Resources

Medical Training Initiative

Guidance relating to the Medical Training Initiative. We describe the scheme, how it fits into the points-based immigration system and the NHS.

1 April 2026

Guide to making flexible working requests flowchart

A flowchart for managing conversations around flexible working requests, created by the NHS Staff Council to support the NHS People Plan.

6 March 2026

NHS Pension Scheme member contributions

An overview of the contribution rates payable by members in the NHS Pension Scheme including annual changes.

2 March 2026

NHS Employers written evidence submission to the Home Affairs Committee Routes to Settlement Inquiry

NHS Employers written evidence submission to the Home Affairs Committee Routes to Settlement Inquiry

13 February 2026

FAQs for doctors' and dentists' contracts

This page brings together all the FAQs and guidance we have for questions related to medical staff contract issues.

11 February 2026

Doctors and dentists in training terms and conditions (England) 2016

Version 13 (February 2026) TCS for NHS doctors and dentists in training. Including exception reporting reforms.

4 February 2026

Record of amendments to the 2016 terms and conditions of service

This document details the amendments made to the terms and conditions of service for NHS doctors and dentists in training (England) 2016.

4 February 2026

Fines guidance for exception reporting

Guidance outlining the changes to existing GOSWH fines in Version 13 of the 2016 TCS and includes two new fines introduced for exception reporting.

26 January 2026

Management of TOIL related to exception reporting

This guidance supports employers to manage and process TOIL requests made as a compensation outcome for an exception report.

26 January 2026

Job analysis questionnaire

Download the job analysis questionnaire which is needed to evaluate a job locally in your organisation.

22 January 2026

Lead employer guidance for exception reporting

Guidance for lead employers regarding exception reporting reforms.

19 December 2025

Exception reporting: key changes for guardians of safe working hours

This guidance provides an overview of the key changes in the new exception reporting process for guardians of safe working hours.

18 December 2025

Exception reporting guidance for directors of medical education

Guidance for DMEs on their roles and responsibilities in supporting the exception reporting processes for resident doctors.

18 December 2025

Handling, use and sharing of exception reporting data

This guidance outlines when identifiable and non-identifiable information may be used, staff access rights, and the required safeguards.

18 December 2025

Protections against experiencing detriment due to exception reporting

This guidance provides examples of what form detriment can take if it has a direct link to exception reporting.

18 December 2025

HR clarification of additional hours worked exception reports

This guidance details what HR does when an exception report relating to additional hours worked has missing information and inconsistencies.

18 December 2025