NHS care workers are paid according to the Agenda for Change (AfC) system. The AfC pay system covers all directly employed NHS staff except doctors and dentists pay review body groups and very senior managers. A three-year pay deal for AfC staff is in place which provides a headline pay uplift of 2.75 per cent. for 2008-09—among the best increases in the public sector this year. The deal will be worth 2.54 per cent. in 2009-10 and 2.5 per cent. in 2010-11. These increases are in addition to year-on-year incremental increases for the vast majority of AfC staff.