Modernisation of pay is an integral part of recruiting and retaining a larger NHS workforce. It is vital that pay and contract reforms are made to reflect the shifts in work culture described elsewhere in the human resources and training section. These will be linked to how staff develop into new roles and will encourage new ways of working.
Agenda for Change applies to all directly employed NHS staff, except very senior managers and those covered by the Doctors' and Dentists' Pay Review Body. A collective agreement was reached with the NHS unions at the NHS Staff Council on 23 November 2004, following the completion of a second ballot process by some unions. Agenda for Change is being rolled out nationally from 1 December 2004, with pay and most terms and conditions backdated to 1 October. The aim is for 100% assimilation (less those who wish to remain on local contracts) by 30 September 2005.
The consultant contract aims to properly reward consultants so that more NHS patients benefit from their time and skills. It also sets out to ensure investment brings with it new ways of delivering patient care.
The junior doctors' contract was introduced in December 2000. It requires employers to compensate junior doctors for high intensity work, or work done during unsociable hours through a salary multiplier. The contract has also incorporated rest requirements in the employment contracts of junior doctors.
The GP contract has evolved in partnership between the NHS Confederation and the General Practioners Committee (GPC) of the British Medical Association (BMA). It creates greater flexibility for GPs and represents an unprecedented level of investment in primary care.
Policy information about contracts and pay for senior NHS managers, including NHS Chief Executives and Directors.
The Reports of the Review Body on Doctors' and Dentists' Remuneration (DDRB) and the Review Body for Nursing staff and Other Health Professions (NHPRB) are published on the Office of Manpower Economics website.