Pay and conditions circulars for medical and dental staff
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We have collated previous years' pay and conditions circulars informing hospital medical and dental staff and doctors in public health medicine and the community health service about changes to pay and terms and conditions.
Prior to 1 April 2005 Advance Letters (AL(MD)) were published by the Department of Health and Social Care. These can now be found in the national archive.
If you have any queries, please email us.
2024
Pay and Conditions Circular 6/2024 (published 19/08/2024)
This circular notifies employers in the NHS in England of changes to the Terms and Conditions – Consultants (England) 2003 including Schedule 15 and Schedule 23.
Pay and conditions circular 6/2024
Pay and Conditions Circular 5/2024 (published 15/08/2024)
This circular notifies employers in the NHS of pay arrangements from 1 April 2024 for staff covered by the national medical and dental terms and conditions of service in England.
Pay and conditions circular 5/2024
Pay and Conditions Circular 4/2024 (published 23/07/2024)
This circular notifies employers of the pay arrangements applicable from 1 April 2024 for medical and dental SAS doctors on national terms and conditions of service in England.
Pay and conditions circular 4/2024
Pay and Conditions Circular 3/2024 (published 17/06/2024)
This circular notifies employers in the NHS in England of changes to the Salaried Dentist Model Contract and Schedule 3 and 16 of the Terms and Conditions of Service for Salaried Primary Dental Care Services (England) to update and remove information to align with current pension provisions.
Pay and conditions circular 3/2024
Pay and Conditions Circular 2/2024 (published 22/05/2024)
This circular notifies employers in the NHS in England of changes to schedules 13, 14 and 29 of the Terms and Conditions – Consultants (England) 2003.
Pay and conditions circular 2/2024
Pay and Conditions Circular 1/2024 (published 29/04/2024)
This circular informs employers of the pay arrangements applicable from 1 March 2024 for medical and dental consultants on national terms and conditions of service England (2003).
Pay and conditions circular MD 1/2024
Pay and Conditions Circular 4/2023 R (published 11/03/2024)
This circular was first published on the 7 August 2023, and has been revised to
include the dental foundation training salary new value from 1 April 2023.
Pay and conditions circular MD 4/2023 R
2023
Pay and Conditions Circular 4/2023 (published 07/08/2023 has been withdrawn)
This circular stating the pay arrangements from 1 April 2023 for staff covered by the national medical and dental TCS has been superseded by Pay and Conditions Circular 4/2023R.
Pay and Conditions Circular 3/2023 (published 13/04/2023)
This circular informs employers of the changes to the consultant model contract following amendments to schedule 30.
Pay and conditions circular MD 3/2023
Pay and Conditions Circular 2/2023 (published on 24/02/2023 has been withdrawn)
This circular stating the 2023/24 framework agreement rates for speciality doctors and specialists on the 2021 terms and conditions of service has been superseded by Pay and Conditions Circular 4/2023.
Pay and Conditions Circular 1/2023 (published 10/02/2023)
This circular informs employers of changes to the terms and conditions of service for consultants – England (2003) about clinical excellence awards (CEA).
Pay and conditions circular MD 1/2023
2022
Pay and Conditions Circular 3/2022 (revised version published 30/05/2023)
Pay award for hospital medical and dental staff, doctors and dentists in public health, the community health service and salaried primary dental care. This pay and conditions circular informs employers of the pay arrangements for staff covered by the national medical and dental terms and conditions of service, which apply from 1 April 2022.
Pay and Conditions Circular MD 3/2022
Pay and Conditions Circular 2/2022 (published 09/06/2022)
This pay circular notifies employers of changes to the terms and conditions of service for specialty doctors and specialists (England) 2016.
Pay and Conditions Circular 1/2022 (published 10/03/2022)
Pay and Conditions Circular MD 1 2022
This circular informs employers of the pay arrangements applicable from 1 April 2022 for doctors and dentists in training, and for specialty doctors and specialists on the 2021 terms and conditions of service.
2021
Pay award for doctors and dentists in training, speciality doctors and specialists. This pay and conditions circular informs employers of the pay arrangements for doctors and dentists covered by the national medical and dental terms and conditions of service, which apply from 1 April 2022.
Pay and Conditions Circular 2/2021 (published 18/03/2021)
This pay and conditions circular informs employers of the introduction of new pay and conditions of service for specialty doctors and specialists in England, from 1 April 2021.
Pay and Conditions Circular 1/2021 (published 12/03/2021)
Pay award for doctors and dentists in training. This pay and conditions circular informs employers of the pay arrangements for doctors and dentists covered by the national medical and dental terms and conditions of service, which apply from 1 April 2021.
2020
Pay and Conditions Circular (M&D) 3/2020 (revised version published 22/12/2020)
This pay and conditions circular informs employers of a fifth nodal point introduced for doctors and dentists in training at ST6 and above and covered by the terms and conditions of service for NHS Doctors and Dentists in training (England) 2016. This will apply from 1 October 2020.
Pay and Conditions Circular (M&D) 2/2020R (published 09/03/2022)
This circular has been revised to clarify that the figure for new local clinical excellence awards (LCEAs) in Annex A.
Pay award for hospital medical and dental staff, doctors and dentists in public health, the community health service and salaried primary dental care. This pay and conditions circular informs employers of the pay arrangements for staff covered by the national medical and dental terms and conditions of service, which apply from 1 April 2020.
Pay and Conditions Circular 1/2020 (published 23/06/2020)
Pay award for doctors and dentists in training. This pay and conditions circular informs employers of the pay arrangements for doctors and dentists covered by the national medical and dental terms and conditions of service, which apply from 1 April 2020.
2019
Pay and Conditions Circular (M&D) 3/2019 (published 31/10/2019) (updated Nov 19)
This pay circular notifies employers of changes to the terms and conditions of service for NHS doctors and dentists in training (England) 2016.
Pay and Conditions Circular (M&D) 2/2019 (revised version published 10/01/2020)
Pay award for hospital medical and dental staff, doctors and dentists in public health, the community health service and salaried primary dental care. This pay and conditions circular informs employers of the pay arrangements for staff covered by the national medical and dental terms and conditions of service, which apply from 1 April 2019.
Pay and Conditions Circular (M&D) 1/2019 (published 08/08/2019)
This circular informs employers of changes to the terms and conditions of service for salaried dentists, plus changes to the model contracts for doctors and dentists in training, specialty doctors and associate specialists, consultants and salaried dentists to reflect the General Data Protection Regulation.
2018
Pay and Conditions Circular (M&D) 3/2018 (published 21/12/2018
This replaces Pay and Conditions Circular (M&D)1/2017, originally published on 27 March 2017 and updated on 22 March 2018).
Pay award for hospital medical and dental staff, doctors and dentists in public health, the community health service and salaried primary dental care. This pay and conditions circular informs employers of the pay arrangements for staff covered by the national medical and dental terms and conditions of service, which apply from 1 October 2018.
Pay and Conditions Circular (M&D) 2/2018 (published 27/03/18)
This circular informs employers of changes to:
- the terms and conditions of service for consultants – England (2003)
- the terms and conditions of service for specialty doctors – England (2008)
- the terms and conditions of service for associate specialists – England (2008)
- the consultant model contract and the specialty doctor / associate specialist model contract about maternity leave and pensions.
Pay and Conditions Circular (M&D) 1/2018 (published 27/03/18)
This circular informs employers of changes to the terms and conditions of service for consultants – England (2003) and the consultant model contract about clinical excellence awards (CEA).