2018 review of the junior doctor contract

Medical Pay

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.

This will see investment over a four-year period in the contract. The new terms will be introduced from early August 2019 with a phased implementation taking into account operational implications of the changes for employers.

Alongside the agreement are a number of helpful documents and resources which aim to support employers with the implementation of the contract.

The pay uplift circular will not be published until early August, employers are not required to reissue the work schedules before then.

Below are the key changes employers will need to make in early August 2019 and October 2019 as a result of the agreement

August 2019

  • NHS Employers will publish the new terms and conditions in August. We are aware that some employers (who have the capacity to do so) may have already sent contracts to doctors in training. There is no expectation to resend contracts, employers could send the link to the new terms and conditions of service (TCS) and make doctors in training aware of the amendments
  • For new contracts (employed on 2016 terms): employers should continue to use the model contract template, which states: 1.2 The appointment is subject to the national Terms and Conditions of Service for doctors and dentists in training (“the TCS”), 2016, which may be amended from time to time. A copy of the TCS is available on the NHS Employers website. Employers should draw attention to this paragraph and the terms and conditions (once published on the NHS Employers website) for full detail.
  • For existing 2016 contract holders: employers should inform doctors in training of the contract amendments and the supporting implementation timeline.
  • For existing 2002 contract holders: employers should inform doctors in training that the transition timeline is yet to be confirmed as per outlined in implementation timeline.

October 2019

  • The transition timeline and pay protection arrangements will be published by NHS Employers for 2002 contract holders.
  • Employers should inform 2002 contract holders of these transition arrangements. The parties have committed to ensure that an agreement in this regard will be reached by early October 2019. Trainees who remain on the 2002 TCS should not be moved onto the updated 2016 terms until pay protection arrangements have been finalised and a transition date agreed.
  • Continue to refer doctors in training to the 2016 amended terms and conditions (once published on the NHS Employers website).


Related News

Referendum results on improvements to junior doctors contract

Junior doctors have voted in favour of a new four-year improvement to their contract.

View article

Enhancing junior doctor working lives progress report

Health Education England has published a new report on its work to improve the working lives of junior doctors.

View article

Latest Tweets

Latest Blog Post

Pastoral, religious and spiritual support for all

29 / 7 / 2019 2.16pm

Mohamed Jogi, programme manager for the diversity and inclusion team at NHS Employers, shares his reflections following attendance at a pastoral symposium.

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