Agenda for Change

Terms and conditions

In the future all health staff will benefit from common terms and conditions, including overtime and annual leave. Everyone will work a 37.5-hour week, and overtime will be paid at time-and-a-half or double time for bank holidays. Annual leave will be 27 days for all new staff rising eventually to 33 days.

A new set of allowances will replace the current London weighting, fringe allowances and cost of living supplements. These will amount to £3,197–£5,328 in inner London, £2,664–£3,729 in outer London and £799–£1,385 in outlying areas.

At the same time, there will be some local flexibility to tackle recruitment ‘hot spots’. So those working in hard-to-recruit areas will receive extra cost of living allowances, as will staff in specialties with severe shortages.

Foundation trusts will be subject to Agenda for Change – although they will have additional pay freedoms, such as team bonus schemes or awarding recruitment and retention premia over 30 per cent.

Nurses in the private sector are not subject to the arrangements, but it is expected that similar arrangements will be adopted there once the scheme is running in the NHS.


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