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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).
Download previous versions of the NHS Terms and Conditions of Service Handbook on our archive pages.
Pay and Conditions Circular (M&D) 1/2019
Valuing admin staff
Pay progression slide pack
23 / 8 / 2019 10.16am
Contractual and guidance documents relating to the employment of clinical academics in the NHS.
20 / 8 / 2019 10.01am
SAS doctors and dentists are a diverse group with a wide range of skills, experience, and specialties. Investing in development will inevitably better equip these doctors to meet the needs of the service and improve patient care.
Great reasons to register with NHS Employers
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