The NHS Agenda for Changing Job Descriptions

Updated April 17, 2017

Agenda For Change is the biggest reorganisation of pay, terms and conditions in the U.K. National Health Service (NHS) since 1948. Agenda For Change applies to nearly all 1.3 million NHS staff, excluding only the most senior managers and medics.


All NHS job descriptions, employment terms and pay scales are set nationally by the Agenda For Change policy. The core principle of Agenda For Change is "equal pay for work of equal value."


Each NHS employee is placed in one of nine pay bands according to their skills, knowledge and level of responsibility. Each pay band is subdivided into a number of pay points; as staff develop knowledge and skills, they move up a pay point each year until they reach the maximum level in their pay band. Agenda For Change also sets employment conditions such as vacation entitlement, sickness benefits and working hours.


According to the NHS, Agenda For Change benefits staff and employers by being fair, transparent and flexible. It also favours patients because jobs are designed to meet clinical need rather than pay grade definitions.

Cite this Article A tool to create a citation to reference this article Cite this Article

About the Author

Adrian Grahams began writing professionally in 1989 after training as a newspaper reporter. His work has been published online and in various newspapers, including "The Cornish Times" and "The Sunday Independent." Grahams specializes in technology and communications. He holds a Bachelor of Science, postgraduate diplomas in journalism and website design and is studying for an MBA.