Contract Refresh and Pay Progression Changes April 2019

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1st April marks the start of year two of the three year transitional pay deal for NHS staff.  Information relating to National Terms and Conditions of Service and the current changes to pay progression, as part of the three year transitional period 2018-2021, can be found by using the following links and then subsequent links on those pages:

There is a range of documents available on the NHS Employers website including:

2018 contract refresh including :

  • Framework agreement
  • Pay journey tool
  • Pay deal FAQ’s including ambulance specific questions
  • Key points at a glance
  • Breakdown by pay band
  • Closing band 1
  • Pay progression

Technical pay guidance from April 2019 :

  • Pay poster 2019/20
  • Spine points at 31st March 2018
  • Pay deal changes from 1st April 2019
  • Pay progression staff guidance
  • Pay progression manager guidance

Key points to note for the new pay progression arrangements are captured in Annex 23 of the national terms and conditions handbook and managers and all Trust staff are advised to familiarise themselves with this information, which will see a significant change to how staff progress to the next pay step point.  For new starters and those promoted to a higher pay band from 1st April 2019 staff will progress to the next pay step point on their pay step date where the following can be demonstrated:  

  • The appraisal process has been completed within the last 12 months and outcomes are in line with the organisation’s standards
  • There is no formal capability process in place
  • There is no formal disciplinary sanction live on the staff member’s record
  • Statutory and/or mandatory training has been completed
  • For line managers only – appraisals have been completed for all their staff as required

The first pay step review dates for staff appointed from 1st April 2019 will be in 2021 and managers can expect to receive further information and guidance on the pay step review process in due course.  It is essential for all managers to understand their responsibilities to their staff for pay progression and should not overlook the opportunity to familiarise themselves with the pay progression arrangements.

For any specific/targeted queries please contact the Terms and Conditions group via email to

Published 8th May 2019

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