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NHS Employers publishes guidance on moving LEDs to substantive contracts

Source: NHS Employers · Published: 2026-09-11

New jointly agreed guidance says employers in England are expected to move locally employed doctors and dentists to substantive contracts from August 2026 unless there is a legitimate reason for fixed-term employment. It includes implementation advice, examples and FAQs.

Why it matters

The guidance marks an important workforce change for LEDs and medical staffing teams. Employers are advised to review existing arrangements, document any continued use of fixed-term contracts and plan local implementation alongside wider 2026 resident-doctor deal commitments.

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