Agenda for Change Information


A4C is the NHS pay system, which has been agreed with NHS Trades Unions and is being implemented by all NHS employers in the UK.   It has been introduced to ensure that there is fair system of pay for NHS employees, which also supports modernised working practices.  

As well as the pay system, A4C also includes a revised Job Evaluation system and a Knowledge and Skills Framework to support staff in developing the necessary skills to deliver the best possible outcomes for the service.

Use the website links below to access up to date and comprehensive information on the following headings relating to agenda for change.