Workforce Management

Through our workforce management services,
we’re helping trusts and health boards improve control, bring costs down, and improve self-sufficiency.

Importantly, we make it possible
for organisations to do this without
affecting frontline services.

Our services include direct engagement,
weekly payroll, support with
developing your staff bank and
collaborative, or shared, staff banks.

NHS spending on its contingent workforce is under intense scrutiny. NHS Improvement are clearly focused on driving better control and reduced spending on temporary workforce management, and we are proud to be already supporting more than 70 trusts and boards on this journey.

NHS agency spending and the Carter Report

The NHS spends close to £3.7bn* each year on temporary staff. Despite the scale of this spending, many NHS organisations still have difficulty monitoring, controlling and managing their temporary staff usage effectively. Lord Carter’s 2016 review of NHS efficiency found Workforce to an area where £2bn could be saved, citing the need to reduce agency spend among his recommendations on how to achieve this.

*Source: The Daily Telegraph, May 2016.

Agency rate caps

Our research on the impact of the NHS Improvement rate caps and their success (or otherwise) shows that trusts and boards are not finding it easy to work within the capping regime. They are struggling both to meet the caps and to comply with the requirement to report to NHS Improvement each week on any bookings which exceed the capped rate. The more staff contracted through agencies, the more onerous the task of complying.

With 60% of locum doctors already substantively employed by the NHS, it clearly makes sense for trusts and health boards to become more self-sufficient and cut their reliance on external agencies. This approach is supported by the NHS Improvement rate cap guidance; rates for shifts allocated through a trust’s staff bank are not included in the rate caps.

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