Conditions of Service

Appointments to this programme are subject to the Terms and Conditions of Service (TCS) for Hospital Medical and Dental Staff (England and Wales). In addition, appointments are subject to:

  • Applicants having the right to work and be a doctor or dentist in training in the UK
  • Registration with the General Medical Council
  • Pre-employment checks carried out by the Trust HR department in line with the NHS employment check standards, including CRB checks and occupational health clearance

The employing Trust’s offer of employment is expected to be on the following nationally agreed terms:

The working hours for junior doctors in training are now 48-hours (or 52-hours if working on a derogated rota) averaged over 26 weeks (six months). Doctors in training also have an individual right to opt-out if they choose to do so, but they cannot opt-out of rest break or leave requirements. However, the contracts for doctors in training make clear that overall hours must not exceed 56 hours in a week (New Deal Contract requirements) across all their employments and any locum work they do.

You should be paid monthly at the rates set out in the national terms and conditions of service for hospital medical and dental staff and doctors in public health medicine and the community health service (England and Wales), “the TCS”, as amended from time to time. The payscales are reviewed annually. Current rates of pay may be viewed at:

Part time posts will be paid pro-rata

Depending upon the working pattern and hours of duty you are contracted to undertake by the employer you should be paid a monthly additional pay supplement at the rates set out in paragraph 22 of the TCS. The current payscales may be viewed at

The pay supplement is not reckonable for NHS pension purposes. The pay supplement will be determined by the employer and should be made clear in their offer of employment and subject to monitoring.

You will be entitled to join or continue as a member of the NHS Pension Scheme, subject to its terms and rules, which may be amended from time to time. If you leave the programme for out of programme experience you may have a gap in your pension contributions. More information can be found at

Your entitlement to annual leave will be five or six weeks per annum depending on your previous service/incremental point, as set out in paragraphs 205-206 of the TCS. The TCS may be viewed at

Entitlements are outlined in paragraph 225 of the TCS

You will be required to give your employer and entitled to receive from them notice in accordance with paragraphs 195-196 of the TCS.

The employer is expected to offer study leave in accordance with paragraphs 250-254 of the TCS. Local policy and procedure will be explained at induction.

The employer is expected to offer travel expenses in accordance with paragraphs 277-308 of the TCS for journeys incurred in performing your duties. Local policy and procedure should be explained at induction.

The employer is expected to offer subsistence expenses in accordance with paragraph 311 of the TCS. Local policy and procedure should be explained at induction.

The employer will have a local policy for relocation expenses based on paragraphs 314 – 315 of the TCS.

You are advised to check eligibility and confirm any entitlement with the employer before incurring any expenditure

All NHS employers are required to undertake preemployment checks. The employer will confirm their local arrangements, which are expected to be in line with national guidance at:

It will be a requirement of employment that you have professional registration with the GMC/GDC for the duration of your employment.

Though the post is covered by NHS Indemnity, you are strongly advised to register with the MPS for professional indemnity

All employers have a duty to protect their workers from harm.

You should be advised by the employer of local policies and procedures intended to protect your health and safety and expected to comply with these.

The employer will have local policies and procedures for dealing with any disciplinary concerns or grievances you may have.

They should advise you how to access these, not later than eight weeks after commencement of employment.

The employer or a nominated deputy (usually the Director of Medical Education) will confirm your supervisor on commencement.

On the LETB’s management of Specialty Training programmes, including issues such as taking time out of programme and dealing with concerns or complaints, is available at and in the national ‘Gold guide’ to Specialty Training at

Please ensure that you inform Health Education Thames Valley of any changes to your contact details.