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.

The new terms and conditions of service were introduced in early August 2019 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


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.

Related News

Amends to the implementation timeline for doctors in training 

Amends have been made due to a delay in publishing the terms and conditions of service for doctors in training.

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New pay circular for medical and dental staff

This pay and conditions circular informs employers of the pay arrangements for staff covered by the national medical and dental terms and conditions of service, which apply from 1 April2019.

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