Agenda for Change refers to a pay and conditions structure for the NHS introduced in 2004 to replace the old Whitley scales and clinical grading schemes. In this context it aims to both harmonise and modernise pay and conditions, terms of employment and human resources policies across the NHS. It was introduced by the Government as a way of ensuring that the one million employees working in the NHS are brought within a common pay framework.

Agenda for Change affects all NHS Trust employed staff working in primary care, such as District Nurses and Health Visitors. Primary care organisations such as general practices can elect to join the scheme on a voluntary basis.

This topic looks at Agenda for Change structure, evaluation, the benefits and terms and conditions of Agenda for Change, and Agenda for Change in the general practice.

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