Pay, pensions and reward

Advice, guidance and support on staff reward, the NHS Pension Scheme and the NHS pay and terms and conditions of service.

This section covers pay and contracts for medical staff and those under the NHS terms and conditions of service, the NHS Pension Scheme, the Job Evaluation Scheme and guidance and support to develop a robust reward offering in your organisation.

Our key areas

Surgeons mid-surgery.

Medical and dental pay and contracts

Access information, guidance, and resources relating to all of the national grades of doctors and dentists.

An office worker laughing during a meeting.

NHS terms and conditions of service (TCS) for Agenda for Change

The NHS terms and conditions of service (Agenda for Change handbook) applies to all non-medical NHS staff.

A young person smiling during a meeting.

NHS Pension Scheme

NHS Employers provides support and guidance to help employers deliver the NHS Pension Scheme effectively for their organisation.

An officer worker listening in a meeting.

Reward

NHS organisations provide some of the most comprehensive and attractive employment packages.

What's new

SAS Week 2025

Access our comms pack of resources that you can use to support your local activities and find out what's happening during #SASWeek25.

8 April 2025

An office worker using multiple screens.

Employee value proposition (EVP)

Use our new hub to support employers to define and understand what is meant by employee value proposition within the NHS Long Term Workforce Plan.

Two surgeons working in an operating theatre

Specialist grade information and resources

Access our new specialist hub has been created to help educate, promote and normalise the specialist grade, creating a one-stop-shop for all specialist resources, including links to stakeholder publications.

Terms and conditions handbooks

A nurse on a ward, smiling.

NHS Terms and Conditions of Service Handbook

This document sets out the full terms and conditions of service (TCS) for staff on Agenda for Change contracts.

1 April 2025

NHS Job Evaluation Handbook

The comprehensive guide for organisations using the NHS job evaluation scheme.

1 February 2024

Latest news

Patient and doctor smiling

Updates to the consultant 2003 contract and model contract

The consultant terms and conditions of service and model contract have been updated to complete the implementation of the pay deal.

12 May 2025

BMA's residents doctor members to be balloted

The BMA has announced that resident doctors in England will be balloted for strike action over pay.

6 May 2025

NHS Employers responds to resident doctor industrial action ballot announcement

Danny Mortimer says NHS organisations will be alarmed by the BMA’s preparations to ballot on the outcome of the DDRB process

2 May 2025

Doctor using iPad

GMC is seeking feedback on its annual report

The General Medical Council (GMC) is seeking feedback on the design of its annual reports.

30 April 2025

View all latest news

Latest resources

Budget busting benefits at Oxford University Hospitals

Read how Oxford University Hospitals NHS Foundation Trust (OUH) delivered a reward and benefits strategy on a shoestring budget.

14 May 2025

Stage 2: Consistency checking course

This one-day training is designed for experienced job evaluation practitioners and those who wish to train as members of consistency checking panels.

14 May 2025

A doctor and patient shaking hands.

Local clinical excellence award guidance from 1 April 2024

The funding for local clinical excellence awards was redirected into remuneration, ending annual award access from 1 April 2024.

12 May 2025

Pay and conditions circulars for medical and dental staff

The page has all the pay and condition circulars for medical and dental staff from 2005 to date.

12 May 2025

View all our resources

Search our topics