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

Medical staff meeting

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 Staff Council banner 8

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.

An office worker sorting through files.

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

A row of cars on a busy road.

Mileage allowances FAQs

Frequently asked questions on mileage allowance

21 December 2023

A pair of office workers talking.

Pay on promotion scenarios & FAQs

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

7 February 2023

An office worker sorting through files.

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The following NHS Agenda for Change pay materials have been archived and are no longer current.

View all content

Latest news

A diverse group of nurses walking down a corridor.

Agenda for Change pay deal 2023 - latest non-pay commitments update

Update on the non-pay commitments following the Agenda for Change pay deal agreed in 2023.

18 November 2024

A homeworker taking notes while in a video call.

Home and agile/hybrid working framework – one year on

New home and agile/hybrid working resources to promote the one-year anniversary of Section 35: Home and agile/hybrid working (England & Wales).

4 November 2024

Shift work essentials for NHS staff

In this blog, Rhys Martin reflects on the latest HSWG shift worker guidance and offers top tips on how to help staff stay well while shift working.

31 October 2024

The Houses of Parliament.

Autumn Budget 2024

Key points from the 2024 Autumn Budget announcement that impact the health and care workforce.

30 October 2024

Networks involved with the NHS terms and conditions of service

NHS Staff Council

The NHS Staff Council is responsible for the Agenda for Change pay system.

Job evaluation

Find out about the NHS job evaluation process and access resources to help you in your organisation.

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

NHS Terms and Conditions of Service (TCS) Network

The network supports a wide range of national workstreams related to the NHS Staff Council and NHS Terms and Conditions of Service Handbook.

Meet the team

Karen Barnard

Assistant Director, Employment Relations

Karen joined NHS Employers in March 2022 as assistant director in the employment relations team.

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