NHS terms and conditions of service (Agenda for Change)

The NHS terms and conditions of service (Agenda for Change) applies to all non-medical NHS staff.

The NHS Terms and Conditions of Service Handbook sets out the conditions of employment and legal agreements which apply in full to all non-medical staff directly employed by NHS organisations, with the exception of very senior managers.

This page provides access to all key resources and relevant links relating to the terms and conditions of service as well as related networks and guidance.

You can access detailed information about our policies and procedures via our official NHS TCS Handbook. Legal agreements and policies will only be amended following negotiations and new agreements established by the NHS Staff Council.

Terms and Conditions of Service Handbook

This document sets out the full terms and conditions of service (TCS) for staff on Agenda for Change contracts.

Access the Terms and Conditions of Service Handbook

Key resources

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2024/25 NHS terms and conditions of service pay materials

Supporting material following the government’s announcements on the 2024/25 pay award for staff under the Agenda for Change NHS terms and conditions.

1 August 2024

NHS Terms and Conditions of Service Handbook A to Z

This A to Z will help employers and employees to navigate the content contained within the NHS Terms and Conditions of Service Handbook.

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Agenda for Change pay advisory notices

Pay and terms and conditions notices for staff under the NHS terms and conditions of service.

18 April 2024

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Mileage allowances FAQs

Frequently asked questions on mileage allowance

21 December 2023

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Pay on promotion scenarios & FAQs

The NHS Staff Council has developed a range of scenarios and FAQs to support employers.

7 February 2023

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Archived terms and conditions handbooks

List of archived terms and conditions of service handbooks.

20 August 2024

An abstract image of orange ovals on a navy background.

Pay archive library

The following NHS Agenda for Change pay materials have been archived and are no longer current.

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Latest news

A diverse group of healthcare staff walking along a hospital corridor.

Guidance

Explaining the total reward offer across the employment journey

Our guide gives an overview of the NHS total reward package and supports line managers to promote the offer at various stages of an employee's career.

20 December 2024