NHS terms and conditions of service (Agenda for Change)

Hospital and emergency staff

The NHS terms and conditions of service (Agenda for Change) applies to all non-medical NHS staff. The NHS terms and conditions of service (NHS TCS) do not apply to doctors, dentists, and those employed on Very Senior Managers contracts (VSM).

The NHS Terms and Conditions of Service Handbook sets out all contractual and pay provisions. Each individual section of the handbook can be accessed and downloaded through our web section.

The NHS Job Evaluation scheme underpins the NHS TCS. The Job Evaluation Handbook explains the scheme and processes to support equal pay for work of equal value. For more information on job evaluation and equal pay visit our webpages.

The NHS TCS should be read in the context of the wider reward package. Visit our Reward web section for more information, including a suite of tools and resources to support organisations in their approach to reward and communications. 

Read the details of the 2018 framework agreement for the current three-year pay deal.

 

NHS Terms and Conditions of Service Handbook

NHS Terms and Conditions of Service

View the NHS Terms and Conditions of Service Handbook

Statement

Pay and TCS advisory notices

Access the NHS pay and terms and conditions advisory notices, highlighting amends to the NHS terms and conditions of service handbook for NHS staff.

Pay steps

NHS Terms and Conditions (AfC) pay scales 2020/21

Access the pay scales for 2020/21 for the NHS Terms and Conditions of Service (Agenda for Change).

spreadsheet

NHS Terms and Conditions (AfC) pay scales 2019/20.

The pay scales for 2019/20 for the NHS Terms and Conditions of Service (Agenda for Change).

Paperwork

NHS pay review body

Details of NHS Employers' evidence to the review bodies for the current pay round.

Ambulance top

Paramedic Development

Information on ambulance workforce specific agreements, including banding changes and work to support the ambitions of the Urgent and Emergency Care Review.

Hospital staff

About Agenda for Change

Find out more about the Agenda for Change system which allocates posts to set pay bands, using the job evaluation scheme.

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