... 6%' on the pay bill in the firstfull year of implementation. The absence of a detailedcosting by all the trusts, and the absence of a consistentapproach to costing, provides one example of the ... local examples of benefits realization, there has so far been only limitedevaluation of the experience of implementation and of the impact of Agenda for Change. The results of the casestudy ... requirements, the longer the process, the greater the danger that the organizational context and pri-orities in which the pay system will function may havechanged. In the case of the NHS this...