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.
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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

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Medical and dental pay and contracts

Access information, guidance, and resources relating to all of the national grades of doctors and dentists.
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NHS terms and conditions of service (Agenda for Change)

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

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NHS Pension Scheme

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

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

SAS doctors right to transfer

Doctors employed on the 2008 specialty doctor grade or on closed SAS grades now have the right to transfer to 2021 specialty doctor contract.

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Terms and conditions handbooks

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Handbook

NHS Terms and Conditions of Service Handbook

Handbook amendment number 49 TCS Advisory Notice (01/2023) 

6 February 2023
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Handbook

NHS Job Evaluation Handbook

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

1 September 2018
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Briefing

Pension tax guidance for employers

Our guidance covers the local options employers can put in place to support staff who are facing pension tax issues.

23 March 2023
Guide

SAS 2021 pay progression system guidance

Use our employer guidance on the new pay progression system for both the 2021 specialty and specialist (SAS) grade contracts.

22 November 2022

National job profiles

Find out how NHS jobs are matched to nationally evaluated job profiles.

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Latest news

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News

BMA and HCSA announce further industrial action dates

This page details the industrial action dates announced by the trade unions representing junior doctors.

27 March 2023
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News

Interim uplift to pay in line with National Living Wage from 1 April 2023

Pay for the closed band 1 and the entry point of band 2 will be uplifted from 1 April 2023 in line with increases to the National Living Wage.

22 March 2023
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News

Joint statement from the government and the NHS Staff Council on the pay 'offer in principle'

Read this joint statement from the government and NHS Staff Council on the revised pay offer for staff on Agenda for Change contracts.

21 March 2023
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News

Our response to the government’s consultation on calculating holiday entitlement

NHS Employers has responded to a government consultation on calculating statutory holiday entitlement for part-year and irregular hours workers.

17 March 2023
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Latest resources

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Guidance

NHS terms and conditions interim pay scales from 1 April 2023

Poster detailing the interim pay scales from 1 April 2023 pending the 2023/24 pay award.

22 March 2023
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Guidance

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.

23 February 2023
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Guidance

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

Version 11 (February 2023) TCS for NHS doctors and dentists in training. Including transitional pay protection that is extended until 6 August 2025.

21 February 2023
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Evidence

NHS Employers' Pay Review Body evidence 2023/24

Read our evidence to the NHS Pay Review Body (NHSPRB).

1 February 2023
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Evidence

NHS Employers' evidence to DDRB 2023/24

Read our evidence to the Doctors' and Dentists' Pay Review Body (DDRB) 2023/24.

1 February 2023
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Guidance

Interaction between LCEAs and NCIAs

These flowcharts demonstrate the interactions between local clinical excellence awards (LCEA) and National Clinical Impact Awards (NCIA).

31 January 2023
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Guidance

LCEA financial monitoring tool 2022/23

Our Excel based tool and user guide have been designed to help employers ensure the minimum level of funds for LCEA investment in 2022/23.

31 January 2023
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Guidance

Eligibility criteria for LCEAs from April 2022

This guide sets out the eligibility criteria for participation in the local clinical excellence awards scheme (LCEAs) under the new arrangements.

31 January 2023
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Pay for section 15 leave for doctors in training

Our guidance with the BMA provides clarity for employers on when a move to a higher pay point, under the 2016 TCS should be reflected in a doctor’s pay for maternity, adoption and shared parental leave.

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