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Agenda for Change (AfC) is the current National Health Service (NHS) grading and pay system for NHS staff, with the exception of doctors, dentists, apprentices and some senior managers. It covers more than 1 million people and harmonises their pay scales and career progression arrangements across traditionally separate pay groups, in the most ...
Those jobs and those of similar levels of responsibility might all be included in a named or numbered pay band that prescribed a range of pay, (e.g. Band 1 = $10–17 per hour). The next level/classification of a group of similar jobs would include increased responsibility, and thus a higher pay band (e.g. Band 2 = $13–21 per hour).
NHS Employers is an organisation which acts on behalf of NHS trusts in the National Health Service in England and Wales. It was formed in 2004, is part of the NHS Confederation , and negotiates contracts with healthcare staff on behalf of the government.
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The NHS was established within the differing nations of the United Kingdom through differing legislation, and as such there has never been a singular British healthcare system, instead there are 4 health services in the United Kingdom; NHS England, the NHS Scotland, HSC Northern Ireland and NHS Wales, which were run by the respective UK government ministries for each home nation before falling ...
In an inflationary environment, all wage-earners, including doctors, may find the buying power of their income becomes less; some describe this as a real-terms cut in pay of 15% between 2007 and 2014. [38] In 2019, the British Medical Association came to an agreement with NHS England to settle for a guaranteed 2% annual pay rise until 2023. [40]
This system puts registered staff on bands 5–8, unregistered staff such as Healthcare Assistants take up bands 2–4. Band 9 posts are for the most senior members of NHS management. Each band contains a number of pay points. The idea of this system is "equal pay for work of equal value".
A major harmonisation of NHS pay structure, the Agenda for Change, was provisionally agreed in 2003 by unions representing nurses and other health professions in the NHS, unions representing NHS staff not covered by a Review Body (e.g. office staff), NHS employers and government before the Nursing and Other Health Professions Review Body ...