Contracts of Employment in the NHS

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Quick Facts

26th February 2020

  • NHS contracts of employment vary depending on each profession although the majority of NHS staff are employed under Agenda for Change terms and conditions.

  • The current IR35 guidance applies to NHS workers.

  • Volunteers in the NHS usually hold a volunteering agreement and a role description rather than a contract of employment and job description.

Summary

The topic sets out the different types of contracts issued by NHS employers as follows:

  • Agenda for Change contracts and terms and conditions for most staff in the NHS

  • Medical and dental staff pay and conditions

  • Salaried dental staff and GPs

  • Very senior managers pay and conditions.

In Practice

Statement of Main Terms (SMT)

As part of the provisions of the Good Work Plan, the provision of SMTs, informally known as contracts, will become a day one right for both employees and workers from 6 April 2020. Previously, employers have had two months in which to provide this document to employees only. SMTs will also need to contain additional details such as:

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The topic sets out the different types of contracts issued by NHS employers as follows:

  • Agenda for Change contracts and terms and conditions for most staff in the NHS

  • Medical and dental staff pay and conditions

  • Salaried dental staff and GPs

  • Very senior managers pay and conditions.

Quick Facts

In-depth