Pay Scales
At the University Junior Doctors are appointed as Clinical Lecturers, Clinical Research Associates and Clinical Research Fellows. The majority of Junior Doctors are based in the School of Clinical Medicine however there are a small number based in the School of the Biological Sciences and the School of Physical Sciences.
There are two national pay scales which Junior Doctors may be paid under depending on their contract of employment and they will be paid according to the individuals training level. They will be assigned to either the Nodal point Scale or the Specialist Registrar (StR) scale.
The Nodal Point scale can be found here and junior doctors on this scale will increment upon completion of their respective training levels.
The Specialist Registrar scale can be found here and junior doctors on this scale will increment annually.
Banding
Banding payments are supplementary (non-pensionable) payments awarded to Clinical Lecturers, Clinical Research Fellows and Clinical Research Associates on a rota working within the NHS Trust on a University Contract.
In order to be paid on a banding rota, contact the Medical Staffing team at your Trust. For CUHNHSFT the contact is medical.staffing@addenbrookes.nhs.uk.
Banding payments are paid by the University upon instruction from the relevant Trust and the money is then recharged by the University back to the relevant NHS Trust. CUHNHSFT send through a monthly banding spreadsheet to the Clinical School HR Staff Hub around the first Monday of each Month with the latest instructions.
If there are changes on your current rota, or if your rota is being ceased or extended please contact Medical Staffing so that they can instruct the Clinical School HR Staff Hub with the appropriate instructions. This will ensure that you are not over or under paid.
Locums & Waitlist Initiative (WLi) payments
Locum and WLi payments are paid to doctors who work extra hours in addition to their scheduled clinical rota.
These payments are made to Clinical Lecturers, Clinical Research Fellows, and Clinical Research Associates upon instruction from the relevant NHS Trust / Body. They are paid by the University in the clinician’s monthly payroll and the University is then reimbursed by the NHS through invoices from the Clinical School Finance team.
CUHNHSFT Locum instructions
Anyone who wants to undertake locums has to sign up to the locum bank. This is to ensure you are happy to opt out of the European Working Time Directive (EWTD) and also so that Medical Staffing can add you onto Health Roster to load your locums onto the system and make sure you are paid in time and keep track of what you have covered.
What do clinicians need to complete when they have carried out locum shifts?
Inform Medical Staffing of any prearranged locums before they are undertaken so Medical Staffing can ensure that the clinician is registered to the Bank and so shifts can be uploaded onto ‘Health Roster’. Any locums agreed with the department will need to be confirmed by the rota-coordinator or Consultant on-call if this is last minute cover.
Do clinicians need the clinic to approve the locums before they are submitted, and if so by who?
Yes, these will need to be approved by the department and Medical Staffing before they can be covered as we will need to know the reason for locum cover. Each department will have a rota coordinator.
Where do clinicians send locum requests to?
All locum requests should be sent to cuhmedicallocums@addenbrookes.nhs.uk or for alternative trusts, contact the relevant Medical Staffing team who will be able to advise you on how to proceed.
WLi payment process
WLi payments are extra lists that the department approve. You do not need to be signed up to the bank in order to carry out WLis. Once a WLi is completed, please ask the Operations Manager or equivalent to approve it and email cshrclinical@admin.cam.ac.uk. The Clinical School HR Staff Hub will then process the WLi payment in the next available pay run.
The information that we need in order to process the WLi is the date of the shift worked, the times of the shift and the rate at which the shift is to be paid at along with the total payable for each shift.
The WLi payment will be paid as part of the regular monthly pay date where you receive your basic salary.
Expenses
Process for claiming expenses relating to clinical duties to be reimbursed by the Trust
CUHNHSFT expenses
To claim expenses for CUHNHSFT, complete the form via the University’s online claim system.
This will require your Raven login and supported browsers are Edge, Chrome, Firefox and Safari.
- When you enter the system select ‘New Claim’ and complete the details in the first tab.
- In the next tab choose the option for ‘New Other Expense’ rather than ‘New Travel Expense’. Select expense type ‘Other’, which will allow you to enter the claim amount as a single number.
- As the University and CUHNHSFT use different mileage rates, this will prevent any issues with the system trying to automatically calculate amounts for mileage reimbursements.
- When the claim form is complete, it can be saved as a PDF file.
- This file, along with any backing that would be included when claiming expenses from CUHNHSFT (including mileage sheets) should then be sent to AR_recharges@medschl.cam.ac.uk.
- It will then be forwarded to CUHNHSFT for approval and once approved will be processed through the University’s payment system to be paid to you by BACS.
If there are any queries, you will be contacted by the Clinical School Finance Team.
Non CUHNHSFT expenses
For expenses for Trusts other than CUHNHSFT please contact your Medical Staffing team so that they can confirm approval of expenses. Once approved, contact cshrclinical@admin.cam.ac.uk who will provide further guidance on how to claim the expenses through the online claim system.

Less Than Full Time (LTFT) Allowance
The LTFT allowance is effective from December 2019 and will apply to all LTFT trainees for as long as they continue to train less than full time.
The allowance will be paid in 12 monthly instalments in addition to their base salary and other pay elements and is non-pensionable.
The allowance applies to all LTFT Trainee’s on category 1 protection and new recruits on the 2016 contact regardless of their contractual working hour %.
Trainees already in receipt of the £1,500 transitional LTFT allowance (as per Transitional Protection Arrangements for category 1 LTFT trainees) will continue to receive this allowance instead of the £1,000. Once entitlement to the transitional LTFT allowance ceases (at the end of the extended transition period) the trainees will receive the £1,000 allowance.
Note. category 2 protected trainees will become eligible for the £1,000 LTFT allowance at the point that the transitional period ceases and they transfer across to the 2016 Junior Doctor contract.
I am eligible for the LTFT Allowance- do I need to do apply for this?
No. The School has identified who is eligible for the LTFT allowance and as part of the implementation stage (post-informative stage) will issue instructions for the allowance to be added as a new pay element.
I am due to increase my working hours from part-time to full-time. Will I continue to receive the LTFT Allowance?
No. The LTFT Allowance is only available to those that work less than the standard full-time hours i.e. 37 hours. By increasing your hours to full-time you relinquish your entitlement to the allowance.
I am reducing my working hours to part-time. How do I apply for the LTFT Allowance?
Your departmental HR Team will submit contract amendment paperwork highlighting that you are reducing your working hours and will therefore become entitled to the LTFT allowance. This will then prompt the HR Staff Hub to add the pay element to your pay record.
I think I am eligible for the LTFT Allowance but according to the University’s record this is not the case. What should I do?
If you think you are eligible for the LTFT Allowance please contact cshrclinical@admin.cam.ac.uk as soon as reasonably possible explaining why this is the case and provide any relevant supporting documentation.
Is the LTFT Allowance pensionable?
The allowance is non-pensionable.
Flexible Pay Premia
In England, the 2016 junior doctor contract introduced a new range of Flexible Pay Premia (FPPs) which are intended to encourage recruitment in certain specialties. The Flexible Pay Premia only applies to trainees on category 1 protection and new recruits on the 2016 contract.
- These payments are taxable, non-pensionable and made annually until you complete your clinical training.
- An individual can receive more than one FPP at a time, wherever they meet the criteria, though not the same premium twice.
- These FPP are paid pro-rata for less than full time (LTFT) trainees.
- UCEA have also recommended that university employers match the FPP being offered to junior doctors in the NHS, including the specific academic pay premium.
- If you take maternity or other family leave whilst receiving FPP, maternity pay will be calculated including the pay premium.
- The list of premia and an outline of the eligibility criteria are in the circular at the top of this page.

I think I am eligible for the Academic Pay Premium and wish to apply for it. Who should I contact about this?
Contact cshrclinical@admin.cam.ac.uk explaining why you believe this is the case and provide any relevant supporting documentation.
Are payments under the Flexible Pay Premia pensionable?
FPP payments are non-pensionable.
Is a FPP allowance taken into account when calculating pay in relation to family leave e.g. maternity pay?
Yes. If an individual takes maternity or other family leave whilst in receipt of a pay premium, the trainee’s maternity pay (or other form of family leave pay) will be calculated on the basis of total pay including the pay premium.
For any queries, contact cshrclinical@admin.cam.ac.uk.