Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether changes have been made to the NHS terms and conditions of service for Agenda for Change in relation to trade unions since 4 July 2024.

Changes to the National Health Service’s Terms and Conditions of Service, also known as the Agenda for Change contract, are agreed via the NHS Staff Council, which is a partnership body made up of employer and trade union representatives.

The NHS’s Terms and Conditions of Service were updated in April 2025 to reflect that the Prison Officers Association is now a nationally recognised organisation, for the purposes of the NHS Staff Council and for the collective bargaining of the Agenda for Change contract. No further changes have been made that relate to trade unions.