Hundreds of international nurses are unable to accept job offers due to English language tests being too hard | The largest pharmaceutical firms are threatening to “abandon” Britain and delay launches unless £20bn is pumped into the NHS | Millions of pounds previously spent on agency staff at Royal Surrey County Hospital have been slashed in a bid to improve its finances.

The latest figures from Liaison’s ‘Taking the Temperature’ report show that agency commission rates for temporary NHS staff have fallen, but high demand has pushed pay rates up | The NHS gains 4,000 more managers but loses GPs | More than £800k worth of equipment has been handed back to the NHS during a month long campaign in Suffolk.

The IR35 rule changes take effect this week. Discover all you need to know about the adjustments. If you’re unsure of anything, Liaison invites you to get in touch | Plans announced by NHSI last month to prohibit trusts from using agency staff who simultaneously hold substantive posts in the NHS have now been suspended | Hiring costly agency nurses to tackle chronic staff shortages is costing Northern Ireland’s biggest health trust £1m a month.

The NHS deems its entire PSC workforce inside IR35 | A recruitment drive to fill 150 nursing roles has been launched by Sussex Partnership NHS Trust in a bid to slash agency spend | North Cumbria Hospitals NHS Trust is to exit special measures after four years.

NHS trusts will soon be prevented from engaging agency staff for additional shifts if they are already employed as substantive staff within the NHS elsewhere | The lack of data on the sessional GP workforce means they are being excluded from major decisions on future workload and new models of care, the BMA has warned | Hospital trusts already struggling financially are being charged higher interest rates on bailout loans from the government.