The Agenda for Change pay system for NHS staff brought in three years ago has failed to deliver the £1.3bn promised in net savings, a report has said.

The system was brought in for all NHS staff in England, except doctors, dentists and senior managers, between 2004 and 2006.

It was meant to streamline the pay system for the 1.1 million staff it covered as well as boost training and development.

But a report from the Commons public accounts committee agreed with a National Audit Office report in January that no system wide change in how staff work has been implemented. MPs also found no evidence that £1.3bn of savings predicted by the government had been achieved.

But Dr Peter Carter, general secretary of the Royal College of Nursing, said: “Transferring over a million staff to a new pay system in such a short time is no mean feat. NHS staff and employers have worked closely together to achieve this.

“Critics are wrong to speak out after so little time to say the changes have not brought about improvements.”