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Medical and Dental (W) - Pay, Terms and Conditions of Service

13 March 2026

Key information related to pay, terms and conditions for medical and dental staff at all levels of practice in Wales.

  • Workforce

There are policies and protocols which apply to all employed medical and dental staff in NHS Wales, or to all employing NHS bodies in Wales.

Medical and Dental (Wales) Pay Circulars *Updated April 2026

2026

Pay Letter MD(W) - 01/2026 - Annual Pay Award

Cabinet Secretary for Health and Social Care - Written Statement DDRB Recommendations

DDRB - 54th Report 2026

NHS Wales - Written Evidence to the DDRB 2026-27

NHS Wales - DDRB 2026-27 (Annex 1-10)

2025

Pay Letter MD(W) - 01/2025 - Annual Pay Award

2024

Pay Letter MD(W) 10/2024 - - Amendments to Consultants Terms and Conditions as agreed as part of the final pay agreement 2023/2024

Pay Letter MD(W) 09/2024 - Uplift of Fees and Allowances for all levels 2023/2024

Pay Letter MD(W) 08/2024 - GP and Dental Educators Pay Award 

Pay Letter MD(W) 07/2024 v.3 - (November 2024) Updated circular including uplifted Fees, allowances and supplements

Pay Letter MD(W) 07/2024 v.2 - (October 2024) Updated circular including full pay scale for Consultants

Pay Letter MD(W) 07/2024  - (September 2024) Pay Award for all levels

Pay Letter MD(W) 05/2024 - Amendments to SAS Doctors Terms and Conditions as agreed as part of the final pay agreement 2023/2024)

Pay Letter MD(W) 04/2024 - Junior Doctors Pay Award 2023/2024 updated pay scales (as agreed as part of the final pay agreement 2023/2024). Read final Junior Doctor final Pay Offer including "non pay" elements.

Pay Letter MD(W) 03/2024 - SAS Doctors Pay Award 2023/2024 updated pay scales (as agreed as part of the final pay agreement 2023/2024). Read final SAS Pay Offer including "non pay" elements.

Pay Letter MD(W) 02/2024 - Reformed Pay Scale for Consultants effective from 1st January 2024 (agreed as part of the final pay agreement 2023/2024.  Read final Consultant Pay Offer including "non pay" elements.

Pay Letter MD(W) 01/2024 - Amendments to Terms and Conditions for staff employed on the National Consultant Contract in Wales - Lengthened training and Covid-19 related additional training time.

2023

Pay, terms and conditions and guidance relating to levels of practice