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.

The NHS Terms and Conditions of service handbook sets out the conditions of employment and legal agreements which apply in full to all non-medical staff directly employed by NHS organisations, with the exception of very senior managers.

This page provides access to all key resources and relevant links relating to the terms and conditions of service as well as related networks and guidance.

You can access detailed information about our policies and procedures in their entirety via our official NHS TCS Handbook. Legal agreements and policies will only be amended following negotiations and new agreements established by the NHS Staff Council.

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.

Access the Terms and Conditions of Service Handbook

Key resources

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Agenda for Change pay advisory notices

Pay and terms and conditions notices for staff under the NHS terms and conditions of service.

31 May 2023

Pay circular abstract purple

NHS Agenda for Change pay poster 2023/24

Pay scales poster for Agenda for Change staff on NHS Terms and Conditions of Service contracts for the 2023/24 pay year.

26 May 2023

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Mileage allowances FAQs

Frequently asked questions on mileage allowance

14 July 2023

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Pay on Promotion Scenarios & FAQs

The NHS Staff Council has developed a range of scenarios and FAQs to support employers.

7 February 2023

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Archived terms and conditions handbooks

List of archived terms and conditions of service handbooks.

31 August 2023

Nurse using tablet

Pay scales for 2023/24

NHS terms and conditions annual, hourly and HCAS pay values scales for 2023/24

2 May 2023

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Latest news

An office worker sorting through files.

Agenda for Change pay advisory notices

Pay and terms and conditions notices for staff under the NHS terms and conditions of service.

31 May 2023

Musculoskeletal health in the workplace

Hear from the NHS Staff Council on its newly revised musculoskeletal guidance, supporting employers to keep the NHS workforce healthy and safe.

3 October 2023 12:00 - 13:30 GMT

A doctor and patient, smiling.

Bank holidays and lieu days for medical and dental staff

Read our popular FAQs for how to deal with questions on bank holiday and lieu days for junior doctors, consultants and SAS doctors.

18 September 2023

A doctor on a hospital ward, making a phone call.

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.

15 September 2023

Networks involved with the NHS terms and conditions of service

NHS Staff Council

The NHS Staff Council is responsible for the Agenda for Change pay system.

Job evaluation

Find out about the NHS job evaluation process and access resources to help you in your organisation.

A diverse group of healthcare staff walking along a hospital corridor.

NHS Terms and Conditions of Service (TCS) Network

The Network supports a wide range of national workstreams related to the NHS Staff Council and NHS Terms and Conditions of Service Handbook.

Meet the team

Karen Barnard

Assistant Director, Employment Relations

Karen joined NHS Employers in March 2022 as assistant director in the employment relations team.

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