Terms and conditions of service which detail national agreements on pay and conditions of service for practitioners in a hospital setting.
This section contains the terms and conditions which detail the national agreements on pay and conditions of service for the following practitioners in a hospital setting:
- Junior doctors and dentists in training (including GP registrars during the hospital-based part of their training programme).
- Consultants on the pre-2003 contract.
- Associate specialists on the pre-2008 contract.
- Staff grades.
- Clinical assistants.
- Hospital practitioners.
Terms and conditions of service
The current contractual arrangements for the above groups of staff have been in force since December 2000.
- Terms and Conditions of Service NHS Medical and Dental Staff (England) 2002. (version 10, March 2013) This handbook sets out the Terms and Conditions of Service of hospital medical and dental staff and doctors in public health medicine and the community health service. It supersedes the handbook issued in 1994, and incorporates all amendments agreed between the Secretary of State and the medical and dental professions as at 31 March 2013.
- Record of amendments to the TCS Volume 1 (1 December 2002 to 30 July 2007)
- Record of amendments to the TCS Volume 2 (31 March 2008 to date)
Associated documents for doctors in training
Associated documents include:
- AL(MD)1/2001 & Annex A - Letter authorising changes to the national pay and Terms and Conditions of Service
- AL(MD)1/2001 Annex B - Amendments to the Terms and Conditions of Service
- PM(81)30 - General guidance including recognition of service outside the NHS.
- Model contract for hospital medical and dental staff in training - September 2008. This supersedes annex C of AL(MD)1/2001.
- Record of amendments to the contract.
Junior Doctor Banding Questionnaire
When the current junior doctor contract was introduced in 2000 a banding questionnaire with an accompanying glossary was used in order to assess the correct banding supplement payable under the new system. This document is still applicable to full time trainees under the 2000 junior doctor contract and we would encourage employers to refer to the document when assessing banding supplements. View the banding questionnaire document.
NHS Employers has published a factsheet for doctors in training who need to plan maternity leave. This factsheet provides guidance for doctors in training who need to plan maternity leave and includes information on timelines for telling your employer you are pregnant, when to take maternity leave, maternity pay and advice for doctors in training who may be moving between employers.
Pre-2016 less than full-time training arrangements
In particular circumstances, junior doctors can train on a less than full-time (LTFT) basis.
A different approach to LTFT was introduced in June 2005. This approach recognised the need to integrate an increasingly important mode of training into mainstream medicine and endeavoured to make LTFT more affordable for employers.
It combines better support for LTFT trainees with an equitable pay structure that should make employing LTFT doctors more accessible and more attractive to employers.
- Principles underpinning the 2005 arrangements for less than full time training
- Equitable pay for flexible medical training
Dental trainees in hospital posts
Training for dentists is different to training for doctors and, as such, their pay arrangements are different. This page explains exactly what trainees should be paid, including the fact that some trainees’ basic pay will go down.
Dental Foundation Training
Following their dental qualification, for work in NHS primary care it is compulsory for dentists to undertake a year of training with a primary care provider. This year is called Dental Foundation Training (previously known as the Vocational Dental Practitioner year). During this period they are paid an allowance which is higher than the salary payable at medical foundation training level. This allowance is detailed in the medical and dental pay and conditions circular.
Dental Core Training
Pay for dental core training (previously Dental F2/SHO) is still governed by the DH letter of 2008.
When a trainee leaves dental foundation training (formerly VDP) and enters dental core training year one, their basic pay should be set as follows:
- If their post has a banding supplement: point 1 of the MN21 scale.
- If their post is unbanded: protected on the dental foundation training (VDP) rate.
This means that if DCT year one trainees receive a banding supplement, their basic pay will go down on entry to DCT1.
These arrangements apply for the whole of DCT year one. For example, if the first six months of the placement are banded and the second six months of the placement are unbanded, the trainee should be put on point 1 of the MN21 scale plus banding for the first six months, and then protected on the dental foundation training rate for the second six months.
Dental core trainees should not be placed on any point above point 1 of MN21 unless they have previous experience in the DCT/SHO grade or higher.
We are aware that this rule has not been applied uniformly and so we recommend that on entry to DCT1 and DCT2, all trainees’ previous service should be checked in order to avoid perpetuating overpayments.
Longitudinal dental foundation training is a more complex scenario so please contact us at email@example.com if you have any questions over pay.
Some trainees will go into the specialty registrar (StR) grade following dental core training. Please contact us to discuss how pay should be set in this circumstance.