COVID-19: your terms and conditions

Your terms and conditions: SAS doctors' and consultants' pay rates in Wales

Updated: Monday 7 September 2020
Topics: COVID 19, Contracts

Consultants' pay rates

Welsh Government, NHS Employers and BMA Cymru Wales have agreed the following enhanced rates for consultants whose job plans have or will be changed due to the response to COVID-19.

We would expect that these enhanced rates are paid by health boards as a minimum.


Times Pay
Monday – Friday | 5pm – 9am 1.5 x individual’s standard hourly rate (including commitment awards)
Friday 5pm – Monday 9am 2 x individual’s standard hourly rate (including commitment awards)
Bank holidays 2 x individual’s standard hourly rate (including commitment awards)
Monday - Friday | 9am - 5pm (part time consultants) Standard hourly rate. For OOH times, as set out above.

When the rates will apply

Consultants are being asked at short notice to take on considerable extra or new clinical duties which are not in line with their job plans to respond to the increased clinical demands of Coronavirus.

Many consultants have had to radically change their normal working pattern and job plan to ensure there is senior clinical input 24 hours a day, seven days a week. This will result in increased out of hours working.

If your hours have changed because of COVID-19 and you are now working outside Monday - Friday 9am - 5pm, enhanced rates have been agreed with Welsh Government and NHS Wales employers to recognise the contribution you are making.

When the enhanced rates will be payable from

The enhanced rates should be paid from the first day that you undertake the new working pattern. The initial period covered by these enhanced rates covers 1 April – 31 July 2020 and may be extended beyond this date.

What if my job plan already includes routine work outside 9am - 5pm?

If you already undertake routine work outside of those hours, you will not receive additional enhancements if your job plan remains the same.

The enhanced rates are to recognise amended hours where due to COVID-19, consultants have agreed to work a different pattern of hours to their normal job plan.

You may be asked to increase the hours of work you undertake outside of usual hours. If this is the case, you can claim the enhanced rates for the increased hours worked.

If your existing hours change as a result of COVID-19, these will also be eligible for the enhanced rate ie Wednesday evening moved to a Thursday, or the existing hours are now split across different days.

If your job plan has already been amended without an agreed rate

We understand that many health boards were waiting for this agreement before agreeing remuneration for job plan changes. Every health board has now been informed of this agreement by Welsh Government and have been told to action it.

We will be monitoring implementation through your LNC.

If you have already agreed a higher rate

As is made clear in the advisory notice - any existing agreements will still stand and can only be varied by both parties through agreement.

Keep a record of the hours you work

We recommend that you keep a diary of all hours worked during this time. You can use either the Dr Diary app or keep a paper diary of your hours of work.


Working outside of your job plan due to Covid-19?
Working outside of your job plan due to Covid-19?

Use the Dr Diary app to:

  • track your activities
  • know your work patterns
  • steer your job plan.

Download the app

SAS doctors' pay rates

The enhanced rates paid (or recognised in a sessional time reduction) under schedule 8 of the specialty doctor and associate specialist terms and conditions of service for out of hours work will be increased as below.

Times Pay
Monday - Friday | 7pm - 7am 1.5 x individual’s standard hourly rate
Friday 7pm - Monday 7am 2 x individual’s standard hourly rate
Bank holidays 2 x individual’s standard hourly rate

All other terms and conditions and service remain the same.

Such emergency arrangements should continue for no longer than is necessary to respond to the extraordinary clinical demands posed by the current crisis.


Need help? For 24/7 emergency COVID advice please call us. For all other non-emergency enquiries normal opening times apply.