2018 contract refresh

NHS Terms and Conditions of Service - 2018

The NHS Staff Council reached agreement in 2018 on reform of the NHS Terms and Conditions of Service (Agenda for Change), resulting in a three-year pay deal, as well as reform of the pay structure and changes to terms and conditions.

The new pay structure:

  • increases starting salaries
  • reduces the number of pay points
  • shortens the amount of time it takes to reach the top of the pay band for most staff.

1 April 2019 marked the start of the second year of the deal. The NHS Terms and Conditions of Service handbook has been updated to reflect the latest changes agreed by the NHS Staff Council. The Staff Council has also published an at a glance document to help understand what is happening to pay in year two of the deal. 

A number of resources were published in 2018 in order to help people understand the deal, these are available below:

NHS Terms and Conditions of Service - 2018

Pay journey tool (England only)

Access the pay journey tool which shows individual pay journeys under the NHS terms and conditions of service.

NHS Terms and Conditions of Service - 2018

Key points at a glance

Read the key points from the agreement.

NHS Terms and Conditions of Service - 2018

Framework agreement

The framework agreement which trade union members were consulted on. 

NHS Terms and Conditions of Service - 2018

Breakdown by pay band

See how the changes impact each pay band.

NHS Terms and Conditions of Service - 2018

Pay deal FAQs

Read answers to frequently asked questions relating to the three-year pay deal.

NHS Terms and Conditions of Service - 2018

Closing band 1 (England only)

Find out about the closing of band 1 and how you can prepare for the recruitment of new starters from 1 December onwards.

NHS Terms and Conditions of Service - 2018

Pay progression

Download our pay progression resources to help you implement the new system within your organisation.

NHS Terms and Conditions of Service - 2018

Ambulance staff

Read how the agreement will impact ambulance staff.

Related News

Developing a strategic approach to reward

Watch our new film to learn more about the top tips leaders in the NHS and other sectors have for developing a reward strategy.

View article

New guidance for occupational shared parental leave and child bereavement leave

The NHS Staff Council has published new guidance on occupational shared parental leave and child bereavement leave for staff under the NHS terms and conditions of service.

View article

Latest Tweets

Latest Blog Post

Supporting line managers with staff engagement

14 / 10 / 2019 9.30am

A blog by Steven Weeks taking a brief look at what employers can do to support line managers make the most of the NHS Staff Survey

Why Register?

Great reasons to register with NHS Employers

  • A personalised website
    Manage your profile and select topics of interest to you
  • Access your dashboard
    Bookmark useful content to help you quickly find what you're looking for
  • Get involved
    Contribute to our Talking Points discussions, comment on and rate our webpages
  • Keep up to date
    Receive the latest newsletters and media summaries

Log In