The National Health Service is the publicly funded health care system of the United Kingdom. The organization provides the majority of health care in the UK. In 1999, the British Government published a paper entitled Agenda for Change - Modernising the NHS Pay System. The proposals set out in that paper included a single job evaluation scheme for all jobs in the health service to replace the old pay system. The Agenda for Change pay system began to be implemented in December 2004. The aim of this article is to analyse and evaluate the NHS job evaluation scheme from the point of view of future reforms in the Polish public health service pay system. The contents of the article are divided into four parts. The first part is devoted to the preparation of the NHS job evaluation scheme. The second part concerns the elements of the NHS job evaluation scheme. The third part presents the procedures which the NHS uses to evaluate jobs. The fourth part of the article describes the method of implementing job evaluation results for establishing pay grade and pay structure.