2018 junior doctor contract refresh

Junior doctors

In July 2019, an agreement was reached between NHS Employers, the British Medical Association (BMA) and Department of Health and Social Care (DHSC) on the amendments to the 2016 terms and conditions for doctors in training, also known as junior doctors.

The agreement covers the period from 1 April 2019 to 31 March 2023. In 2019/20, this will mean a total investment of 2.3 per cent in the contract. In each of the three subsequent years (2020/21-2022/23) this will mean annual pay uplifts of 2 per cent and a further 1 per cent of additional investment (circa £90m) in other terms within the contract.

This additional investment has enabled the introduction of:

  • a weekend allowance uplift to ensure those working the most frequent weekends are remunerated more fairly
  • an enhanced rate of pay for shifts that finish after midnight and by 4am
  • a new nodal pay point 5.

Take a look at the four-year pay deal at a glance.

Take a look at the terms and conditions of service, introduced with a phased implementation taking into account operational implications of the changes for employers, as outlined in the implementation timetable.

Junior doctors


Find out more about the 2018 review of the 2016 terms and conditions of service (TCS) for doctors and dentists in training.

Junior doctors


Key information relating to the 2016 terms and conditions of service and COVID-19.

Junior doctors

Guidance for GP trainee mileage

Guidance on the reimbursement of home to principle place of work mileage for trainees in a GP practice

Junior doctors


Helpful documents and resources which aim to support employers with the implementation of the contract.

Junior doctors

Key changes at a glance

More detail on the key changes employers will need to make as a result of the agreed contract.

Junior doctors

Frequently asked questions

Read answers to frequently asked questions relating to the contract.

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