Written Question·Department of Health and Social Care·UIN 117047

NHS: Career Development and Pay

Tabled: 2 March 2026

Answered: 18 March 2026

Named Day

Question

Alex Brewer

To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure (a) pay progression and (b) career development opportunities for the lowest-paid NHS staff.

Answer

Karin Smyth

Section 1 of the NHS Terms and Conditions of Service, also referred to as Agenda for Change (AfC), sets out the principles for pay progression in the National Health Service in England. It states that pay progression for all AfC pay points, within each pa...

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