Agenda for change

Agenda for Change (AfC) is the new pay and conditions system for NHS employees. It covers all staff, except very senior managers and those covered by the Doctors’ and Dentists’ Review Body. It modernises the pay and working conditions of midwives, and replaces all previous clinical grades (and many terms and conditions) with a new nine-band pay structure. Where your post fits into this structure will be determined by a new NHS-specific Job Evaluation (JE) scheme which judges the content of all NHS posts by the same criteria to ensure fairness and equal treatment for all.

Another major feature of AfC is a new annual development review process for all staff which includes appraisal, assessment and the production of a personal development plan, known as the Knowledge and Skills Framework (KSF).

Relevant documents, including nationally-agreed midwifery job profiles, are available to download from the boxes to the right.

Frequently Asked Questions

In order to assist implementation of Agenda for Change NHS employers and NHS Trade Unions, including the RCM, have compiled a list of Frequently Asked Questions. This can be found on the NHS employers website using the link below:

• Click here to see the FAQs