Pay and conditions circulars


Schedule 4 to the NHS Act 2006 says that an NHS trust must pay its staff such remuneration and allowances and employ them on such terms and conditions as it considers appropriate.  These advice notices, previously pay circulars, provide information on nationally agreed changes to the NHS terms and conditions of service handbook, commonly referred to as Agenda for Change (AforC).  Employers which incorporate handbook terms into their local contracts of employment will need to ensure that any contractual commitments to incorporate nationally agreed changes into the local contract are met.

The notices are numbered consecutively starting at number one in January each year.  

Pay effective from 1 April 2017 

Pay advice notice (AforC) 1/2017

This notice advises of amendment number 38 to the NHS terms and conditions of service handbook.

A new Annex 2 is inserted, pay bands and pay points on the second pay spine in England from 1 April 2017.  The value of each pay point on the pay spine is increased by one per cent.  This is a consolidated increase in the values of the pay spine points.  The existing Annex 2, pay bands and pay points from 1 April 2016 is retained as Table 9(m) in Annex 3 to allow employers to refer to it should they need to.

A new table 16 is inserted, high cost area supplements from 1 April 2017.  The values of minimum and maximum high cost area supplements are increased by one per cent.  The expired table 16, high cost area supplements from 1 April 2016, is retained as table 15(i) in Annex 9. 

Archived pay circulars

Pay circulars issued in 2016 and going back to 2007 are in our archive:

2012 to 2016

2007 to 2011

2005 to 2006 

Prior to the establishment of NHS Employers in November 2004, responsibility to inform the NHS of changes to pay and allowances rested with the Department of Health. Changes were published in Advance Letters. Copies of Advance Letters going back to 2000 may be obtained from the national archives website.

For Advance Letters prior to 2000, please contact the Ministerial Correspondence and Public Enquiries Unit, Department of Health.

If you have any queries please email 

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