BMA guidance

BMA handbook for junior doctors in England

Your guide to the main contractual issues which may crop up in your work as a junior doctor in England. Please note that this handbook is currently under review.

Location: England
Audience: Junior doctors
Updated: Monday 7 September 2020
Topics: Contracts
Contract and pen article illustration

What you'll get from the handbook

  • Information to help you understand the terms and conditions of the 2016 junior doctor contract in England.
  • The legal framework you are required to work within as a junior doctor.
  • Example policies, contract and best practice that can be adapted to your situation.


How to use the handbook

This guide is not meant to be a comprehensive substitute for the detailed guidance and support available from our advisers. Information is currently in the process of being reviewed and an updated version will be available soon.

Our aim is to provide you with an overview of key areas you need to consider as a junior doctor. Advice tailored to your situation is available from our advisers.


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  • Training appointments and educational approval
  • Learning and development
  • Recruitment to specialty training – advice for applicants
  • Contracts of employment
  • Salaries
  • Planning working patterns
  • Hours of work and EWTD
  • Exception reporting, work schedule reviews, and the Guardian of Safe Working
  • Indemnity
  • Transition arrangements
  • LTFT (less than full-time) training (also known as flexible training)
  • Locum work in the NHS
  • Study and professional leave
  • Annual leave
  • Maternity, paternity and shared parental leave
  • Sick leave
  • NHS pension scheme
  • Travelling, removal, and other expenses
  • Accommodation and catering
  • OOP (Out of Programme) Experiences
  • Medical academic doctors
  • Overseas doctors and international medical graduates
  • Revalidation
  • Raising concerns and whistleblowing
  • The regulatory framework