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.

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