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The British Medical Association (BMA) is a professional body that represents doctors and medical students in the United Kingdom (UK). As part of its role, the BMA negotiates and agrees to employment contracts with the National Health Service (NHS) on behalf of its members.

One of the most recent agreements that the BMA has negotiated is the BMA Electronic Staff Record (ESR) and Agenda for Change (AfC) agreement. This agreement sets out the terms and conditions of employment for doctors and dentists in training, as well as consultants and specialty doctors.

The BMA ESR and AfC agreement covers a range of areas, including pay and grading, working hours, annual leave, sick leave, and maternity and paternity leave. One of the key features of the agreement is that it guarantees that doctors and dentists in training will not work more than 48 hours a week on average, in line with European Union (EU) working time regulations.

The agreement also sets out provisions for flexible working, allowing doctors and dentists in training to request changes to their working patterns to accommodate their personal and family commitments. This is particularly important for those with caring responsibilities, as well as those who may wish to pursue further training or academic study alongside their clinical work.

Another important aspect of the BMA ESR and AfC agreement is that it guarantees equal pay for work of equal value, regardless of gender, race, or other protected characteristics. This is a significant step towards addressing the gender pay gap in medicine, which has been a longstanding issue and has attracted considerable attention in recent years.

Overall, the BMA ESR and AfC agreement is an important development for doctors and dentists in training, as well as consultants and specialty doctors. It provides clarity and consistency in terms of employment terms and conditions, while also offering some flexibility to accommodate individual needs and circumstances.