Pay and conditions circulars for medical and dental staff

2024

Pay and Conditions Circular 6/2024 (published 19/08/2024)

This circular notifies employers in the NHS in England of changes to the Terms and Conditions – Consultants (England) 2003 including Schedule 15 and Schedule 23.

Pay and conditions circular 6/2024

Pay and Conditions Circular 5/2024 R2 (republished 24/02/2025)

This circular was first published 15 August 2024, revised on 27 September 2024 and has now been revised to include the dental foundation training (DFT) payment. This circular notifies employers in the NHS of pay arrangements from 1 April 2024 for staff covered by the national medical and dental terms and conditions of service in England. 

Pay and conditions circular 5/2024 R2

Pay and Conditions Circular 4/2024  (published 23/07/2024)

This circular notifies employers of the pay arrangements applicable from 1 April 2024 for medical and dental SAS doctors on national terms and conditions of service in England.

Pay and conditions circular 4/2024

Pay and Conditions Circular 3/2024 (published 17/06/2024)

This circular notifies employers in the NHS in England of changes to the Salaried Dentist Model Contract and Schedule 3 and 16 of the Terms and Conditions of Service for Salaried Primary Dental Care Services (England) to update and remove information to align with current pension provisions.

Pay and conditions circular 3/2024

Pay and Conditions Circular 2/2024 (published 22/05/2024)

This circular notifies employers in the NHS in England of changes to schedules 13, 14 and 29 of the Terms and Conditions – Consultants (England) 2003.

Pay and conditions circular 2/2024

Pay and Conditions Circular 1/2024 (published 29/04/2024)

This circular informs employers of the pay arrangements applicable from 1 March 2024 for medical and dental consultants on national terms and conditions of service England (2003).

Pay and conditions circular MD 1/2024

2023

Pay and Conditions Circular 4/2023 R2 (published 27/09/2024)

This circular was first published on the 7 August 2023, and was first revised to include the
include the dental foundation training salary new value from 1 April 2023. It has now been republished to include agreed increases to rates for doctors and dentists in training. This circular notifies employers of the pay arrangements applicable from 1 April 2024 for medical and dental SAS doctors on national terms and conditions of service in England.

Pay and conditions circular MD 4/2023 R

Pay and Conditions Circular 3/2023 (published 13/04/2023)

This circular informs employers of the changes to the consultant model contract following amendments to schedule 30.

Pay and conditions circular MD 3/2023

Pay and Conditions Circular 2/2023 (published on 24/02/2023 has been withdrawn)

This circular stating the 2023/24 framework agreement rates for speciality doctors and specialists on the 2021 terms and conditions of service has been superseded by Pay and Conditions Circular 4/2023.  

Pay and Conditions Circular 1/2023 (published 10/02/2023)

This circular informs employers of changes to the terms and conditions of service for consultants – England (2003) about clinical excellence awards (CEA).

Pay and conditions circular MD 1/2023

2022

Pay and Conditions Circular 3/2022 (revised version published 30/05/2023)

Pay award for hospital medical and dental staff, doctors and dentists in public health, the community health service and salaried primary dental care. This pay and conditions circular informs employers of the pay arrangements for staff covered by the national medical and dental terms and conditions of service, which apply from 1 April 2022.

Pay and Conditions Circular MD 3/2022
 

Pay and Conditions Circular 2/2022 (published 09/06/2022)

This pay circular notifies employers of changes to the terms and conditions of service for specialty doctors and specialists (England) 2016.

Pay and Conditions Circular 1/2022 (published 10/03/2022)

Pay and Conditions Circular MD 1 2022

This circular informs employers of the pay arrangements applicable from 1 April 2022 for doctors and dentists in training, and for specialty doctors and specialists on the 2021 terms and conditions of service.

2021

Pay award for doctors and dentists in training, speciality doctors and specialists. This pay and conditions circular informs employers of the pay arrangements for doctors and dentists covered by the national medical and dental terms and conditions of service, which apply from 1 April 2022.

Pay and Conditions Circular 2/2021 (published 18/03/2021)

This pay and conditions circular informs employers of the introduction of new pay and conditions of service for specialty doctors and specialists in England, from 1 April 2021.

Pay and Conditions Circular 1/2021 (published 12/03/2021)

Pay award for doctors and dentists in training. This pay and conditions circular informs employers of the pay arrangements for doctors and dentists covered by the national medical and dental terms and conditions of service, which apply from 1 April 2021.

2020

Pay and Conditions Circular (M&D) 3/2020 (revised version published 22/12/2020)

This pay and conditions circular informs employers of a fifth nodal point introduced for doctors and dentists in training at ST6 and above and covered by the terms and conditions of service for NHS Doctors and Dentists in training (England) 2016. This will apply from 1 October 2020.

Pay and Conditions Circular (M&D) 2/2020R (published 09/03/2022)

This circular has been revised to clarify that the figure for new local clinical excellence awards (LCEAs) in Annex A.

Pay award for hospital medical and dental staff, doctors and dentists in public health, the community health service and salaried primary dental care. This pay and conditions circular informs employers of the pay arrangements for staff covered by the national medical and dental terms and conditions of service, which apply from 1 April 2020.

Pay and Conditions Circular 1/2020 (published 23/06/2020)

Pay award for doctors and dentists in training. This pay and conditions circular informs employers of the pay arrangements for doctors and dentists covered by the national medical and dental terms and conditions of service, which apply from 1 April 2020.

2019

Pay and Conditions Circular (M&D) 3/2019 (published 31/10/2019) (updated Nov 19)

This pay circular notifies employers of changes to the terms and conditions of service for NHS doctors and dentists in training (England) 2016.

Pay and Conditions Circular (M&D) 2/2019 (revised version published 10/01/2020)

Pay award for hospital medical and dental staff, doctors and dentists in public health, the community health service and salaried primary dental care. This pay and conditions circular informs employers of the pay arrangements for staff covered by the national medical and dental terms and conditions of service, which apply from 1 April 2019.

Pay and Conditions Circular (M&D) 1/2019 (published 08/08/2019)

This circular informs employers of changes to the terms and conditions of service for salaried dentists, plus changes to the model contracts for doctors and dentists in training, specialty doctors and associate specialists, consultants and salaried dentists to reflect the General Data Protection Regulation.

2018

Pay and Conditions Circular (M&D) 3/2018 (published 21/12/2018

This replaces Pay and Conditions Circular (M&D)1/2017, originally published on 27 March 2017 and updated on 22 March 2018).

Pay award for hospital medical and dental staff, doctors and dentists in public health, the community health service and salaried primary dental care. This pay and conditions circular informs employers of the pay arrangements for staff covered by the national medical and dental terms and conditions of service, which apply from 1 October 2018.

Pay and Conditions Circular (M&D) 2/2018 (published 27/03/18)

This circular informs employers of changes to:

• the terms and conditions of service for consultants – England (2003)
• the terms and conditions of service for specialty doctors – England (2008)
• the terms and conditions of service for associate specialists – England (2008)
• the consultant model contract and the specialty doctor / associate specialist model contract about maternity leave and pensions.

Pay and Conditions Circular (M&D) 1/2018 (published 27/03/18)

This circular informs employers of changes to the terms and conditions of service for consultants – England (2003) and the consultant model contract about clinical excellence awards (CEA).

Pay and Conditions Circular (M&D) 3/2017 (published 20/04/2017)

This circular informs employers of several minor changes to the terms and conditions of service for NHS doctors and dentists in training (England) 2016, re-published as version 3, as well as a specific change to Schedule 14 transitional arrangements (temporary schedule) for some F2 doctors around the value of the cash floor.

Pay and Conditions Circular (M&D) 2/2017 (published 31/03/2017)

This pay and conditions circular informs employers of the changes to the cash floor for some F2 doctors on the 2016 contract under transitional arrangements. Foundation Year 2 (F2) trainee doctors who are taking up a new post under the new contract in April 2017, and whose cash floor would have been based on an un-banded basic salary, will now have their cash floor uplifted to 40 per cent (1B) banding.

Pay and Conditions Circular (M&D) 1/2017 (originally published 28/03/2017, updated 23/03/2018)

Pay award for hospital medical and dental staff, doctors and dentists in public health, the community health service and salaried primary dental care. This pay and conditions circular informs employers of the pay arrangements for staff covered by the national medical and dental terms and conditions of service, which apply from 1 April 2017.

Pay and Conditions Circular (M&D) 2/2016 (published 25/07/2016, re-published 13/12/2016)

This pay and conditions circular (M&D) 2/2016 details arrangements for those on the terms and conditions of service for NHS doctors and dentists in training (England) 2016.

This circular replaces the previous version published on 25/07/2016. It has been updated to clarify the basic pay arrangements for those in dental core training and dental specialty training by providing these arrangements in a separate table. Section 4 on flexible pay premia has also been clarified to give further detail on the payment of this premium to those in psychiatry training programmes. Other tables throughout the document have been simplified.

Pay and Conditions Circular (M&D) 1/2016 (published 04/8/2016)

This pay and conditions circular (M&D) 1/2016 replaces the previous version published 30 March 2016. It has been updated to include the 2016/17 salary for dental foundation trainees, which was unavailable at the time of publishing the previous version. It also updates on the indicative training allowance for salaried primary care dental staff, which was previously omitted. These are the only changes from the previous version, all other figures remain the same.

Pay and Conditions Circular (M&D) 1/2015 (published 20/3/2015)

Pay award for hospital medical and dental staff, doctors and dentists in public health, the community health service and salaried primary dental care. This pay and conditions circular informs employers of the pay arrangements for staff covered by the national medical and dental terms and conditions of service, which apply between 1 April 2015 and 31 March 2016 only.

Pay and Conditions Circular (M&D) 2/2014 (published 31/3/2014)

Pay award for hospital medical and dental staff, doctors and dentists in public health, the community health service and salaried primary dental care.

This pay and conditions circular informs employers of the pay arrangements for staff covered by the national medical and dental terms and conditions of service, which apply between 1 April 2014 and 31 March 2015 only.

Pay and Conditions Circular (M&D) 1/2014 (published 01/03/2014)

This pay and conditions circular notifies employers of an additional Schedule added to the terms and conditions of service for specialty doctors around the acting up allowance.

Pay Circular (M&D) 3/2013 - VDP pay (published 25/7/2013)

This pay circular informs employers in the NHS (England) of amendments in the national pay for vocational dental practitioners (VDP) effective from 1 April 2013 and the terms and conditions of service of hospital medical and dental staff and doctors and dentists in public health and the terms and conditions of service for consultants (2003) effective from 31 March 2013.

Pay Circular (M&D) 2/2013 - changes to TCS (published 27/3/2013)

This pay circular notifies employers of changes to:

• terms and conditions of service – consultants (England) 2003
• terms and conditions of service for specialty doctors – England (2008)
• terms and conditions of service for associate specialists – England (2008)
• NHS hospital medical and dental Staff
• doctors in public health medicine
• community health service (England) terms and conditions of service (now renamed terms and conditions of service - NHS medical and dental staff (England) 2002).

It includes references to injury allowance, parental leave and public sector equality duty, redundancy, pay for associate specialists taking up locum consultant posts, pay protection on return to training, banding questionnaire, contract maintenance.

Pay Circular (M&D) 1/2013 - pay award 2013/14 (published 27/3/2013)

This pay circular informs employers in the NHS (England) of the changes in the national pay and conditions of service of hospital medical and dental staff and doctors and dentists in public health, the community health service, salaried primary dental care and salaried general practitioners effective from 1 April 2013.

This circular provides details of uplifts to national salary scales for 2013/14, uplifts to fees and allowances, GP registrar supplements, uplifts to the minima and maxima of the salaried GPs’ pay range.

Pay Circular (M&D) 1/2012 (published 6/6/2012)

This informs employers in the NHS (England) of the freeze in the national pay rates of hospital medical and dental staff and doctors and dentists in public health, the community health service, salaried primary dental care and salaried general practitioners effective from 1 April 2012.

Pay Circular (M&D) 1/2011 (published 13/6/2011)

This informs employers in the NHS (England) of the freeze in the national pay rates of hospital, medical, and dental staff and doctors and dentists in public health, the community health service, salaried primary dental care and salaried general practitioners, effective from 1 April 2011.

 Pay Circular (M&D) 1/2010 - pay award 2010/11 (published 6/4/2010)

This informs employers in the NHS (England) of changes in the national pay and conditions of service of hospital medical and dental staff and doctors and dentists in public health, the community health service, salaried primary dental care and salaried general practitioners effective from 1 April 2010.

This circular provides details of national salary scales, fees and allowances, GP registrar supplements, new minima and maxima of the salaried GPs’ pay range, applicable from 1 April 2010 as a result of the government's decisions arising from the recommendations of the Review Body on Doctors’ and Dentists’ Remuneration.

Pay Circular (M&D) 2/2009 - corrigendum to pay circular (M&D) 1/2009 (published 25/8/2009

A pay circular informing the service of changes to the consultants terms and conditions of service and a corrigendum to Annex A Section 7 of pay circular (M&D)1/2009 to correct an earlier rounding error in the associate specialist 2008 locum rates. The changes are effective from 1 September 2009.

Pay circular (M&D) 1/2009 - pay award 2009/10 (published 9/4/2009)

Pay circular informing the service of the annual pay increases for medical and dental staff has been published on our website. This pay circular notifies the changes in national pay and conditions of service of hospital medical and dental staff, doctors and dentists in public health, the community health service, salaried primary dental care and salaried GPs, with effect from 1 April 2009.

Pay Circular (M&D) 5/2008 - mileage rates (published 4/8/2008)

This pay circular informs NHS employers of the new mileage rates for hospital medical and dental staff, and doctors and dentists in public health, the community health service and salaried primary dental care.

Pay Circular (M&D) 4/2008 - new core specialty registrars pay scale (published 7/7/2008)

Informing NHS employers of a new pay scale for specialty registrars in core training and changes in the national conditions of service for hospital medical and dental staff & doctors & dentists in public health and the community health service.

Pay Circular (M&D) 3/2008 - pay award 2008/09 (published 25/4/2008)

Changes in national pay and conditions of service of hospital medical and dental staff, doctors and dentists in public health, the community health service, salaried primary dental care and salaried GPs, with effect from 1 April 2008.

Pay Circular (M&D) 2/2008 - revised NHS Pension Scheme (published 31/3/2008)

This pay circular informs NHS employers of consequential changes to the medical and dental TCS and contracts related to the introduction of revised NHS Pension Scheme arrangements.

Pay Circular (M&D) 1/2008 - introduction of specialty doctor grade and new associate specialist contract (published 31/3/2008)

This pay circular informs NHS employers of the introduction of the specialty doctor grade and new contractual arrangements for the associate specialist (2008) grade.

Pay Circular (M&D) 7/2007 - pay increase (published 1/10/2007)

This pay circular informs NHS employers of the changes with effect from 1 November 2007 in the national pay and conditions of service of hospital medical and dental staff and doctors in public health medicine and the community health service.

Pay Circular (M&D) 6/2007 - pay rates for Locum appointments for service (SpR) (published 30/7/2007)

This pay circular notifies employers of rates of pay for locum appointments for service in the Specialty Registrar grade, of amendments to the T&C of service for hospital medical and dental staff and doctors in public health medicine.

Pay Circular (M&D) 5/2007 - changes to maternity leave, parental leave and pay arrangements (published 30/07/2007)

This pay circular notifies employers of changes in respect of maternity leave and pay arrangements, parental and carers leave provisions and flexible working arrangements from 1 April 2007.

Pay Circular (M&D) 4/2007 - Introduction of specialty registrar grade (published 8/05/2007)

This pay circular notifies employers of the introduction of the specialty registrar grade and amendments to the terms and conditions of service in respect of pay on return to training.

Pay Circular (M&D) 3/2007 - changes to the consultants' on call availability (published 30/3/2007)

This pay circular notifies employers of changes to the 2003 consultant (England) terms and conditions of service.

Pay Circular (M&D) 2/2007 - pay award 2007/08 (published 26/3/2007)

This pay circular informs NHS employers of the changes with effect from 1 April 2007 in the national pay and conditions of service of hospital medical and dental staff and doctors in public health medicine and the community health service.

Pay Circular (M&D) 1/2007 - changes in redundancy pay (published 1/3/2007)

This pay circular notifies employers of a change, in respect of redundancy pay, to the hospital medical and dental staff, doctors in public health medicine and the community health service (2002) terms and conditions of service (TCS) and the terms and conditions consultants (Eng) 2003.

Pay Circular (M&D) 4/2006 - pay increase November 2006 (published 25/9/2006)

This pay circular informs NHS employers of the changes with effect from 1 November 2006 in the national pay and conditions of service of consultants on both the pre 2003 and 2003 consultant contracts and of locum rates for Foundation level 2.

Pay Circular (M&D) 3/2006 - introduction of foundation programme and mileage allowances for junior doctors on rotation (20/6/2006)

This pay circular notifies employers of the new grade names and pay scale details for foundation trainees with immediate effect, the forthcoming closure of existing training grades, and contains revised guidance on the payment of mileage allowances.

Pay Circular (M&D) 2/2006 - changes to the 2003 consultant model contract (published 30/6/2006)

This pay circular notifies employers of changes to the 2003 consultant model contract.

Pay Circular (M&D) 1/2006 - pay award 2006/07 (published 26/4/2006)

This pay circular informs NHS employers of the changes with effect from 1 April 2006 in the national pay and conditions of service of hospital medical and dental staff and doctors in public health medicine and the community health service.

Pay Circular (M&D) 5/2005 - changes to the 2003 consultant contract (published 1/6/2005)

This pay circular notifies employers of changes to the 2003 consultant model contract (England).

Pay Circular (M&D) 4/2005 - amendments to the 2003 consultant TCS (published 1/6/2005)

This pay circular notifies employers of changes to the 2003 consultant contract (England) terms and conditions of service.

Pay Circular (M&D) 3/2005 - changes to the National Health Service (published 1/6/2005)

This pay circular notifies employers of changes to the National Health Service hospital medical and dental staff and doctors in public health medicine and the community health service.

Pay Circular (M&D) 2/2005 - fees and allowances for sessional work in community health services (published 14/3/2005)

Fees and allowances payable to doctors for sessional work in the community health services, medical services to local authorities (under collaborative arrangements) and medical examinations of prospective NHS employees.

Pay Circular (M&D) 1/2005 - Pay award 2005/06 (published 14/3/2005)

Pay and conditions for hospital medical and dental staff, doctors in public health medicine and the community health service.