NHS Terms and Conditions of Service Handbook

Download Full Handbook


The terms and conditions of service set out in this handbook apply in full to all staff directly employed by NHS organisations, except very senior managers and staff within the remit of the Doctors’ and Dentists’ Review Body. NHS organisations include health and social care organisations in Northern Ireland. References to the NHS throughout this document should be read as including these organisations where appropriate.

This handbook is published on the NHS Terms and Conditions of Service (TCS) 2018 web section. It is not published in hard copy. It is amended whenever new agreements are reached in the NHS Staff Council. Amendments to the handbook are published in numbered pay and conditions circulars which set out details of the changes, including the effective
date(s) of changes to pay and conditions. The title page shows the number of the latest amendment and the number of the circular which announced it. Footnotes refer to the pay circular which contained the last amendment to each section.

Some sections and annexes only apply to specific countries and these are indicated in brackets after the relevant section and annex title.

Amendment number 39

Pay Advisory Notice (01/2018) and TCS Advisory Notice (01/2018)

Latest Tweets

Latest Blog Post

Building the NHS relationship with the Armed Forces

19 / 3 / 2019 10.01am

In this blog, Matthew House explains how being a reservist helps him build the relationship between his trust and the Army, the flexibility his civilian career brings him and the benefits his military skills bring to the NHS.

Why Register?

Sounds great, what next?

Not now, I will register later

Log In