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.

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 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

NHS terms and conditions of service resource hub

Resources and guidance to assist employers in understanding and applying the NHS TCS Handbook and NHS Job Evaluation Handbook.

3 January 2025

NHS Terms and Conditions of Service Handbook A to Z

This A to Z will help employers and employees to navigate the content contained within the NHS Terms and Conditions of Service Handbook.

Article

2024/25 NHS terms and conditions of service pay materials

Supporting material following the government’s announcements on the 2024/25 pay award for staff under the Agenda for Change NHS terms and conditions.

1 August 2024

Article

Agenda for Change pay advisory notices

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

1 April 2025

Article

Mileage allowances FAQs

Frequently asked questions on mileage allowance

21 December 2023

Article

Pay on promotion scenarios & FAQs

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

7 February 2023

Article

Archived terms and conditions handbooks

List of archived terms and conditions of service handbooks.

1 April 2025

An abstract image of orange ovals on a navy background.

Pay archive library

The following NHS Agenda for Change pay materials have been archived and are no longer current.

View all content

Latest news

Article

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

Article

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

Article

Consultant contract (2003)

This page contains information on the terms and conditions of service and the model contract for consultants, FAQs and consultant job planning.

12 May 2025

Article

Stage 4: Refresher training

This training programme is designed for participants who have completed their job evaluation (JE) training and wish to refresh their knowledge.

7 May 2025

Article

Stage 1: Job matching course

This two-day training programme is designed for NHS employees who wish to sit on job matching panels.

7 May 2025

Article

Accrual of statutory annual leave and sickness

An overview of key points relating to annual leave and sickness from the most important cases, together with frequently asked questions on this issue.

25 April 2025