<P> Agenda for Change (AfC) is the current National Health Service (NHS) grading and pay system for NHS staff, with the exception of doctors, dentists, apprentices and some senior managers . It covers more than 1 million people and harmonises their pay scales and career progression arrangements across traditionally separate pay groups, in the most radical change since the NHS was founded . </P> <P> Agenda for Change came into operation on 1 December 2004, following agreement between the unions, employers and governments involved . </P>

What is the agenda for change in nhs