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 43, which came in to effect on 1 April 2021, notified by the terms and conditions of service pay and TCS advisory notice (01/2021).
Previous amendments and versions of the handbook
Download previous versions of the NHS terms and conditions of service handbook on our archive pages.