Agenda for Change


Trusts warn against ‘unfunded’ pay commitment ‘burden’

Trusts have warned they should not be “burdened with unfunded commitments” on pay and conditions, and said they “would welcome” talks on another multiyear NHS pay deal.

Wallet pay

Apprenticeship pay talks stall amid calls for reform

Negotiations over a pay deal for NHS apprentices have broken down due to a “lack of consensus” over what are considered appropriate salary levels.

Visa passport

Updated: 60,000 staff fall under potential post-Brexit migration salary cap

More than 60,000 NHS workers from overseas would fall under an increased immigration salary threshold which has been proposed to government, an analysis by HSJ has revealed.

hospital team-912338410

National living wage rise to cost NHS millions

Trusts are set to face additional salary costs of millions of pounds as a result of the government’s plan to raise the national living wage, HSJ has learned.

Health visitor

New burdens could wipe out public health grant uplift

New significant public health burdens could be imposed on councils, wiping out a promised real-terms increase in the public health grant next year.

claire murdoch

NHSE director slams local authorities for ‘relentless retendering’ of health services

NHS England’s national director for mental health has reignited the debate over local government’s stewardship of public health services by claiming “relentless retendering” is damaging integration, quality and staff morale.

Pay wage slip

Trusts face extra holiday pay costs after court ruling

NHS trusts could face substantially increased pay bills after the Court of Appeal ruled that voluntary overtime should be taken into account when calculating holiday pay.

Information technology to improve patient safety four seasons health care

NHSE: Cuts need to stop if public health to stay with councils

NHS England has hit back over the health secretary’s assertion that public health budgets should stay with local government, saying it is ”potentially workable” but requires “an end to cuts… and a guaranteed continuation of the ring-fence around the public health grant”.

computer and paper reports

Exclusive: NHS IT strategy plagued by 'unrealistic' expectations

The national strategy for improving trusts’ IT systems has been plagued by unrealistic targets, conflicting policy priorities and funding given to the wrong places, the Nuffield Trust has said.

money 2180330280

Pay rise row resolved

NHS providers will not have to bear the cost of the £50m pay rise for staff delivering public health services.


Exclusive: 'Deep dive' required for unrealistic savings plans

A “deep-dive” is needed to understand why some trusts’ savings requirements for 2019-20 appear much higher than average, according to a representative body.

hospital team-912338410

HEE £900m budget boost needed to tackle workforce crisis – report

An extra £900m for Health Education England and a new international recruitment programme is needed to address the NHS’ workforce crisis, a major review published today has said.

community nurse with patient

Pay deal policy ‘will push trusts into deficit’

Trusts providing public health services will be pushed into deficit because there is no plan to fund them for pay rises granted nationally to NHS staff, providers have warned.

Southend pier

Last trust moves to Agenda for Change contract

The last trust in England outside the national pay agreement will move over to the Agenda for Change contract, it has been announced.

England uk britain map

Best of 2018: HSJ's most read stories

It is that time of the year when we look back at the past 12 months and highlight some of HSJ’s most popular articles. NHS England and NHS Improvement’s ‘integration’, NHS directors under investigation for fraud, and trust chief executives’ resignations were among the most read stories of 2018.

NHS staff on picket line

Trust subsidiary staff to strike after rejecting pay offer

Staff employed by a trust’s wholly owned subsidiary company will go on strike this week after rejecting a pay offer lower than the government’s agreed deal for NHS Agenda for Change staff.

Front of Medway Maritime Hospital

Trust considered stopping sick pay for staff refusing flu jab

A foundation trust considered proposals – which it has now abandoned – to deny staff sick pay if they had time off work with the flu after refusing vaccination.


RCN to hold elections for new council following mass resignation

The Royal College of Nursing will hold an election “as soon as possible” to recruit a new council, as most current members have decided to stand down.

Red deficit arrow

NHS trusts forecast £519m deficit, as regulator admits underlying problem

NHS trusts have forecast a combined deficit of more than £500m this year, despite an earlier commitment from regulators that they would break-even.

Janet davies

RCN chief executive steps down after pay deal error

Janet Davies has announced her resignation as chief executive of the Royal College of Nursing following the pay deal error which drew widespread criticism from nurses.