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All the latest information, guidance and practical resources on national NHS pay and pensions, including documentation on the NHS terms and conditions of service, advice on how to implement a local reward strategy and information on national negotiations.

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Agenda for Change pay

Agenda for Change is the national pay system for all NHS staff, with the exception of doctors, dentists and most senior managers.

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Medical pay

This section of the website contains information on medical pay and contracts.


Pay and conditions circulars

Pay and conditions circulars inform of changes to pay and terms and conditions for hospital medical and dental staff, doctors in public health medicine and the community health service and staff covered by Agenda for Change.


Equal pay

Equal pay has been a statutory entitlement since 1970, when the Equal Pay Act came into force. The Agenda for Change pay system was introduced in October 2004 to ensure that pay in the NHS was consistent with the requirements of equal pay law.

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Job evaluation

Job Evaluation is a key part of the Agenda for Change pay system that covers over one million NHS staff.

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Proposals on the recovery of public sector exit payments

Proposals on the recovery of public sector exit payments

Pay in High Cost Areas

High cost area supplements (HCAS) are paid to all Agenda for Change staff working in inner and outer London and the fringe zones.

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