It says the Knowledge and Skills Framework, which defines the skills needed for a certain role and provides a tool for reviewing their use in the workplace, has not yet been fully implemented by many trusts.
The framework is viewed as ‘too complicated’ by trust managers and the report recommends that the DoH should simplify it.
The DoH predicted that Agenda for Change would save at least £1.3 billion by 2008/9 and productivity would increase.
However, the NAO says the 2007/8 £28 billion pay bill is broadly similar to what it would have been without Agenda for Change and productivity has fallen.
The report adds that no central monitoring arrangements were established to measure Agenda for Change’s impact.
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