Medical and Dental (W) - Pay, Terms and Conditions of Service
Key information related to pay, terms and conditions for medical and dental staff at all levels of practice.
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.


