Abstract

PurposeAgenda for Change is the biggest reform of staff pay in the UK National Health Service (NHS) since it began in 1948. As well as introducing a standardised pay structure; it also aims to improve recruitment, retention and staff morale. The aim of this study is to look in‐depth at the experiences and opinions of a range of estates and facilities staff surrounding Agenda for Change during the implementation period.Design/methodology/approachFocus groups were used as the primary method of data collection in an attempt to tap into the views and opinions of staff working at operational positions in a wide range of trusts.FindingsOne of the most important and common themes, which reoccurred throughout the focus groups, was the view that the Agenda for Change framework was designed around the needs of nursing staff. Therefore, the framework did not adequately cater for the needs of estates and facilities staff. Specific concerns related to this included; the role or contribution of estates and facilities staff during patient care was not fairly reflected; trade qualifications were not recognised, particularly in comparison to academic qualifications; members of the job matching panels did not have the appropriate knowledge to make decisions surrounding estates and facilities jobs; nurses were more likely to make progress through the bands than estates and facilities staff.Originality/valueThis paper would be of use to NHS estates and facilities managers who are currently implementing Agenda for Change or as a general case study on change management.

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