NHS Terms and Conditions of Service

NHS Terms and Conditions of Service Handbook

The NHS Terms and Conditions of Service Handbook contains the national agreements on pay and conditions of service for NHS staff under the NHS Terms and Conditions of Service (Agenda for Change). The handbook is now digital and is available to view online, or to download, either as individual PDF sections or in full. 

Amendments to the handbook

All changes to the Handbook are notified to employers by pay advisory notices, and in the NHS Workforce Bulletin.  

The latest amendments to the Handbook are amendment number 40, which came in to effect on 1 April 2019, notified by Pay Advisory Notice (01/2019) and TCS Advisory Notice (01/2019).

Previous amendments and versions of the Handbook

Download previous versions of the NHS Terms and Conditions of Service Handbook on our archive pages.

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Latest Blog Post

The Cupboard, hot houses, reward and recognition

23 / 8 / 2019 10am

Read about how Calderdale and Huddersfield NHS FT engaged with staff to tailor its reward package to their needs.

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