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

NHS Staff Council banner 8

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.

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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.

2 October 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.

2 October 2023

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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

A paramedic leaving an ambulance.

National job evaluation profiles for emergency services

Following a emergency services job matching profile review, profiles for bands 2 to band 7 have been updated.

6 December 2023

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Enhancing Doctors' Working Lives report 2023

NHS England has published the 2023 Enhancing Doctors' Working Lives (EDWL) report

6 December 2023

Close up of a nurse using a tablet.

Confirmed industrial action strike days

This page details the confirmed national industrial action dates for health and transport staff in England.

5 December 2023

Stage 3: Job analysis and job evaluation course

This two-day training programme is designed for trained job matching practitioners who wish to train as job analysts and members of panels.

1 December 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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