Exception reporting reform implementation update
Following the British Medical Association's (BMA) active dispute with the government and subsequent strike action, formal discussions between NHS Employers and the BMA’s Resident Doctor Committee (RDC) were paused.
Therefore, the Resident Deal Implementation Group (the partnership group created to deliver the agreed exception reporting reforms) has been unable to conclude their work, meaning that the implementation date of 12 September 2025, as outlined in the Framework Agreement, is no longer viable.
Next steps
All parties remain committed to delivering the reforms agreed in the Framework agreement, and following constructive discussions, NHS Employers and the BMA have been able to quickly agree a new timeline to update the Doctors and Dentists in Training (England) Terms and Conditions of Service (2016) (TCS).
The TCS will be updated and published by the 19 September 2025. We will be working closely with the BMA to agree as soon as possible, a new implementation date that these changes will take effect from. Further guidance on implementing the TCS will be jointly developed by the Resident Deal Implementation Group.
Separately we will provide an update to the suppliers that provide exception reporting related software solutions, to ensure that they are aware of the current position, reaffirm the commitment to reform and discuss the necessary actions.
We acknowledge the dedication and effort employers have invested in navigating the framework agreement to meet the 12 September 2025 implementation date. As future implementation is rolled out, the feedback from employers and software providers regarding the risks associated with a rapid roll-out will be taken into account.
We remain committed to improving the working lives of doctors and acknowledge the ongoing efforts of employers to make meaningful changes within their organisations.
Further reading
Exception reporting is the mechanism used by doctors and dentists in training to ensure that safe working hours are maintained, ensuring compensation for all work performed and to uphold agreed educational opportunities.
