Analysis

Unions seize chance to modernise NHS pay structure with fairer grading

Nearly 15 years since the implementation of the Agenda for Change pay system, introduced to unify pay across the NHS, the government and nursing unions are discussing the need for modernisation
Pay Illustration

Nearly 15 years since the implementation of the Agenda for Change pay system, introduced to unify pay across the NHS, the government and nursing unions are discussing the need for modernisation

  • Talks have started on a 2018 pay deal for NHS staff
  • There is recognition that change is needed in the AfC system
  • Unions seek a fairer pay structure and a meaningful pay rise

Picture: iStock

For the first time in a decade, nurses’ unions have the chance to negotiate changes to the Agenda for Change (AfC) pay structure, which has been governing pay in the NHS since 2004.

Exploratory talks between government, NHS Employers and the 14 trade unions known as the staff side are under way on a

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