Endoscopy Nurse: Pay, Salary, Progression & How to Become
An Endoscopy Nurse is a specialised healthcare professional working within gastroenterology. Endoscopy nursing covers responsibilities across procedure, recovery, and decontamination roles, career progression through NHS pay bands, and compensation structures tied to the Agenda for Change framework. Endoscopy nursing roles span Band 5 entry positions, Band 6 senior positions, and Band 7 nurse endoscopists who perform procedures independently. Endoscopy nursing remains a core component of modern healthcare because of the widespread use of endoscopic procedures.
What Is an Endoscopy Nurse?
An endoscopy nurse is a specialised registered nurse focused on assisting with endoscopic procedures such as gastroscopies and colonoscopies. Endoscopy nurses provide care to patients before, during, and after endoscopic examinations as part of the gastroenterology healthcare team. Endoscopy nurses work in hospitals, outpatient clinics, and specialised endoscopy centres, where safety and efficiency apply to every procedure.
The primary responsibilities of an endoscopy nurse include patient assessment, preparation of the procedure area, and management of specialised equipment. Endoscopy nurses monitor patients' vital signs, administer medications, and provide sedation under the supervision of a physician. Endoscopy nurses offer reassurance and education to patients who may feel anxious about their procedures. Endoscopy nursing demands a high level of clinical skill, attention to detail, and the ability to work in fast-paced environments.
Endoscopy nurses must possess strong communication and collaboration skills to coordinate with the medical team. Endoscopy nurse skill in infection control and patient-centred care delivers high-quality care to patients during endoscopic procedures.
What Does an Endoscopy Nurse Do?
An endoscopy nurse supports patients before, during, and after endoscopic procedures. Endoscopy nurse duties include patient assessment, procedure preparation, medication administration, assisting during procedures, and post-procedure care. The main duties of an endoscopy nurse are listed below.
- Patient Assessment: Endoscopy nurses assess patients' medical histories and current health status to prepare them for procedures like colonoscopies and gastroscopies.
- Procedure Preparation: Endoscopy nurses prepare the procedure room, confirming all equipment is sterilised and functioning correctly.
- Medication Administration: Endoscopy nurses administer sedatives and monitor patients' vital signs throughout the procedure.
- Assisting During Procedures: Endoscopy nurses assist physicians by managing specialised equipment and supporting patient comfort.
- Post-Procedure Care: Endoscopy nurses monitor patients as they recover from sedation and provide instructions for aftercare.
Endoscopy nurses require strong communication skills to explain procedures and alleviate patient anxiety. Endoscopy nursing supports the smooth operation of endoscopic services and maintains patient safety and procedural success.
What Is the Difference Between an Endoscopy Nurse and a Nurse Endoscopist?
The difference between an endoscopy nurse and a nurse endoscopist lies in scope of practice and clinical autonomy within endoscopic procedures. An endoscopy nurse focuses on patient care, preparation, and monitoring during procedures. Endoscopy nurses assist the clinical team and manage equipment, supporting a smooth process in the endoscopy unit. The endoscopy nurse role aligns with Band 5 or Band 6 positions in the NHS, depending on experience and responsibility.
A nurse endoscopist performs endoscopic procedures independently. The nurse endoscopist role requires additional training and certification, which authorise the nurse to conduct diagnostic examinations autonomously. Nurse endoscopists operate at Band 7 or higher, reflecting increased responsibility and autonomy. Nurse endoscopists make independent clinical decisions during examinations, while endoscopy nurses support the procedural team.
What Are the Different Types of Endoscopy Nurse?
Endoscopy nursing includes several specialised roles, each focusing on different aspects of patient care and procedural support within the endoscopy department. The main types of endoscopy nurse are the Endoscopy Procedure Room Nurse, Endoscopy Recovery Nurse, Decontamination Lead Nurse, Bowel Cancer Screening Nurse, and Nurse Endoscopist. The different types of endoscopy nurse are listed below.
Endoscopy Procedure Room Nurse
An Endoscopy Procedure Room Nurse works directly in the procedure room, assisting physicians during endoscopic examinations. Endoscopy Procedure Room Nurse duties include monitoring vital signs, preparing medications, handling sedations, and managing specialised endoscopy equipment. The Endoscopy Procedure Room Nurse role demands strong technical skills and the ability to work in fast-paced environments.
An Endoscopy Procedure Room Nurse manages the endoscopy unit during procedures. The Endoscopy Procedure Room Nurse prepares the room by sterilising all equipment and confirming correct function. During procedures, the Endoscopy Procedure Room Nurse monitors patient vital signs and assists the physician with complex endoscopic techniques.
Endoscopy Procedure Room Nurse responsibilities include maintaining infection-control standards and coordinating the procedure room's flow. The Endoscopy Procedure Room Nurse must handle patient sedation, secure proper positioning, and respond to complications without delay. The Endoscopy Procedure Room Nurse role requires effective communication with the healthcare team and reassurance for patients.
Endoscopy Recovery Nurse
An Endoscopy Recovery Nurse cares for patients immediately following endoscopic procedures, monitoring sedation recovery and confirming patient stability before discharge. Endoscopy Recovery Nurse responsibilities include assessing vital signs, managing post-procedure complications, providing patient education about aftercare, and determining when patients are ready to leave the facility.
An endoscopy recovery nurse specialises in post-procedural care for patients who have undergone endoscopic procedures. Endoscopy recovery nurses monitor patients as they recover from sedation, supporting a safe transition from the procedure room to full consciousness. Endoscopy recovery nurse duties include observing vital signs, assessing recovery from sedation, and watching for complications such as respiratory issues or bleeding.
Endoscopy recovery nurses provide patient education. Endoscopy recovery nurses explain post-procedure care, dietary restrictions, and warning signs that require medical attention. The endoscopy recovery nurse role supports patient safety and comfort during the recovery period, reducing complication risk and enabling a smooth discharge process.
Decontamination Lead Nurse
The Decontamination Lead Nurse specialises in the sterilisation and maintenance of endoscopy equipment. The Decontamination Lead Nurse confirms all instruments are cleaned, disinfected, and sterilised according to strict safety protocols, preventing pathogen transmission and maintaining equipment integrity.
A Decontamination Lead Nurse oversees the processes of cleaning, disinfecting, and sterilising endoscopic equipment. The Decontamination Lead Nurse protects patient safety by preventing cross-contamination and maintaining high infection control standards. The Decontamination Lead Nurse manages the decontamination area and processes all endoscopic instruments according to strict protocols. Decontamination Lead Nurse duties include supervising the decontamination team, implementing quality assurance measures, and maintaining compliance with national standards for endoscope reprocessing. The Decontamination Lead Nurse trains staff on proper techniques, troubleshoots equipment issues, and maintains detailed documentation of all procedures. The Decontamination Lead Nurse role requires close attention to detail and strong leadership capabilities, aligning with Band 6 or higher depending on responsibilities.
Bowel Cancer Screening Nurse
Bowel Cancer Screening Nurses work within bowel cancer screening programmes, coordinating patient appointments, providing education about screening procedures, and supporting patients through the screening process. Bowel Cancer Screening Nurses contribute to early cancer detection and public health initiatives.
A Bowel Cancer Screening Nurse supports the early detection and prevention of colorectal cancer through specialised screening programmes. Bowel Cancer Screening Nurses support the NHS bowel cancer screening programme by assisting patients with FIT testing and coordinating further assessments such as colonoscopy when necessary. Bowel Cancer Screening Nurse responsibilities include educating patients on the screening process, explaining test results, and managing the logistics of screening appointments. Bowel Cancer Screening Nurses work closely with gastroenterology and endoscopy teams to deliver thorough patient care and timely follow-up. The Bowel Cancer Screening Nurse role requires advanced clinical skills and focuses on cancer prevention, operating at a higher NHS band level such as Band 7.
Nurse Endoscopist
A Nurse Endoscopist is an advanced specialist nurse trained to perform endoscopic procedures such as colonoscopies and gastroscopies independently. The Nurse Endoscopist role requires additional training and certification, placing Nurse Endoscopists at Band 7 with expanded scope of practice beyond traditional nursing duties.
A nurse endoscopist is a specialised nursing role in which the nurse performs endoscopic procedures independently. Nurse endoscopists conduct diagnostic examinations such as upper gastrointestinal endoscopies and colonoscopies and interpret findings. The nurse endoscopist role requires advanced training and aligns with Band 7 or higher in the NHS, reflecting competence in independent clinical practice. To become a nurse endoscopist, a nurse must complete specialised training programmes, gain broad procedural experience, and demonstrate autonomous decision-making skills. The nurse endoscopist role combines technical skill with clinical judgement, supporting the growing demand for endoscopic services.
Endoscopy nursing roles offer multiple opportunities, allowing nurses to specialise according to their interests and career goals.
How Much Does an Endoscopy Nurse Earn?
Endoscopy nurse salary in the UK reflects specialised skills and experience. The annual earnings for an endoscopy nurse range from £34,777 to £35,045, according to recent data. Within the NHS, Band 5 endoscopy nurses earn between £31,049 and £37,796 per year, while Band 6 positions offer salaries from £38,682 to £46,580 annually. Senior roles such as Clinical Endoscopists earn between £49,387 and £65,723, with some London positions offering higher pay through location-based supplements. Agency endoscopy nurses, such as those working with Thornbury Nursing Services, earn hourly rates from £47 to £96.50, depending on the shift and day.
How Much Does an NHS Endoscopy Nurse Earn Per Hour?
An NHS endoscopy nurse earns between £15 and £24 per hour, depending on band level and experience. Band 5 endoscopy nurses earn between £15 and £19 per hour. Band 6 endoscopy nurses earn approximately £19 to £24 per hour. Band 7 endoscopy nurses earn between £24 and £30 per hour. Endoscopy nurse hourly rates depend on experience, location, and whether the nurse works unsocial hours or weekends, which attract higher pay.
Endoscopy Nurse Band 5 Salary
An Endoscopy Nurse at Band 5 within the NHS is compensated according to the Agenda for Change pay scale. The salary range for Band 5 endoscopy nurses spans from £31,049 to £37,796 per annum. Band 5 pay covers entry-level to mid-level positions for registered nurses who have completed a nursing degree and obtained NMC registration. The Band 5 endoscopy nurse salary may vary depending on the NHS Trust and geographic location. NHS Scotland lists Band 5 positions at £34,544 to £43,039 annually. Additional Band 5 earnings come from unsocial hours payments, on-call duties, and location-based allowances.
Endoscopy Nurse Band 6 Salary
An Endoscopy Nurse at Band 6 earns between £38,682 and £46,580 per year. The Band 6 salary range reflects the increased responsibilities and skill required at Band 6. Band 6 positions involve greater clinical autonomy, supervision of junior staff, and specialised endoscopy skills. The exact Band 6 endoscopy nurse salary varies depending on geographical location and additional payments for unsocial hours or high-cost area supplements. Band 6 endoscopy nurses hold roles such as Senior Staff Nurse or Charge Nurse within the endoscopy department, reflecting advanced skills and leadership responsibilities.
Endoscopy Nurse Band 7 Salary
An Endoscopy Nurse at Band 7 earns between £43,742 and £77,368 annually. The Band 7 pay range reflects the advanced clinical responsibilities associated with Band 7 roles such as Nurse Endoscopists and specialised clinical nurses. Band 7 endoscopy nurse positions require substantial experience and include leadership duties, independent endoscopic procedures, and mentorship of junior staff. The Band 7 endoscopy nurse salary variation depends on role requirements and geographic location within the NHS.
What Is the Endoscopy Nurse Pay Scale for 2026/27?
The endoscopy nurse pay scale for 2026/27 is structured according to the NHS Agenda for Change framework, which categorises salaries by band, role, and experience. Endoscopy nurses fall within Bands 5, 6, and 7, with salaries reflecting level of responsibility and specialist skills. Band 5 endoscopy nurses earn annual salaries ranging from £32,073 to £39,043. Band 6 positions, which require additional experience and specialist skills, offer salaries between £39,959 and £48,117. Band 7 roles, including senior endoscopy nurses and nurse endoscopists, command salaries ranging from £49,387 to £65,723 annually, with some specialised positions reaching up to £77,368 for highly experienced clinical endoscopists.
The 2026/27 endoscopy nurse pay scale includes incremental progression within each band, which allows for salary increases based on experience and performance. Endoscopy nurses may receive uplifts for unsocial hours, overtime, and London Weighting, which increase total earnings beyond the basic band salary. The NHS periodically reviews salary bands to align fair compensation with the cost of living and professional development requirements.
How Is Endoscopy Nurse Pay Determined by Agenda for Change?
Endoscopy nurse pay is determined by the Agenda for Change (AfC) system, which standardises salary structures for NHS staff. The Agenda for Change system assigns endoscopy nurses to pay bands based on role responsibilities, skills, and experience levels. Newly qualified endoscopy nurses start at Band 5, while endoscopy nurses with specialised skills or leadership roles advance to Bands 6 or 7. Each band includes incremental pay points, allowing for salary progression based on performance and tenure. Endoscopy nurse pay uplifts include London Weighting, unsocial hours, and overtime compensation.
How Much Did Endoscopy Nurse Pay Rise in 2026?
Endoscopy nurse pay in 2026 rose as part of the NHS Agenda for Change salary update. The 2026 increase varied by band and incremental point, reflecting higher annual salaries across Band 5, Band 6, and Band 7 compared to the previous year. Band 5 endoscopy nurse salaries ranged from £28,407 to £34,581, while Band 6 salaries were between £39,959 and £48,117. Band 7 roles received salaries starting from £43,742. The 2026 pay uplift aimed to align compensation with inflation and provide competitive remuneration within the healthcare sector.
How Does Endoscopy Nurse Pay Progression Work?
Endoscopy nurse pay progression follows a structured path within the NHS Agenda for Change framework. Endoscopy nurses begin at Band 5, where endoscopy nurses progress through incremental pay points based on service duration and performance. Each year, endoscopy nurses advance to the next pay point within their band, provided endoscopy nurses meet satisfactory performance standards. Endoscopy nurse pay progression provides predictable salary increases, rewarding loyalty and consistent performance.
Endoscopy nurse progression between bands, such as moving from Band 5 to Band 6, requires broader competencies and additional responsibilities. Endoscopy nurses apply for higher-banded positions through competitive recruitment processes. Advancement may involve specialisation such as becoming an Endoscopy Procedure Room Nurse or a Nurse Endoscopist at Band 7. Band advancement requires additional training and demonstrated clinical skill in endoscopic procedures.
The endoscopy nurse pay progression system supports skill development while providing financial stability through guaranteed incremental increases. Knowledge of the endoscopy nurse pay progression structure helps nurses plan their long-term career trajectory within the NHS.
What Are Endoscopy Nurse Incremental Pay Points?
Endoscopy nurse incremental pay points are structured salary increments within the NHS Agenda for Change pay bands. Endoscopy nurse incremental pay points allow endoscopy nurses to receive annual salary increases as they progress through predetermined steps within their pay band. A Band 5 endoscopy nurse starts at the initial pay point of Band 5 and advances through several incremental steps based on satisfactory performance and completion of 12 months of service at each pay point. Endoscopy nurse incremental progression supports consistent salary growth, rewarding experience and service continuity.
How Do Endoscopy Nurses Move From Band 5 to Band 6?
Endoscopy nurses progress from Band 5 to Band 6 through a combination of experience, skill development, and formal application. Band 5 to Band 6 progression requires substantial clinical experience, usually two to three years at the Band 5 level. During the Band 5 period, endoscopy nurses develop advanced clinical skills relevant to endoscopy procedures.
To qualify for Band 6 positions, endoscopy nurses must demonstrate leadership abilities and the capacity to mentor junior staff. Endoscopy nurses must show competence in handling more complex endoscopic procedures. Additional training and certifications, such as those from the American Board of Certification for Gastroenterology Nurses (ABCGN), improve eligibility. The Band 6 application process involves submitting a formal NHS job application and attending interviews, where candidates must demonstrate the ability to take on greater clinical responsibility and supervise others.
How Do Endoscopy Nurses Move to Nurse Endoscopist Band 7?
Endoscopy nurses progress to a Nurse Endoscopist Band 7 role by acquiring advanced skills and competencies. Nurse Endoscopist Band 7 advancement requires substantial experience in gastroenterology or endoscopy, spanning five years or more. Endoscopy nurses must complete accredited endoscopy training programmes, which involve both theoretical learning and practical experience. Endoscopy training programmes teach nurses to perform procedures such as colonoscopies and gastroscopies independently.
Endoscopy nurses must demonstrate competency by performing a substantial number of supervised procedures, documented in a detailed logbook. Certification from recognised bodies such as the Joint Advisory Group on GI Endoscopy (JAG) is required. The Band 7 Nurse Endoscopist role involves increased responsibility for patient care and clinical decision-making and includes mentoring junior staff and contributing to service development. Salaries for Band 7 positions start at £43,742 per annum, with progression based on experience and local pay arrangements.
How Much Do Endoscopy Nurses Earn for Unsocial Hours?
Endoscopy nurses earn additional pay for working nhs unsocial shift uplifts, which include evenings, nights, weekends, and public holidays. Under the NHS Agenda for Change, unsocial hours are compensated through a percentage uplift on the standard hourly rate. The unsocial hours uplift recognises the disruption to normal working patterns and provides fair compensation. Evening and night shifts from Monday to Thursday pay higher than standard daytime shifts. Weekend shifts, especially from Friday afternoon through Monday morning, command higher rates. Public holidays offer the highest premium rates, reflecting the personal sacrifice involved in working on public holidays. Private sector or agency employment may apply different uplift rules, leading to higher or lower final pay depending on the employer and individual rota.
How Much Overtime Does an Endoscopy Nurse Earn?
Endoscopy nurses increase their earnings through nhs overtime rates. Endoscopy nurse overtime compensation varies based on employer, pay band, and the timing of shifts. In NHS settings, regular overtime adds approximately £5,000 to £10,000 annually for full-time staff. Endoscopy nurse overtime earnings depend on whether overtime is paid at standard or uplifted rates, with evenings, weekends, and bank holidays offering higher pay. Weekday overtime pays time-and-a-half, while weekend shifts may offer double time. Endoscopy nurse overtime increases take-home pay, though the exact amount varies by job contract and healthcare facility needs.
How to Calculate Endoscopy Nurse Take-Home Pay
Calculating an endoscopy nurse's take-home pay involves several steps to account for gross salary and deductions. The take-home pay calculation helps endoscopy nurses understand net income after taxes and other contributions. The steps to calculate endoscopy nurse take-home pay are listed below — follow the steps below or use our nhs net pay calculator for an instant estimate.
Determine Gross Salary
Identify your gross salary, which is either an annual figure or an hourly rate multiplied by hours worked. Gross salary is the base amount before any deductions.
Add Enhancements
Include additional payments such as unsocial hours, overtime, or London Weighting. Pay uplifts increase total gross pay.
Deduct Pension Contributions
Subtract NHS pension contributions, which are a percentage of your earnings. In the NHS, pension contributions range from 5.2% to 13.5% depending on salary.
Subtract Income Tax
Calculate and subtract Income Tax based on your tax band. Income Tax varies for basic rate, higher rate, and additional rate taxpayers.
Deduct National Insurance
Remove National Insurance contributions from your gross pay. National Insurance contributions are calculated as a percentage of earnings above a set threshold.
Consider Other Deductions
Account for optional deductions such as union fees, student loans, or salary sacrifice schemes. Net pay, or take-home pay, is the amount remaining after all deductions.
What Deductions Come Off an Endoscopy Nurse Payslip?
An endoscopy nurse's payslip includes several standard deductions. The main deductions on an endoscopy nurse payslip are Income Tax, National Insurance, NHS Pension contributions, student loan repayments, and voluntary deductions. The deductions on an endoscopy nurse payslip are listed below.
- Income Tax: Income Tax is calculated based on the individual's tax code and earnings bracket.
- National Insurance: National Insurance contributions are deducted to fund state benefits and pensions.
- NHS Pension: NHS Pension contributions are automatically deducted, ranging from 5.1% to 13.5% of pensionable pay depending on salary level.
- Student Loan Repayments: Student loan repayments are deducted when applicable.
- Voluntary Deductions: Voluntary deductions such as union membership fees or salary sacrifice schemes affect take-home pay.
Endoscopy nurse payslip deductions reduce the gross salary to the net amount received.
How Does Endoscopy Nurse Maternity Pay Work?
Endoscopy nurse maternity pay within the NHS follows a structured framework. Eligible endoscopy nurses receive 8 weeks of full pay, followed by 18 weeks of half pay combined with statutory maternity pay. The half-pay period is followed by 13 weeks of statutory maternity pay only, allowing up to 52 weeks of leave. To qualify for occupational maternity pay, endoscopy nurses must have completed at least 12 months of continuous NHS service by the 11th week before the expected childbirth. Endoscopy nurses with less service may still receive statutory maternity pay when they meet the earnings criteria.
How Does Endoscopy Nurse Sick Pay Work?
Endoscopy nurse sick pay within the NHS is determined by the Agenda for Change framework. Endoscopy nurses receive Occupational Sick Pay (OSP) based on length of service. During the first year, endoscopy nurses are entitled to one month's full pay and two months at half pay. After five years, OSP increases to five months' full pay and five months at half pay. Endoscopy nurses with ten years of service receive six months' full pay and six months at half pay. For endoscopy nurses outside the NHS, sick pay varies according to the employer's policy and contract terms.
How to Become an Endoscopy Nurse
Becoming an endoscopy nurse involves a structured educational and professional pathway. The endoscopy nurse pathway integrates formal nursing education, clinical experience, and specialised training to build the required skills and qualifications. The steps to become an endoscopy nurse are listed below.
Complete Nursing Education
Earn an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) from an accredited institution. A BSN is commonly preferred because the BSN provides a broader educational foundation, which is advantageous for specialised roles.
Obtain Nursing Licensure
After completing the nursing degree, pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to become a licensed registered nurse. In the UK, nursing licensure involves registering with the Nursing and Midwifery Council (NMC) and obtaining an NMC Pin.
Gain Clinical Experience
Work as a registered nurse to develop core clinical skills. Endoscopy nursing positions require at least 12 months of recent clinical experience, ideally in acute or surgical care settings.
Pursue Specialized Endoscopy Training
Apply for positions in gastroenterology or endoscopy units. After securing a position, you will receive specialised training in endoscopic procedures, patient care during sedation, and equipment handling.
Consider Certification
Although optional, obtaining certification from professional bodies such as the American Board of Certification for Gastroenterology Nurses (ABCGN) improves career prospects. Certification demonstrates specialised knowledge and is valued in many healthcare settings.
Engage in Ongoing Professional Development
Stay updated with the latest advancements in endoscopy by participating in continuing education courses and joining professional associations such as the Society of Gastroenterology Nurses and Associates (SGNA). Continuous learning maintains competence and currency in the endoscopy field.
What Qualifications Do You Need to Be an Endoscopy Nurse?
To become an endoscopy nurse, you must first qualify as a registered nurse by earning either an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN). Passing the NCLEX-RN exam is required to obtain nursing registration. A valid NMC Pin is required, along with at least 12 months of recent endoscopy experience. Certification through the American Board of Certification for Gastroenterology Nurses (ABCGN) is optional and improves career prospects considerably.
How Long Does It Take to Become an Endoscopy Nurse?
Becoming an endoscopy nurse requires several years of education and experience. Aspiring endoscopy nurses must complete either an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN), which takes approximately 2 to 4 years. After completing the nursing degree, candidates must pass the NCLEX-RN licensure exam to become registered nurses. After obtaining the licence, nurses must gain clinical experience, usually at least 12 months in an endoscopy setting within the last 18 months. The endoscopy nurse pathway, from initial education to specialised practice, spans several years depending on the individual's educational route and clinical experience.
What Band Is an Endoscopy Nurse?
An endoscopy nurse operates within NHS Band 5, which is standard for newly qualified or less experienced nurses. Band 5 endoscopy nurse salaries range from approximately £31,049 to £37,796 per annum, depending on the trust and geographical location. More experienced endoscopy nurses may advance to Band 6, where responsibilities increase and salaries range from £38,682 to £46,580. Highly specialised roles such as nurse endoscopists may be classified under Band 7 or Band 8a. Endoscopy nurse band classification depends on the nurse's level of specialisation and leadership responsibilities within the endoscopy unit.
Can Endoscopy Nurses Become Independent Endoscopists?
Yes, endoscopy nurses can become independent endoscopists by completing additional specialist training and competency assessments, which qualify endoscopy nurses to perform endoscopic procedures independently.
Do Endoscopy Nurses Get London Weighting?
Yes, endoscopy nurses employed in London by an NHS Trust or NHS-affiliated organisation receive London Weighting. London Weighting compensates for the higher cost of living in London and its surrounding areas. Endoscopy nurses work in both NHS and private hospitals throughout the UK.