2018 contract - Ambulance FAQs
This article answers frequently asked questions (FAQs) relating to ambulance staff following the implementation of the 2018 three-year pay deal.
The following FAQs were initially published to provide relevant information for ambulance staff following the three-year pay deal in 2018. They have been updated in December 2025 to retain any remaining information.
The original implementation FAQs can be found on this web page in our archive pay library.
Overview of 2018 contract changes for ambulance staff
New starters to the ambulance service (effective from 1 September 2018) will have their unsocial hours payments paid via section 2 of the NHS Terms and Conditions of Service (TCS) Handbook.
Any existing staff members who commenced employment within their ambulance trust before September 2018 and who move roles requiring a new contract of employment to be issued will be moved from annex 5 to section 2 (if they are not already on section 2).
Staff employed via, or moving to, section 2 also saw changes to the way in which occupational sickness absence pay is calculated in line with other NHS staff.
At implementation, existing staff who were not changing roles were offered the chance to move voluntarily to section 2.
Local agreements within the ambulance sector may be in place providing more details on relevant scenarios.
2018 contract - Ambulance specific questions
Resources
- Estimate your pay under both systems using our comparison tool
- Download the unsocial hours factsheet which compares the details of annex 5 and section 2.
- Download information about the section 2 application process.