Explainers

How to Appeal an NHS Dismissal: Steps and Deadlines

FP FrontlinePay Editorial
Updated October 2026

Independent guidance — not affiliated with NHS England or DHSC

Short answer

To appeal an NHS dismissal, write to the person named in your dismissal letter within the deadline in your trust's policy (often measured in days), say you are appealing, set out your grounds, and ask for the documents you need. ACAS says you can appeal if you think the outcome is too severe or any stage of the procedure was wrong or unfair. Contact your union first. An internal appeal does not extend the tribunal time limit, which for most claims arising on or after 1 October 2026 is 6 months minus 1 day, so protect your position on both tracks at once.

Unfair dismissal rules change on 1 January 2027

The qualifying period falls from two years to six months. We will email you what it means for NHS staff before it starts.

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An appeal is your chance to ask someone new to look at what happened. It is not a guarantee of a different outcome, but a clear, well-organised appeal, written quickly and with advice, gives you the best chance of being heard properly. This guide takes you through it in order, and keeps the focus on the appeal itself. For pay, pension and referrals after dismissal see what happens after an NHS dismissal, and for the letter itself see the NHS dismissal letter.

Deadlines and the two clocks

Two separate clocks start running when you are dismissed. People often watch one and miss the other.

ClockLengthWhere it comes fromDoes an appeal change it?
Internal appeal deadlineSet locally, often daysYour trust's policy and your letterIt is the appeal
ACAS early conciliation and tribunal deadline6 months minus 1 day for most claims arising on or after 1 October 2026 (3 months minus 1 day before that)ACAS, SI 2026/954No: it keeps running during your appeal

Example. You are dismissed with effect from 20 October 2026. Your letter says appeals must be lodged within 14 days (an example, not a typical figure), so by 3 November. The ACAS deadline for most claims arising on or after 1 October 2026 would be 6 months minus 1 day from 20 October 2026, which is 19 April 2027. Your appeal might be heard in December and the outcome arrive in January. The ACAS deadline has not moved. The free NHS Dismissal Guidance Advisor works out your own date, and some ACAS pages elsewhere still showed older "3 months" wording when we checked, so contact ACAS early if you are near the edge.

⚠Does the appeal move your end date?

Some trust policies treat the dismissal as effective on the date in the letter (and reinstate you with back pay if you win). Others suspend the effective date until the appeal is decided. Ask HR in writing which applies. Your end date starts the tribunal clock, so do not assume an appeal moves it.

Grounds of appeal

ACAS says an employee can appeal if they think the outcome is too severe or any stage of the procedure was wrong or unfair. Your trust's policy will list the grounds it accepts. Most appeals draw on a combination of these:

GroundWhat it asksExamples of points to make
ProcessWas a fair procedure followed?You were not given the evidence in advance; you were not told of your right to be accompanied; the investigator and decision-maker were not separate; the policy's timescales were not followed.
EvidenceDid the evidence support the findings?Key witness statements were inconsistent; evidence you provided was not considered; the finding goes beyond what the evidence shows.
ProportionalityWas dismissal a reasonable response?Your record, mitigation, insight and remediation were not weighed; similar cases were treated differently; a lesser sanction was possible.
New evidenceIs there relevant information not available before?A statement, record or medical evidence that could not reasonably have been produced earlier.
ImpartialityWas the decision-maker open-minded?A conflict of interest, or someone involved in the original dispute took part in the decision.
Discrimination or protected disclosureWas the real reason connected to a protected characteristic, pregnancy, or a concern you raised?The timing relative to a complaint, a disclosure, a pregnancy announcement or disability disclosure.

If your dismissal followed a complaint or safety concern, see NHS whistleblowing rights. If a health condition was affecting you, see reasonable adjustments at work.

Step by step

1

Read the letter and the policy, and note the deadline

Find the appeal deadline, who to write to and what the policy says about grounds, who hears it and whether your end date is affected. Put both deadlines in your diary.

2

Contact your union the same day

Representation is usually a membership benefit, and unions often have their own internal deadlines. See NHS staff representation if you are unsure who can formally represent you.

3

Ask for the documents you need

Hearing notes, the investigation report, witness statements, the decision-maker's reasoning and the policy applied. A short request email is in our dismissal letter guide. A data subject access request is another route to your records, which your union can advise on.

4

Draft the appeal letter

Use the structure below. Keep it factual, and let your union review it before you send.

5

Lodge it on time, with proof

Send it to the named person by the method the policy allows, keep a dated copy, and ask for acknowledgement. Lodge on time even if you have not finished your evidence, if the policy lets you add to it.

6

Protect the tribunal option

Diary the ACAS deadline. If there is any chance of a claim, contact ACAS before it. See the Employment Rights Act 2025 guide for the dated changes.

7

Prepare for and attend the hearing

See below. Go through your documents and your points with your representative beforehand.

8

Get the outcome in writing

Ask for reasons, any further appeal stage and what happens to your end date, pay and record.

Writing the appeal letter

A good appeal letter is short, specific and organised by ground. This skeleton works for most policies. Replace the bracketed text, delete anything that does not apply, and have your representative check it.

Subject: Appeal against dismissal decision dated [date]

Dear [name of appeal contact],

I am writing to appeal against the decision to dismiss me, set out in your letter dated [date]. I am appealing within the deadline in [policy name / your letter]. My trade union representative is [name].

Grounds of appeal

  1. Process. [State the specific procedural points: for example that evidence was not provided before the hearing, with dates.]
  2. Evidence. [State which findings you say the evidence does not support and why, referring to documents.]
  3. Proportionality. [Explain why dismissal was not a reasonable response: your record, mitigation, steps taken since, treatment of comparable cases if you know them.]
  4. [Any other ground, such as new evidence or impartiality.] [Specific points.]

Outcome I am seeking: [that the decision to dismiss is overturned / that a lesser sanction is substituted].

I would be grateful if you could provide [list the documents you still need] and confirm the date of the appeal hearing, who will hear the appeal and whether my effective date of termination is affected pending the outcome. I reserve the right to add further points before the hearing.

Yours sincerely,
[name and employee number]

Do not include everything you have ever wanted to say. Concentrate on the points that go to the grounds. If you want a structured draft of this, the appeal letter in the NHS Disciplinary Hearing Pack is built around the process, evidence and proportionality grounds.

The appeal hearing

  • Who attends. Usually the appeal manager (and often an HR adviser and a note-taker), you, and your representative. The manager who made the original decision may present the management case. The ACAS Code gives a statutory right to be accompanied at an appeal hearing by a fellow worker or a trade union representative or official.
  • What it covers. Usually the grounds you raised, not a complete rerun. The appeal manager may review the original documents and ask you and the original decision-maker questions.
  • What to prepare. A one-page summary of each ground with the document references, any mitigation or evidence of insight and strengthened practice, and the outcome you are seeking.
  • On the day. Keep calm and factual, answer the questions asked, and let your representative sum up. Ask for a short break if you need one. You can ask for reasonable adjustments if you have a disability or health condition.
  • After. Ask when you will have the decision and how it will be communicated.

The wider hearing structure is explained in our guide to the NHS disciplinary process.

After the outcome

  • Appeal upheld. Ask for confirmation of your return date, pay and what happens to your record and any regulator referral already made.
  • Sanction reduced. Ask for the new sanction in writing, the live period and your options if you remain unhappy.
  • Appeal rejected. Ask for written reasons and whether any further appeal stage exists. Check your ACAS deadline today. See unfair vs constructive dismissal in the NHS for what a tribunal claim involves, and note that claims such as whistleblowing and discrimination need no minimum service.
  • Referrals and pay. A regulator or DBS referral is a separate process, and your final pay, annual leave, pension and benefits position is covered in our pillar guide.

If you are appealing a redundancy decision rather than a conduct or capability dismissal, see appealing NHS redundancy selection.

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✓Why you can rely on this page

  • ✓ Built on the ACAS Code of Practice and ACAS guidance on disciplinary outcomes and appeals, the ACAS tribunal time limits page and the commencement regulations (SI 2026/954).
  • ✓ Does not invent trust appeal deadlines: those are set locally and in your letter.
  • ✓ Uses clearly labelled examples, not typical figures or outcome rates.
  • ✓ Reviewed as guidance changes, last checked October 2026. See our editorial policy.

Related guides

Frequently asked questions

How long do I have to appeal an NHS dismissal? +
The deadline is set by your trust's disciplinary policy and stated in your dismissal letter, and it is often short, measured in days rather than weeks. We do not quote a number because it varies by trust and the national terms do not set one for all situations. Check the letter today. If the deadline or the person to write to is missing, ask for both in writing straight away, and lodge your appeal on time even if you are still gathering evidence, if the policy allows you to add to it later.
What can I appeal on? +
ACAS says an employee may appeal if they think the outcome is too severe or any stage of the disciplinary procedure was wrong or unfair. In practice appeals usually rest on one or more of: the process (was the procedure followed, were you given the evidence and a chance to respond), the evidence (did it actually support the findings), whether the sanction was proportionate, and sometimes new evidence that was not available at the time or concerns about the impartiality of the decision-maker. Use your trust's policy wording for the grounds it accepts.
Does an appeal stop the tribunal time limit? +
No. An internal appeal does not extend the tribunal time limit. For most claims arising on or after 1 October 2026 the limit is 6 months minus 1 day, per ACAS, and before that date it was 3 months minus 1 day. You can appeal and prepare for a possible claim in parallel. If there is any chance you will bring a claim, notify ACAS for early conciliation within the limit even if your appeal is still pending.
Does my dismissal date change while I appeal? +
It depends on the policy. Some NHS policies treat the dismissal as taking effect on the date in the letter and reinstate you with back pay if the appeal succeeds. Others suspend the effective date until the appeal is decided. Ask HR in writing which applies, because the date your employment ends starts the tribunal clock and decides notice and final pay.
Can I have someone with me at the appeal? +
Yes. The ACAS Code of Practice (paragraphs 13 and 14) says workers have a statutory right to be accompanied at appeal hearings, by a fellow worker, a trade union representative or an official employed by a trade union. Contact your union before the hearing. A companion can usually address the hearing, put and sum up your case and confer with you, but cannot answer questions on your behalf.
Who hears the appeal? +
The ACAS Code of Practice (paragraphs 26 to 29) says the appeal should be dealt with impartially and, wherever possible, by a manager who has not previously been involved in the case. Your trust's policy will say who hears it, and many require someone more senior than the original decision-maker. If you think the appeal manager is not impartial, say so in your appeal letter or to your union straight away.
What should the appeal letter say? +
Keep it factual and organised. Say you are appealing against the decision to dismiss you, give the date of the decision, set out each ground with the specific points that support it, say what outcome you want (for example, that the decision is overturned or the sanction reduced) and ask for the documents you need. You can add detail at the hearing. A sample structure is on this page.
What outcomes can an appeal have? +
Broadly, the dismissal can be overturned (you return to work), a lesser sanction can be substituted, the decision can be upheld, or the appeal manager can send it back for a fresh hearing in some policies. We cannot say how likely any outcome is: it depends on the facts and the process. Ask for the outcome and reasons in writing.
What if I lose my appeal? +
You may still have options, depending on your service and the reason for dismissal: ACAS early conciliation and then an employment tribunal claim (for example unfair dismissal if you meet the qualifying period, or a claim with no minimum service such as whistleblowing or discrimination), a complaint to your regulator if relevant, and challenging any unfair deductions or unpaid sums. Check the time limit for each and take advice early. Our guide to unfair vs constructive dismissal explains the claims.
I was made redundant rather than dismissed for conduct. Is it the same? +
Redundancy is also a form of dismissal, and most trusts provide an appeal. The grounds differ (the selection pool, criteria, consultation and alternatives), so see our guide on appealing NHS redundancy selection. The time-limit points on this page apply to both.

This page is general information about appealing an NHS dismissal, drawn from ACAS and GOV.UK guidance and legislation.gov.uk, correct to the best of our knowledge as of October 2026. It is not legal, HR or employment advice and does not replace your trust's policy, your union's advice or specific legal advice. FrontlinePay is an independent site and is not affiliated with, or endorsed by, ACAS, GOV.UK, any NHS trust, NHS England or any trade union.

Unfair dismissal rules change on 1 January 2027

The qualifying period falls from two years to six months. We'll email you what it means for NHS staff before it starts. You also get the free PDF now.

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