Sickness absence -Section 14(a)(England)


Sickness absence - Section 14 (a) (England)

Employees taking time off work due to illness will be entitled, subject to the conditions of Section 14(a)(England), to receive occupational sick pay in accordance with the table below:

Length of Reckonable Service
Full Pay
Half Pay
During the first year of service
1 month 
+ 2 months
During the second year of service
2 months 
+ 2 months
During the third year of service 
4 months 
+ 4 months 
During the fourth and fifth years’ service
5 months
+ 5 months
After completing five years of service
6 months 
+ 6 months

These arrangements are intended to supplement statutory sick pay and provide additional payment during absence due to illness, injury or other disability.  

Some Key Points 

  • The definition of full pay will be in line with Section 14 (a) England - Paragraphs 14.4 to 14.5 and will be inclusive of any statutory benefits (so as not to make sick pay greater than normal working pay). The combined addition of statutory sick pay to half pay must not exceed full pay. 
  • Section 14(a) (England) - pay during sickness absence will be paid at basic salary level and not including any allowance or payments linked to working patterns or additional work commitments. The change will not apply to staff paid on spine points 1-8 of Agenda for Change, or to those whose absence is due to a work related injury or disease.
  • Annex Z sets out a framework to support employers and staff in the management of sickness absence and in managing the risk of premature and unnecessary ill health retirements.  

Further information
If you are a member of staff and have a query, please contact your HR team or local trade union representative.

Employers should send their queries to:

This page should be read in conjunction with the sickness absence provisions which can be found in Section 14(a)(England) of the NHS Terms and Conditions of Service Handbook 

Other useful sources of information can be found on the website.

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