Junior doctor contract negotiations in England: what will change in the next months?

At the beginning of 2020, the British Medicine Association (BMA) concluded the junior doctor contract negotiations to improve 2016 contact. Many aspects have been established, but other steps have to be taken. What are these? What will change?

The BMA concluded a deal with NHS Employers and the Department of Health and Social Care that will bring a £90 million investment for junior doctors over the next four years. The junior doctor contract saw long negotiations which took the revision of many important aspects. However, the BMA still has many other steps to take for 2020, in prevision of the next four years. Let us check what will change from the contract of 2016

Junior doctor contract negotiations: what is changing in these moments?

Among the key changes applied by the BMA, we find the increases to weekend and night shift pay, £1,000 a year extra for all less than full-time trainees, a fifth nodal point on the pay scale at the level of ST6, ‘Section 2′ transitional pay protection extended until 2025, improved GP trainee mileage and confirmed the supernumerary status, improvements in rest and safety entitlements (with no more pay-to-stay when too tired to drive), contractualised NROC/LTFT rostering guidance, exception reporting for all ARCP/portfolio requirements, guaranteed annual pay uplift of 2 per cent each year for the next four years.


What about the future, and what will change from the 2016 contract?

Among the changes, we will see significant modifications in two fields specifically, like payment and restrictions.


In 2016, 4 points nodal pay scale with pay ‘frontloaded’ earlier in the career, with parity in earnings from ST3 onwards for those on OOP or training LTFT. Funding for new ‘senior decision maker’s allowance’ in future to increase pay further at the end of the training. A changing on this topic will occur from October 2020, when a fifth nodal point will be introduced for 2020 trainees at ST6 and above. This is important to recognise the significant-high service contribution these trainees make.

This will be introduced through a staggered approach from October 2020 as follows:

  • in October 2020 the value will be £3,000
  • in October 2021 the value will increase to £6,000
  • in April 2022 the value will increase to £7,200


About pay protection, in September 2019 there have been changing on specialities expanded to additional specialities which the JNCJ defines as hard-to-fill. When switching to a hard-to-fill speciality pay protection is based on earnings had the trainee not switched, provided that they have achieved at Outcome 1 or 2 at their most recent ARCP. This sort of pay protection will be extended until 2025.


In October 2019, there was no more than 72 hours work in a consecutive 168 hour period. 46 hours of rest required after any run of night shifts (even one), maximum of four consecutive night shifts retained.
Changing in 2020 will be seen in August when maximum seven shifts of any length worked on seven consecutive days. Maximum four long shifts on consecutive days. Although the previous limits of eight consecutive days and five consecutive long shifts can be retained by local agreement.



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BMA Table of Comparison

Junior Doctor Contract Negotiations 2016 – 2025

BMA Outline Implementation Timetable 

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