NHS Terms and Conditions of Service

NHS Terms and Conditions of Service Handbook

The Agenda for Change handbook contains the national agreements on pay and conditions of service for NHS staff other than very senior managers and medical staff. The handbook is now digital and is available to download as individual PDF sections or in full as a PDF.

Amendments to the handbook

All changes to the handbook are notified to employers by pay advice notices and  in the NHS Workforce Bulletin.  

The latest amendments to the handbook are amendment number 39 - Pay Advisory Notice (01/2018) and TCS Advisory Notice (01/2018)

Previous amendments and versions of the handbook

Download previous amendments to the NHS Terms and Conditions Handbook on our archive pages.

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