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 and conditions circulars and notices in the NHS Workforce Bulletin.  

The latest record of amendments to the handbook is available to download below:

Record of amendments 2016

Previous amendments and versions of the handbook

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

Latest Tweets

Why Register?

Great reasons to register with NHS Employers

  • A personalised website
    Manage your profile and select topics of interest to you
  • Access your dashboard
    Bookmark useful content to help you quickly find what you're looking for
  • Get involved
    Contribute to our Talking Points discussions, comment on and rate our webpages
  • Keep up to date
    Receive the latest newsletters and media summaries

Log In