Staff in the NHS are covered by a national agreement (Agenda for Change) on pay and other terms like holidays, sick pay and allowances. This national agreement was negotiated by employers and trade unions and we believe it works well for the NHS and is good for staff, patients and communities. However, this national agreement is under threat, with some Trusts looking to move away from Agenda for Change by introducing local pay and terms for their staff. Keep up to date with developments by clicking on the AfC icon on our front page.