Pay pensions and reward

Find advice, guidance and support on rewarding staff, as well as everything you need to know about NHS pay and terms and conditions of service.
NHS Terms and Conditions of Service - 2018

2018 contract refresh

Details of the NHS terms and conditions of service contract refresh 2018

young doctors

Medical staff

These pages contain information for all grades of doctors and dentists on national terms and conditions of service.

Staff talking

Job evaluation and equal pay

Find out more about job evaluation, an integral part of the Agenda for Change pay system.

Hospital and emergency staff

NHS terms and conditions of service (Agenda for Change)

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

file labelled pension


The NHS Pension Scheme continues to be one of the most comprehensive and generous schemes within the UK.

Blue Sky


NHS Employers provides support, guidance and information on total reward in the NHS including Total Reward Statements and how to develop, implement and communicate your total reward strategy.


Very senior managers

Information for employers on very senior managers (VSMs) and the VSM pay framework.

Doctor reading

Primary care contracts

NHS Employers previously negotiated changes to the General Medical Services (GMS) and Community Pharmacy Contractual Framework (CPCF) with general practitioners and pharmacists on behalf of NHS England/Improvement.

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