Reducing agency spend

Agency spend has been a focus since 2016 and in 2017, NHS Employers worked with 13 NHS trusts and an STP to focus on reducing their medical locum spend, make effective use of e-rostering software and maximise flexible working opportunities for staff.
This section brings together a suite of programme resources, information and guidance which can help NHS organisations maximise their substantive workforce and reduce reliance on temporary staffing.

Five high impact actions

To help organisations achieve reductions in agency spend, we have identified five high impact actions for effectively managing your temporary workforce.


Effective recruitment

Well planned recruitment ensures you secure the right staff to meet your workforce needs. 

Nurse smiling


Retaining the valuable members of staff that you currently employ, and have invested in, is a key element to meeting the challenges surrounding workforce supply, including the use of temporary staff. 



This page is intended to be used as resource to access information on e-Rostering, and how it can be used by NHS organisations, as part of an action plan, to make efficiencies in agency spend.

nurse smiling

Top tips for reducing agency spend

Reducing agency expenditure doesn't always have to be about implementing big organisational change programmes, sometimes small actions and initiatives can help to reduce costs.


Reducing agency spend case studies and resources

A range of case studies and resources designed and developed to help employers reduce agency spend.

Why Register?

Great reasons to register with NHS Employers

  • A personalised website
    Manage your profile and select topics of interest to you
  • Access your dashboard
    Bookmark useful content to help you quickly find what you're looking for
  • Get involved
    Contribute to our Talking Points discussions, comment on and rate our webpages
  • Keep up to date
    Receive the latest newsletters and media summaries

Log In