2018 contract refresh

NHS Terms and Conditions of Service - 2018

The NHS Staff Council has reached agreement on a refresh of the NHS Terms and Conditions of Service (Agenda for Change), and following a consultation exercise, trade union members have voted to accept the proposed changes.

The deal was formally ratified at the NHS Staff Council on 27 June 2018, meaning there will now be a three year pay deal, as well as reform of the pay structure and changes to terms and conditions. The new pay structure will:

  • increase starting salaries
  • reduce the number of pay points
  • shorten the amount of time it takes to reach the top of the pay band for most staff.

The NHS Terms and Conditions of Service handbook was republished on 1 July 2018 to reflect the changes agreed by the NHS Staff Council.

In order to help people further understand the deal, NHS Employers and the NHS Staff Council have published a number of resources including:


NHS Terms and Conditions of Service - 2018

Framework agreement

The framework agreement which trade union members were consulted on. 

NHS Terms and Conditions of Service - 2018

Key points at a glance

Read the key points from the agreement.

NHS Terms and Conditions of Service - 2018

Pay journey tool (England only)

Access the pay journey tool which shows individual pay journeys under the 2018 NHS terms and conditions of service.

NHS Terms and Conditions of Service - 2018

Questions and answers

View questions and answers relating to the agreement.

NHS Terms and Conditions of Service - 2018

Breakdown by pay band

See how the changes impact each pay band.

NHS Terms and Conditions of Service - 2018

Closing band 1 to new entrants

Find out about the closing of band 1 and how you can prepare for the recruitment of new starters from 1 December onwards.

NHS Terms and Conditions of Service - 2018

Pay progression

Find out about the new pay progression system in the framework agreement.

NHS Terms and Conditions of Service - 2018

Ambulance staff

Read how the agreement will impact ambulance staff.

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