Chaplains, Trainee Clinical Scientist (STP), Social Worker Department Manager, Senior Sister, Advanced Nurse Practitioner, Clinical Lead Dietitian, Senior Radiographer (Diagnostic/Therapeutic Team Leader), Sonographer, Chief Dental Technician, Newly Qualified Psychologist, Senior Paramedic, Chief Clinical Physiologist, Highly specialist Speech and language therapist, Senior Physiotherapist, Senior Occupational Therapist, Physician Associate, Biomedical Scientist (Senior Level), Clinical Scientist (after completion of STP), Approved Mental Health Professional, Specialist Social Worker (sub divided into 4 bands - a, b, c, d) Assistant Director, Senior Nurse Manager/ Matron, Advanced Pharmacist, Dietitian Manager, Superintendent Radiographer (Diagnostic/Therapeutic), Senior Chief Clinical Physiologist, Senior Physician Associate, Chief Biomedical Scientist, Consultant Paramedic, Consultant Social Worker or Social Work Manager Chief Pharmacist, Very Senior Clinicians managing large/multiple services, Head/Director of Psychology, Director of Adult Services or Children Services, Deputy Board Directors and Very Senior Managers just below Corporate/ Board level responsibility, Directors of services which are not a Board level positions (e.g. Estates, Digital Services, Mental Health Services etc.) Knowledge and Skills Framework The Knowledge and Skills Framework (KSF) is a competence framework to support personal development and career progression within the NHS in the United Kingdom. It applies to all staff except board members, doctors and dentists, as they did not come under Agenda for Change. The Agenda for Change national agreement includes a commitment to introduce a system of annual development reviews and to create lifelong learning development opportunities. Staff have their own Personal Development Plan, developed jointly in discussion with their manager or reviewer. Employers and staff have called for a simplified KSF that is easier to use. In response, the NHS Staff Council has developed a simplified KSF that gives employers more flexibility and can be tailored to meet local needs. London weighting Agenda for Change, like its predecessors since at least 1974, includes additional payments, called the high cost area supplement, intended to relate to the additional costs, particularly housing, of living in London. There are three separate bands: Inner London, Outer London and London Fringe. The Inner London rate in 2017 was 20% of salary, with a minimum payment of £4,200 and a maximum payment of £6,469). Outer London rate was 15% of salary and London Fringe 5%. In 2018 the Chief Executive of Kingston Hospital NHS Foundation Trust called for a flat rate “weighting system” across Greater London in September 2018, saying that living in Richmond was no cheaper than living in Islington and that cost of