This agreement was negotiated by employers and trade unions, and UNISON believes that it works well for the NHS and is good for staff, patients and communities. Employers say that Agenda for Change needs to be amended for them to continue to use it. UNISON and the other NHS trade unions have negotiated a package that balances some changes we don't like with some we have proposed on workforce reprofiling. These changes are in England only. You can visit http://www.wmambo.co.uk/agenda-for-change.html for current news on what is happening to Agenda for Change.