Methodology.

Median
£32,000£70,400
Lower quartile£36,480
Median£44,800
Upper quartile£54,400

Nurse salary by experience in London

That headline median masks a wide spread once you split London nurses by years of experience. The four bands below reflect what each tier typically commands in London — local figures, not UK averages, with each step usually triggered by a level change rather than an annual increment.

Experience level Salary range Median
Entry (0-2 yrs) £31,104 – £39,744 £35,424
Mid (3-5 yrs) £38,080 – £49,280 £43,680
Senior (6-10 yrs) £57,600 – £73,600 £65,600
Lead (10+ yrs) £76,000 – £104,000 £90,000
Cost-of-living adjusted: A £44,800 Nurse salary in London buys what £31,329 would buy at the UK average — that's 10% less real purchasing power than the national figure.

Gross figures only tell half the story — what actually lands in your bank account depends on tax, NI, student loan and pension. Run your own number below.

Take-home pay calculator · 2024/25

Nurse, London

£2,847take-home per month

£34,163/yr · £657/wk · effective rate 23.7%

Gross salary£44,800
Pension (5%)£2,240
Income tax£5,998
National Insurance£2,399
Net take-home£34,163

Earn more as a Nurse

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Pay ranges and take-home are the planning numbers; what you can actually move into right now is a different question. Live nurse vacancies in London are below.

Open vacancies · via Reed

182 live Nurse jobs in London

Live listings refresh daily. View the full set on Reed.

See all Nurse jobs in London

It's also worth seeing how London stacks up — both against the UK average and against other cities nurses commonly relocate between.

Nurse pay: London versus UK average

London
£44,800
UK average
£35,000

Nurse pay across other UK cities

London
£44,800
£35,700
£34,300
£33,950
£32,550

NHS Agenda for Change vs private-sector pay for Nurses in London

For NHS-employed staff in particular, the published pay tables only describe the basic-band figure; the true take-home includes layers the median figure can't capture.

For NHS-employed Nurses in London, pay follows Agenda for Change bands rather than market rates. That puts the median around £44,800, with the High Cost Area Supplement adding 5–20% on top inside the London commuter belt. Specialist add-ons, on-call rotas and unsocial-hours premia can lift effective annual pay by 15–30% above the headline band.

Private-sector and locum work is where pay flexes. Locum Nurses in London can clear the upper quartile (£54,400) on annualised earnings, but with no NHS pension accrual, no sick pay, and a heavier admin load. The pension calculation matters more than most Nurses realise — the NHS scheme alone is worth roughly 20% of salary in employer contribution, which a private-sector base needs to clear before it's actually a pay rise.

Nurse salaries in cities near London

If London doesn't quite work for the role — commute, rent, partner's job — the same role in nearby cities tells you what the trade-off looks like in £ terms. The four comparisons below show how pay shifts within the same region — multipliers come from the ONS regional median pay differential, so the figures already account for the regional gap.

Other healthcare jobs in London

Adjacent healthcare roles often pay differently to nurse for similar skill profiles, which is useful when you're choosing what to specialise in next. Salaries for closely related healthcare roles in London are below — useful when comparing routes into or out of the Nurse track.

Roles with overlapping skills

Common questions about nurse pay in London, answered with the underlying figures from the same dataset used above.

Frequently asked questions

What is the average Nurse salary in London?

£44,800 per year is the median Nurse salary in London, drawn from ONS Annual Survey of Hours and Earnings data adjusted for the regional pay differential. Lower quartile sits at £36,480; upper quartile at £54,400.

How much does a Nurse earn per month in London?

About £3,733 gross, which works out at roughly £2,688 take-home after income tax and National Insurance for the 2024/25 tax year (assuming no student loan and a 5% pension contribution). Use the calculator above for a number that matches your own circumstances.

What is the starting salary for a Nurse in London?

Entry-level Nurses in London typically start between £31,104 and £39,744. Pay then steps up at the 3-year and 6-year marks — mid-level practitioners earn £38,080–£49,280, with senior roles reaching £57,600–£73,600.

Is London a good place to work as a Nurse?

Generally yes, with caveats around cost of living. London pays 28% above the UK Nurse median, with major local employers including HSBC, Barclays, Deloitte. Cost of living runs at 143 on the UK-100 index, so £44,800 here has the real purchasing power of £31,329 at the national average. Unemployment of 5.2% gives a useful read on how tight the local labour market is — under 4% generally favours candidates on pay.

What skills do Nurses need to earn more?

Reaching the upper-quartile £54,400 band tends to come down to depth in Clinical care, NMC registration, Medication administration, plus a track record that lets you credibly take on senior or lead-level scope. Career outlook for the role is high, so the speciality areas worth doubling down on are Patient assessment.

Salary base figures: ONS Annual Survey of Hours and Earnings (2025), with regional adjustment from ONS regional median gross pay tables. Live job counts (where shown): Reed Jobseeker API, refreshed daily. Take-home calculations apply 2024/25 UK tax-year thresholds for England, Wales and Northern Ireland.