Pay
All doctors would receive backdated pay to 1st April 2026 worth an average of 4.9% (DDRB + additional investment into nodal point reform for 2026/27) with the uplifted payscales applied going forward.
Depending on the nodal point, pay increases for doctors from April 2026 are between 3.5% and 7.1%, and from April 2027 between [the 2027 DDRB]% and 5.3% plus [the 2027 DDRB]%.
As part of nodal point reform, the offer introduces new pay bands that separate training grades more granularly across nodal points, rather than applying a single uniform percentage uplift across the board.
2026 pay offer by grade: FY1, FY2, ST1, ST2, ST3, ST4, ST5, ST6, ST7 and ST8
The 2027 salary column excludes the unknown 2027 DDRB uplift, which would be added separately once known.
Clinical Academics Flexible Pay Premia
From April 2027, the academic FPP will increase to £10,000 (currently set at £5,614).
General Practice Registrar Enhancement
The GP flexible pay premia will be renamed to the General Practice Registrar Enhancement, and it will be separated from the hard-to-fill section of the pay circular, thereby decoupling it from GP-training fill-rates. It will keep all contractual pay protection and continue to be uplifted in line with DDRB recommendations.
Jobs – locally employed doctors
This offer includes 2016 terms and conditions adjusted to remove references to training, as part of a new national contract, being offered to all LEDs. It also includes substantive (permanent) contracts for LEDs to ensure job security.
From August 2026, employers shall transition LEDs to substantive contracts (i.e. not short, fixed-term contracts), except where there is a legitimate reason (e.g. employing cover for maternity, paternity, or adoption leave, or long-term sickness). New pay protection will be devised for residents who wish to transfer from 2002 terms to 2016 terms.
Exam fees
The first two attempts of each Royal College exam for resident doctors in training and LEDs in England will be funded. These include relevant dental exams for dentists and OMFS trainees, paid by reimbursement for exams sat from 1 April 2026.
Portfolio fees
Portfolio fees will be covered for doctors in training and for LEDs from April 2027, paid by reimbursement for fees from 1st April 2027.
Royal College membership and faculty fees
Royal College (membership) fees will be covered for doctors in training and for LEDs from April 2027. Where residents require multiple Royal College memberships they will both be covered.
LTFT progression
Less than full-time doctors will have ARCPs set at 12 months by default, with the ability to progress at the same rate as full-time doctors if they meet their competencies. Doctors have the decision to delay this if they do not feel ready to progress.
Additional specialty training posts
The offer includes additional specialty training posts, with a minimum of 4,000 jobs and a maximum of 4,500. None of the 4,500 jobs will be in general practice. A distribution group will decide the split of jobs geographically and in which specialties, and the BMA will be part of that group.
Future working arrangements
An Industrial Relations Committee (the RDIRC) will be set up to enforce all elements of the offer. The membership will comprise of DHSC, NHS England, NHS Employers and BMA UKRDC.
Read the BMA pay offer brief.