Key changes at a glance

Junior doctors

Below are some of the key changes employers will need to make as a result of the agreement:

  • For new contracts and for those 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 continue to refer doctors in training to the 2016 amended terms and conditions.
  • For existing 2016 contract holders: employers should inform junior doctors of the contract amendments and the supporting implementation timeline.
  • For existing 2002 contract holders: where possible, affected junior doctors should transition to the updated 2016 terms and conditions at the earliest opportunity and no later than February 2020.

From December 2019:

  • Employers and host organisations must ensure that rotas are revised to meet the new limits on hours and safeguards on rest. See our rota rules at a glance document and our factsheet on safety limits and rest for further support.
  • Employers to start the process for appointment of champions of flexible training. NHS Employers and the British Medical Association (BMA) have committed to jointly produce guidance relating to support employers with the implementation. This guidance will be available in due course.
  • Employers must ensure that the £1000 Less Than Full Time (LTFT) allowance is applied to all eligible LTFT trainees.


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