Foundation Doctor (FY1/FY2) · City comparison · 2026

London vs Bristol

Bristol wins on purchasing power. Bristol foundation doctor (fy1/fy2)s have £680/month more disposable income after rent than their London counterparts.

London salary
£39,068
£2,637/mo take-home
Bristol salary
£37,068
£2,517/mo take-home
Bristol wins by
+£680
per month after rent
Winner on purchasing power
Bristol

After paying rent, a foundation doctor (fy1/fy2) in Bristol retains £680/month more than in London — that's £8,160/year extra in purchasing power.

+£680
per month
London
View full breakdown →
Gross salary £39,068
Net monthly £2,637
Rent (1-bed) £2,150
Rent-to-income 82% — High pressure
After rent £487
Bristol
View full breakdown →
Gross salary £37,068
Net monthly £2,517
Rent (1-bed) £1,350
Rent-to-income 54% — High pressure
After rent £1,167

London vs Bristol: what the £680/month gap means for a foundation doctor (fy1/fy2)

On paper, London foundation doctor (fy1/fy2) roles pay £2,000/year more than Bristol. But take-home after tax and National Insurance tells a different story — London workers keep £2,637/month versus £2,517/month in Bristol.

The bigger picture is after rent. Average London rent runs £2,150/month versus £1,350/month in Bristol. Once housing costs are factored in, Bristol workers have £1,167/month disposable income versus £487/month in London — that is £8,160/year in real spending power.

Bristol's rent-to-income ratio of 54% compares favourably to London's 82%.

For foundation doctor (fy1/fy2)s prioritising financial freedom, Bristol delivers significantly more disposable income despite lower gross pay.

Monthly cost comparison

All figures monthly · 2025/26

Category London Bristol Delta
Rent (1-bed median) £2,150 £1,350 -37%
Transport £185 £80 -57%
Council tax £165 £148 -10%
Groceries £320 £285 -11%
Disposable income remaining £-325 £518 -259%

Sources: NHS Employers 2025/26 · Rightmove Q4 2025 · HMRC 2025/26 · Numbeo 2025

Cost-of-living equivalence

Based on a cost-of-living index of 100 for London and 75 for Bristol, a salary of £39,068 in London delivers equivalent purchasing power to £29,300 in Bristol.

London £39,068 ≈
£29,300
in Bristol

Income retention after all essentials

% of net monthly pay remaining after rent, transport, council tax and groceries

London 0%
Bristol 21%

Everyday costs

Estimated typical prices · scaled from Numbeo 2025

Cappuccino
London £3.80
Bristol £2.85
Transit (single trip)
London £4.40
Bristol £1.90
Gym membership
London £55/mo
Bristol £41/mo
Cinema ticket
London £16.00
Bristol £12.00

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Frequently asked questions

Does a foundation doctor (fy1/fy2) earn more in London or Bristol? +
London pays a median £39,068 vs £37,068 in Bristol — a gross difference of £2,000. However, after accounting for rent and living costs, Bristol professionals have £680/month more disposable income, making it the stronger city in real terms.
What is the take-home pay for a foundation doctor (fy1/fy2) in London vs Bristol? +
In London: gross £39,068£2,637/month net take-home. In Bristol: gross £37,068£2,517/month net take-home. After paying median 1-bed rent, London leaves £487/month vs Bristol's £1,167/month.
What salary in Bristol matches London purchasing power? +
Approximately £29,300 in Bristol delivers equivalent purchasing power to £39,068 in London, based on a cost-of-living index of 100 (London) vs 75 (Bristol).
Is London or Bristol cheaper to live in? +
Bristol is cheaper overall, with a cost-of-living index of 75 vs 100 for London (London = 100). Rent in London averages £2,150/month (1-bed) vs £1,350/month in Bristol.
What is the rent-to-income ratio for a foundation doctor (fy1/fy2) in London? +
A foundation doctor (fy1/fy2) in London earning £39,068 takes home £2,637/month. With median 1-bed rent of £2,150/month, the rent-to-income ratio is 82% (high pressure). In Bristol the equivalent ratio is 54%.

Explore further

Affordability and salary breakdowns for London and Bristol

Afford London on £40,000? Afford Bristol on £35,000? Salary equivalence: London → Bristol

Data sources & methodology

ONS Annual Survey of Hours and Earnings 2025 · Rightmove Rental Trends Tracker Q1 2026 · Numbeo Cost of Living 2026

Analysis by the SalaryDex data team · May 2026 · Corrections: [email protected] · Full methodology · Data transparency pledge