I currently work for the NHS and want to join the GMTS scheme. Do I need a degree, or will you recognise an equivalent qualification?

Yes. The entry requirements and assessment process are the same for all applicants. You’re required to have a 2:2 degree or equivalent (accepted equivalents are listed on the entry requirements page) in any subject to be eligible for the GMTS. 

What Terms and Conditions will NHS In-service GMTS trainees be employed on?

You’ll be employed on Agenda for Change (AfC) terms and conditions during your time on the GMTS (except for pay). All service is reckonable in line with the AfC terms and conditions.

I have an NHS pension from my existing role. What happens when I join the scheme?

You’ll be automatically enrolled into the NHS pension scheme unless you decide to opt out.  If you’re transferring from another NHS employer and you’re already part of the pension scheme you won’t need to do anything as your pension will automatically transfer.

I am a current NHS employee and my earnings are over the GMTS entry salary. Will my pay be protected?

You will be paid a minimum of £24,233. You may also be eligible for pay protection if you are currently an NHS employee and were employed in the NHS on 1 December 2018 with a minimum of 12 months service at that point.

Protection is up to a maximum of 85% of the top of Band 6, based on your average basic salary over three months prior to starting the scheme (excluding high cost area supplement or any other allowances).

What will my annual leave entitlement be when I join the scheme, and will my previous service be considered for this?

While on the NHS GMTS you will be entitled to the annual leave entitlement as laid out by the Agenda for Change (AfC) contract. Details can be found at NHS Employers website.

Leave entitlement is linked to length of service and the table below outlines leave entitlements:

Length of service 

Annual leave and general public holidays

On appointment 

27 days + 8 days

After five years' service 

29 days + 8 days

After ten years' service 

33 days + 8 days 


If you’re currently an NHS in-service employee, you should indicate this when you apply as your reckonable service may be considered. This will be managed as part of the employment process.

As part of the pre-employment checks, an Inter-Authority Transfer (IAT) will be run through the Electronic Staff Record (ESR) to determine confirmation of recognised service. Read more  information about continuity of service at the NHS Employers website.

Will I need to leave my current role to take a place on the NHS GMTS?

Yes, you’ll need to leave your current role to join the GMTS. It’s not possible to complete the scheme and have a secondary role in the NHS due the commitment you have to make for work, training and study.

Your current employer may consider seconding you to GMTS. This is at the discretion of each local employer and you must discuss this with them prior to making your application.

Secondment policies vary across NHS organisations and as such aren’t managed by GMTS. Applicants are responsible for the arrangement of these agreements.

We welcome candidates who have an approved secondment agreement in place. This must be agreed in writing with your employer ahead of any offer being made to GMTS and you will need to notify us at the assessment centre stage if you have an approved secondment agreement in place

If you don’t have a secondment agreement, you’ll need to resign your substantive NHS post. You’ll be issued a 24-month contract (30 months for Finance trainees) with the Business Services Authority (BSA) as your employing organisation on behalf of GMTS.