City Comparison 2026 · NHS Pay Scales

London vs
Manchester

Doctor salary — which pays more in real terms?

A London foundation doctor earns £65,000 (including London HCAS) vs £55,000 in Manchester. Despite the higher London salary, Manchester doctors have £517 more disposable income per month after rent — because Manchester's average 1-bed rent (£1,050) is £950/month less than London's (£2,050).

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LONDON EDINBURGH

+£517

Manchester Advantage

Manchester doctors have significantly higher monthly disposable income despite a lower gross wage.

London Hub apartment

£65,000

Foundation Doctor Salary (FY1/FY2)

Take Home (Monthly) £4,021
verified

The Real Winner

Manchester

Manchester wins by £517/month disposable income over London.

Manchester Hub fort

£55,000

Foundation Doctor Salary (FY1/FY2)

Take Home (Monthly) £3,538

The Financial Grid

Expense Category London (Monthly) Manchester (Monthly) Delta
home Rent (1-Bed City Centre) £2,050 £1,050 -46.3%
train Commuting (Monthly Pass) £185 £62 -66.5%
Council Tax & Utilities £307 £285 -7.2%
shopping_cart Groceries £320 £280 -12.5%
Disposable Income Remaining £1,971 £2,488 +270%

Sources: NHS Employers Agenda for Change pay scales 2025/26 · ONS ASHE 2025 · Rightmove Rental Trends Q4 2025 · Revenue Scotland income tax rates 2025/26 · Numbeo COL Index 2025. Last updated: January 2026.

Live Roles · Updated Daily

Doctor Jobs in These Cities

Manchester · NHS bookmark_border

Foundation Doctor — FY1

NHS Lothian · Royal Infirmary of Manchester

Full-time Band FY1 Relocation pkg

£55,000

per year + TPS pension

Apply

via NHS Jobs · Posted 2 days ago

London · NHS bookmark_border

Foundation Doctor — FY2

King's College Hospital NHS Trust · London SE5

Full-time Band FY2 London HCAS

£65,000

per year inc. HCAS

Apply

via NHS Jobs · Posted 5 days ago

Manchester · Remote-eligible

Specialty Doctor — General Practice

NHS Scotland · Multiple locations

Hybrid Band ST3+ £517/mo more

£53,000+

Specialty grade

Explore

via NHS Scotland · Posted today

Income Retention
Efficiency

Despite the London salary premium, higher costs of living in the capital erode purchasing power significantly faster than in Manchester.

Manchester Efficiency 55% Retained
London Efficiency 14% Retained
monitoring

Pro Tip

"Relocating to Manchester effectively grants a massive boost in disposable income for NHS professionals."

- SalaryDex Career Insights

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Lifestyle Anchors

coffee

Cappuccino

£3.95 / £3.20

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Gasoline (1L)

£1.52 / £1.48

fitness_center

Gym Membership

£48 / £32

movie

Cinema Ticket

£15 / £11.50

work_history

Ready to make the move?

47 doctor roles open in Manchester right now. Your £517/month salary boost is one application away.

Browse Manchester Roles →

Featured Roles · Manchester

local_hospital

Specialty Registrar — Internal Medicine

NHS Lothian · Manchester · £51,017–£58,398

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healing

GP Partner — Manchester City Centre

Private Practice · Manchester · £90,000–£120,000

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Listings powered by NHS Jobs · Reed.co.uk · Indeed

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Frequently asked questions

Updated Q1 2026 · Sources: NHS Employers, ONS ASHE 2025, Revenue Scotland

Do doctors earn more in London than Manchester?

Yes. A foundation doctor earns £65,000 in London (including London HCAS) versus £55,000 in Manchester. However after rent and living costs, Manchester doctors have approximately £517 more disposable income per month.

What is the take-home pay for a doctor in London vs Manchester?

On £65,000 (London), take-home is approximately £4,021/month after tax and NI. On £55,000 (Manchester), take-home is £3,538/month. After average rent, Manchester leaves £2,488/month vs London's £1,971/month.

Is Manchester cheaper than London for doctors?

Yes — significantly. Manchester's average 1-bed rent is £1,050/month vs London's £2,050/month. Manchester's overall cost-of-living index is 72 vs London's 100. A doctor's Manchester salary delivers 28% more purchasing power than the equivalent London salary.

Is the tax rate different in Scotland for doctors?

Yes. Scotland has its own income tax bands. At foundation doctor salary levels (£55,000), Scottish taxpayers pay approximately £168/year more than an equivalent English salary due to the 21% intermediate rate band. This small premium is far outweighed by Manchester's lower housing costs.

What salary in Manchester matches a London doctor lifestyle?

Because Manchester's cost of living is 28% lower than London, a doctor earning £55,000 in Manchester maintains a significantly better lifestyle than the equivalent London salary of £65,000. No adjustment is needed — Manchester's lower salary delivers more disposable income.