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 (England only)

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

Download our pay progression resources to help you implement the new system within your organisation.

NHS Terms and Conditions of Service - 2018

Ambulance staff

Read how the agreement will impact ambulance staff.

Related News

Changes to enhanced shared parental leave and child bereavement leave

Read the update from the Staff Council on the enhancement to shared parental leave, and the introduction of child bereavement leave under the 2018 NHS Terms and Condition of Service.

View article

Webinar on the new pay progression system

Catch up with the pay progression webinar to find out more about the implementation of the new pay progression system and how your organisation can prepare ahead of 1 April 2019.

View article

Latest Tweets

Latest Blog Post

Linking health, safety and wellbeing

05 / 2 / 2019 9am

Find out why University Hospitals Bristol NHS Foundation Trust think its important to work collaboratively to support the wellbeing offer for staff.

Why Register?

Great reasons to register with NHS Employers

  • A personalised website
    Manage your profile and select topics of interest to you
  • Access your dashboard
    Bookmark useful content to help you quickly find what you're looking for
  • Get involved
    Contribute to our Talking Points discussions, comment on and rate our webpages
  • Keep up to date
    Receive the latest newsletters and media summaries

Log In