{"id":442,"date":"2026-09-29T17:16:22","date_gmt":"2026-09-29T17:16:22","guid":{"rendered":"https:\/\/wealthgenius.co.uk\/blogs\/?p=442"},"modified":"2026-09-29T17:16:37","modified_gmt":"2026-09-29T17:16:37","slug":"when-does-nhs-sick-pay-reset","status":"publish","type":"post","link":"https:\/\/wealthgenius.co.uk\/blogs\/when-does-nhs-sick-pay-reset\/","title":{"rendered":"When Does the NHS Sick Pay Reset? Understanding the 12-Month Rolling Period"},"content":{"rendered":"\n<p><strong>NHS sick pay does not normally reset on a fixed date such as 1 January, 1 April or your employment anniversary.<\/strong><\/p>\n\n\n\n<p>For staff covered by the NHS Agenda for Change terms and conditions, sick pay is calculated by looking at <strong>paid sickness absence during the 12 months immediately before the first day of a new period of sickness<\/strong>.<\/p>\n\n\n\n<p>This means your available sick pay can change as older periods of sickness fall outside the 12-month window.<\/p>\n\n\n\n<p>So, if you are asking <strong>\u201cwhen does NHS sick pay reset?\u201d<\/strong>, the answer is: <strong>there is no single annual reset date. It works on a rolling 12-month basis.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How Does the NHS Sick Pay Rolling 12-Month Period Work?<\/strong><\/h2>\n\n\n\n<p>The rolling period is important because your previous sickness absence can affect how much occupational sick pay you have available when you become ill again.<\/p>\n\n\n\n<p>Under the NHS Terms and Conditions of Service, the amount and rate of sick pay for a period of absence are calculated by deducting paid sickness absence taken during the <strong>12 months immediately preceding the first day of the new sickness absence<\/strong>.<\/p>\n\n\n\n<p>In simple terms:<\/p>\n\n\n\n<p><strong>New sickness absence starts \u2192 previous 12 months are reviewed \u2192 previous paid sickness absence is deducted \u2192 remaining entitlement is calculated.<\/strong><\/p>\n\n\n\n<p>This is why NHS sick pay doesn&#8217;t simply start again at the beginning of every year.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Does NHS Sick Pay Reset After 12 Months?<\/strong><\/h2>\n\n\n\n<p>Not in the sense of receiving a completely new allowance every 12 months.<\/p>\n\n\n\n<p>Instead, the calculation continually moves forward.<\/p>\n\n\n\n<p>For example, imagine you were off sick for four weeks in <strong>June 2025<\/strong>.<\/p>\n\n\n\n<p>If you become sick again in <strong>August 2026<\/strong>, that June 2025 absence may no longer fall within the preceding 12-month period being reviewed.<\/p>\n\n\n\n<p>As older sickness absence falls outside the relevant window, it may no longer reduce the amount of paid sickness absence taken into account.<\/p>\n\n\n\n<p>This is why people sometimes describe NHS sick pay as \u201cresetting\u201d \u2014 but technically, it is better understood as a <strong>rolling calculation rather than a reset date<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What Happens When an Old Sickness Absence Falls Outside the 12 Months?<\/strong><\/h2>\n\n\n\n<p>This is one of the most important parts of understanding the system.<\/p>\n\n\n\n<p>Suppose you have already used part of your occupational sick pay entitlement because of an earlier period of illness.<\/p>\n\n\n\n<p>That absence is considered when your employer assesses your entitlement at the start of a new sickness absence.<\/p>\n\n\n\n<p>As time passes, however, that earlier absence can eventually fall outside the 12-month look-back period.<\/p>\n\n\n\n<p>When that happens, it may no longer be deducted from the entitlement being calculated.<\/p>\n\n\n\n<p><strong>Simple example<\/strong><\/p>\n\n\n\n<p>Imagine an NHS employee has:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>5 years of reckonable service<\/li>\n\n\n\n<li>6 months&#8217; full-pay entitlement<\/li>\n\n\n\n<li>6 months&#8217; half-pay entitlement<\/li>\n<\/ul>\n\n\n\n<p>They have previously used several weeks of paid sick leave.<br>When they become ill again, their employer looks back at the relevant 12-month period.<br>If the previous sickness absence is still within that period, it can affect the remaining entitlement. <br>If an older absence subsequently falls outside the relevant period, the calculation may change.<\/p>\n\n\n\n<p><strong>The exact position depends on the employee&#8217;s sickness history and applicable terms.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Does NHS Sick Pay Reset on 1 April?<\/strong><\/h2>\n\n\n\n<p><strong>No \u2014 not simply because the NHS financial or holiday year changes.<\/strong><\/p>\n\n\n\n<p>The NHS sick pay calculation is based on the relevant sickness absence and the preceding 12-month period, rather than a universal annual reset on 1 April.<\/p>\n\n\n\n<p>This distinction matters because NHS employees sometimes assume that a new financial year means they automatically receive a new sick pay allowance.<\/p>\n\n\n\n<p>That is not how the standard Agenda for Change calculation works.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Does NHS Sick Pay Reset on Your Work Anniversary?<\/strong><\/h2>\n\n\n\n<p>Again, <strong>not automatically<\/strong>.<\/p>\n\n\n\n<p>Your length of NHS service can affect the level of sick pay entitlement you have, but your sickness absence calculation is separate from simply reaching another employment anniversary.<\/p>\n\n\n\n<p>NHSBSA explains that the <strong>12-month Continuous Service Date<\/strong> is used when calculating entitlement to sickness absence pay. A break in NHS service of 12 months or more can affect that date.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>So, two different things need to be considered:<\/strong><\/h4>\n\n\n\n<p><strong>Your length of reckonable service<\/strong> \u2192 helps determine your overall sick pay entitlement.<\/p>\n\n\n\n<p><strong>Your previous sickness absence<\/strong> \u2192 can determine how much of that entitlement has already been used.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How Much NHS Sick Pay Are You Entitled To?<\/strong><\/h2>\n\n\n\n<p>For staff covered by Agenda for Change, the standard sick pay scale increases with reckonable NHS service:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Reckonable NHS service<\/strong><\/td><td><strong>Full pay<\/strong><\/td><td><strong>Half pay<\/strong><\/td><\/tr><tr><td>First year<\/td><td>1 month<\/td><td>2 months<\/td><\/tr><tr><td>Second year<\/td><td>2 months<\/td><td>2 months<\/td><\/tr><tr><td>Third year<\/td><td>4 months<\/td><td>4 months<\/td><\/tr><tr><td>Fourth and fifth years<\/td><td>5 months<\/td><td>5 months<\/td><\/tr><tr><td>After 5 years<\/td><td>6 months<\/td><td>6 months<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>These figures come from the NHS Terms and Conditions of Service Handbook.<\/p>\n\n\n\n<p>However, these are <strong>not automatically available as a fresh allowance every year<\/strong>. Previous paid sickness absence in the relevant 12-month period can affect what remains available.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What If You Have Been Off Sick for a Long Time?<\/strong><\/h2>\n\n\n\n<p>There are additional rules where an employee has exhausted their sick pay entitlement during a long period of continuous sickness.<\/p>\n\n\n\n<p>The NHS Terms and Conditions state that, in certain circumstances, sick pay can be <strong>reinstated at half pay after 12 months of continuous sickness absence<\/strong>. The conditions differ depending on reckonable service and whether a final review meeting has taken place.<\/p>\n\n\n\n<p>This is different from the normal rolling 12-month calculation.<\/p>\n\n\n\n<p>It is therefore important not to confuse:<\/p>\n\n\n\n<p><strong>The rolling 12-month sick pay calculation <\/strong>With <strong>the separate provisions relating to reinstatement of sick pay after 12 months of continuous sickness absence.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What If You Change NHS Employers?<\/strong><\/h2>\n\n\n\n<p>Changing NHS employers does not necessarily mean your sick pay history starts from zero.<\/p>\n\n\n\n<p>NHSBSA explains that reckonable service with recognised NHS organisations can be taken into account when determining entitlement, subject to the relevant rules and any breaks in service.<\/p>\n\n\n\n<p>If you have moved between NHS organisations, it is therefore worth checking your recorded service dates rather than assuming that your sick pay entitlement has restarted.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Does the Rolling 12-Month Rule Apply to Every NHS Employee?<\/strong><\/h2>\n\n\n\n<p>Not necessarily.<\/p>\n\n\n\n<p>The NHS Terms and Conditions Handbook covers staff employed under <strong>Agenda for Change<\/strong> terms. NHS Employers notes that Agenda for Change does not cover doctors, dentists or very senior managers, who have separate terms and conditions.<\/p>\n\n\n\n<p>There can also be differences between the NHS arrangements across England, Scotland, Wales and Northern Ireland.<\/p>\n\n\n\n<p>Therefore, if you are unsure about your entitlement, check your employment contract and the terms that apply to your role and NHS organisation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What Should You Check If You Are Unsure About Your Sick Pay?<\/strong><\/h2>\n\n\n\n<p>If you are trying to work out when your NHS sick pay could become available again, check:<\/p>\n\n\n\n<p><strong>1. Your NHS service date<\/strong><br>Find out what reckonable service your employer has recorded.<\/p>\n\n\n\n<p><strong>2. Your previous sickness absence<\/strong><br>Look at periods of paid sickness absence during the relevant 12 months.<\/p>\n\n\n\n<p><strong>3. Your current sick pay entitlement<\/strong><br>Your entitlement depends on your reckonable service.<\/p>\n\n\n\n<p><strong>4. Your employment terms<\/strong><br>Make sure you are using the rules that actually apply to your role.<\/p>\n\n\n\n<p><strong>5. Your employer&#8217;s calculation<\/strong><br>Your employer or HR\/payroll team will have the records needed to calculate your actual entitlement.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Why Understanding the Reset Period Matters Financially<\/strong><\/h2>\n\n\n\n<p>A prolonged illness can affect more than your monthly salary.<\/p>\n\n\n\n<p>If your income changes from full pay to half pay, or occupational sick pay is exhausted, you may need to consider how this could affect:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mortgage payments<\/li>\n\n\n\n<li>Household expenses<\/li>\n\n\n\n<li>Savings<\/li>\n\n\n\n<li>Pension contributions<\/li>\n\n\n\n<li>Family finances<\/li>\n\n\n\n<li>Other financial commitments<\/li>\n<\/ul>\n\n\n\n<p>Understanding your sick pay position can therefore form part of wider financial planning.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Frequently Asked Questions<\/strong><\/h3>\n\n\n\n<p><strong>When does NHS sick pay reset?<\/strong><br>There is generally <strong>no fixed annual reset date<\/strong>. For staff covered by Agenda for Change, previous paid sickness absence during the 12 months immediately before a new sickness absence is taken into account.<\/p>\n\n\n\n<p><strong>Does NHS sick pay reset every 12 months?<\/strong><br>It is better described as a <strong>rolling 12-month calculation<\/strong>. As older sickness absence falls outside the relevant period, it may stop being deducted from the calculation.<\/p>\n\n\n\n<p><strong>Does NHS sick pay reset every April?<\/strong><br>No. The standard calculation is not based on the NHS financial year. It looks at the relevant previous 12-month period.<\/p>\n\n\n\n<p><strong>Does NHS sick pay reset after 6 months?<\/strong><br>Not automatically. Six months is relevant to the maximum full-pay entitlement for staff with more than five years&#8217; service, but it is not a universal sick pay reset point.<\/p>\n\n\n\n<p><strong>Does changing NHS employers reset sick pay?<\/strong><br>Not necessarily. Previous recognised NHS service can count towards reckonable service, subject to the applicable rules and breaks in service.<\/p>\n\n\n\n<p><strong>What happens after 12 months of continuous sickness?<\/strong><br>There are separate NHS provisions that can allow sick pay to be reinstated at half pay in certain circumstances after 12 months of continuous sickness absence. This is different from the normal rolling 12-month calculation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>How Wealth Genius Can Help<\/strong><\/h3>\n\n\n\n<p>At <strong>Wealth Genius<\/strong>, we help NHS professionals understand the wider financial implications of their employment benefits and income protection needs.<\/p>\n\n\n\n<p>If you are concerned about how a prolonged illness could affect your household finances, understanding your NHS sick pay entitlement can be an important part of your wider financial planning.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/wealthgenius.co.uk\/services\/nhs-sick-pay-benefits\"><strong>Explore NHS Sick Pay &amp; Benefits Guidance \u2192<\/strong><\/a><\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Key Takeaway<\/strong><\/h4>\n\n\n\n<p><strong>NHS sick pay does not normally reset on a fixed date.<\/strong><\/p>\n\n\n\n<p>For staff covered by Agenda for Change, the calculation looks at paid sickness absence during the <strong>12 months immediately before a new sickness absence<\/strong>. As older absences move outside that period, they may no longer affect the calculation.<\/p>\n\n\n\n<p>So if you&#8217;re asking <strong>\u201cwhen does NHS sick pay reset?\u201d<\/strong>, think <strong>rolling 12 months, not an annual reset date<\/strong>.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Important Information<\/strong><\/h4>\n\n\n\n<p>This article is provided for <strong>educational and informational purposes only and does not constitute financial advice or a personal recommendation<\/strong>.<\/p>\n\n\n\n<p>The information is general in nature and may not apply to your individual circumstances. NHS employment terms can vary depending on your role, contract, UK nation and employer.<\/p>\n\n\n\n<p>Always check your employment contract, local NHS policy and the latest guidance applicable to your circumstances.<\/p>\n\n\n\n<p>Approver: Quilter Financial Services Limited \u2013 Sep 2026<\/p>\n","protected":false},"excerpt":{"rendered":"<p>NHS sick pay does not normally reset on a fixed date such as 1 January, 1 April or your employment anniversary. For staff covered by the NHS Agenda for Change terms and conditions, sick pay is calculated by looking at paid sickness absence during the 12 months immediately before the first day of a new [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":443,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[85,83,77,78,80,79,81,82,76,84],"class_list":["post-442","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogs","tag-does-nhs-sick-pay-reset-every-april","tag-does-nhs-sick-pay-reset-every-year-","tag-nhs-sick-pay-12-month-rolling-period-","tag-nhs-sick-pay-after-12-months-","tag-nhs-sick-pay-calculation-","tag-nhs-sick-pay-entitlement-","tag-nhs-sick-pay-length-of-service-","tag-nhs-sick-pay-previous-absence-","tag-nhs-sick-pay-reset-","tag-nhs-sick-pay-rolling-12-months-"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>When Does NHS Sick Pay Reset? 12-Month Rolling Period Explained<\/title>\n<meta name=\"description\" content=\"When does NHS sick pay reset? 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