NHS terms and conditions

Group of hospital staff
Information, guidance and support for national agreements on pay and conditions for NHS staff.

NHS Terms and Conditions of Service Handbook

NHS Terms and Conditions of Service Handbook (Agenda for Change)

National agreements on pay terms and conditions of service for NHS Agenda for Change staff.

Surgeon checking stats

Consultants and dental consultants

Information and guidance on pay and conditions relevant to consultants.

trainee doctors

Junior doctors, dentists and GP registrars

Information and guidance on pay and conditions for junior doctors, dentists and GP registrars.

Dentist and patient

Salaried dentists

The agreement on terms and conditions of service for Salaried Dentists in NHS Primary Care. The agreement was reached between NHS employers and the BDA and has applied since 1 April 08 to dentists in the NHS in England.

Hospital doctors

Specialty, associate specialist and staff grade doctors

New contracts for specialty and associate specialist (SAS) doctors were introduced from 1 April 2008 and a new 'specialty doctor' grade introduced. The grade subsumes other grades such as trust grade, clinical medical officer, hospital practitioner and clinical assistant.

GP taking blood pressure

Salaried GPs

Key guidance documents relating to salaried GPs


Very senior managers

Information for employers on very senior managers (VSMs) and the VSM pay framework.

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A new 24-month programme that will support newly qualified paramedics (NQPs) and improve staff retention has been agreed by a number of health bodies and trade unions.

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