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Pay and conditions circular (M&D) 1/2022

This pay and conditions circular sets out the updated pay arrangements for doctors and dentists in training, specialty doctors and specialists.

10 March 2022

We have today, 10 March, published a pay and conditions circular (M&D) 1/2022 that sets out the updated pay arrangements for doctors and dentists in training on national terms and conditions of service, and specialty doctors and specialists on the 2021 national terms and conditions of service.

Salary scales for doctors and dentists in training will be increased by 2.0 per cent to basic pay from 1 April 2022, as set out in the 2019 framework agreement.

The value of Nodal Point 5 and associated allowances has been increased to reflect the additional £1,200 investment in Nodal Point 5 from April 2022 as set out in the 2019 framework agreement. This includes an increase to the value of the penalty rates and fines for Nodal Point 5. All other penalty rates and fines remain unchanged. This is the final stage of the additional investment so the value of all penalty rates and fines will now be fixed at the rates set out in this circular.

Salary scales for specialty doctors and specialists on the 2021 terms and conditions of service will be increased to reflect the temporary transitional pay scales, as set out in the 2021 framework agreement.

The increase to salary scales for doctors and dentists in training has also been applied to the equivalent local pay points in Section 1, and to the rates for the closed training grades set out in Section 4.

Section 4 includes some pay rates for other closed grades. These have not been uplifted and have been included only to ensure that the format of the tables remains consistent with past circulars.

Any other increases to salaries will be notified following the government decision on the recommendations of the Doctors’ and Dentists’ Review Body (DDRB).

Access the pay and conditions circular (M&D) 1/2022. (PDF)