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4 - Agenda for change: what do theatre staff need to know?

Brian Smith
Affiliation:
Edge Hill College of Higher Education, Ormskirk
Paul Rawling
Affiliation:
Edge Hill College of Higher Education, Ormskirk
Paul Wicker
Affiliation:
Edge Hill College of Higher Education, Ormskirk
Chris Jones
Affiliation:
Edge Hill College of Higher Education, Ormskirk
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Summary

Key Learning Points

  • Understand the genesis of the recent remuneration strategies in the NHS

  • Appreciate the underpinnings of the Agenda for Change approach to pay settlement

  • Identify the elements of a grade determination under Agenda for Change

  • Identify special considerations that apply to perioperative staff in setting pay grades

Leadership within the operating theatre is essential to create an environment for staff development and the delivery of effective patient care. Managers have the responsibility to contribute to healthcare planning and the promotion of policy development. The rationale for recent modernization of the health service, to ensure that care provision is of high quality and is supported by the appropriate planning framework, has been set out in strategic health and social policy documents (Department of Health 2000, 2004a).

It is important for managers and other clinical leaders to have a repertoire of skills and interventions that can be used to motivate and engage clinical teams in risk assessment and continuous quality improvement at the level of patient care delivery (Ferguson et al. 2007).

Agenda for Change

The Agenda for Change (AfC) was introduced as an initiative to modernize pay and grading within the NHS (Department of Health 2004b). This significant change for managers would initiate a new pay structure and terms and conditions for all health-related staff including perioperative practitioners.

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