Here we bring you a suite of shared learning and resources which demonstrate how trusts are reducing their agency spend.
Many are based on the five high impact changes
and offer examples of how each of the high impact actions can be translated into practical steps that can lead to both a significant increase in the quality of care and a reduction in the organisation's expenditure on temporary staffing.
Click on the sections below to find out more
We have a number of case studies which describe different approaches to reducing agency spend.
- West Midlands Ambulance Service NHS Foundation Trust: flexible working using annualised rosters for shifts and leave - find out what WMAS has done to support staff to have better balance between work and home life commitments through flexible working.
- Using mobile technology to reduce agency spend - find out how Chelsea and Westminster Hospital NHS Foundation Trust has reduced its agency spend through development of a new app.
- Reducing agency spend through a collaborative mobile app - find out how Royal Surrey County Hospital NHS Foundation Trust developed a mobile platform to maximise use of the bank.
- Reducing clinical agency spend through clinical deployment - find out how Lancashire Care NHS Foundation Trust have reduced their agency from 38 per cent in 2013 to 17 per cent in 2017.
- Maximising flexible working opportunities - find out how Derbyshire Community Health Services NHSFT have empowered their staff to use their flexible working policy.
- Leeds Teaching Hospitals NHS Trust: reducing medical agency spend - read how Leeds have introduced a central deployment service and made effective use of e-rostering to reduce their medical agency spend.
- Derby Teaching Hospitals NHS Foundation Trust: responding to the emergency workforce crisis in Derby - here the trust describes how it has introduced bespoke training to meet the needs of staff and the service, improving local recruitment, retention rates and expenditure.
- Buckinghamshire Healthcare NHS Trust: using data to improve nurse retention - Find out how Buckinghamshire used data to understand the needs of their workforce and develop a retention plan.
- Derbyshire Community Health Services NHS Foundation Trust: empowering front line managers and staff to maximise flexible working opportunities - here we describe how Derbyshire have worked with managers and staff to meet flexible working requests while meeting service needs.
- Taunton and Somerset NHS Foundation Trust: reducing agency staff costs - find out how the trust has implemented consistent processes for managing temporary staff and e-rostering. Combining the two provided complete visibility of the workforce which has enabled a reduction in workforce expenditure, particularly agency costs.
- York Teaching Hospitals NHS Foundation Trust: minimising the cost of medical rotas management - this example describes how the organisation made efficiency savings of £225,000 through introducing a rota coordination team to maintain rotas, freeing up clinical and management time for service delivery.
- Bradford District Care NHS Trust: working in partnership to dramatically reduce agency spend - Bradford reduced its agency staff spending by 25 per cent over six months by joining forces with NHS Professionals (NHSP). This has been supported by a 13 per cent increase in bank (NHSP) versus agency fill rate to date.
- Dorset County Hospital NHS Foundation Trust: using workforce intelligence to reduce agency spend - Dorset has successfully implemented a programme to reduce temporary staffing costs, saving approximately £70,000 a month in 2011/2012, with ongoing benefits.
- North Tees and Hartlepool NHS Foundation Trust: making effective use of bank and agency staff - the introduction of a bank staff management system (BSMS) to ensure that appropriately skilled and qualified temporary staff are allocated bank duties, to minimise clinical risks and control agency costs and spend.
- The Royal Berkshire NHS Foundation Trust: creating a managed service platform to reduce cost and improve governance standards - the trust has managed to channel its entire locum doctor requirement through the NHS Professionals (NHSP) managed service platform to reduce costs, improve governance standards and help achieve key objectives within 12 working days.
- United Lincolnshire Hospitals NHS Trust: implementing a locum booking, authorisation and monitoring system to control costs and increase shift fill - the trust commissioned a report to investigate the high spend on locum doctors and introduced a pilot locum booking system aimed at reducing costs and improving management control issues.
- Hertfordshire Partnership NHS Foundation Trust: implementing e-rostering to reduce agency spend - e-rostering has helped the trust save more than £750,000 over three years and understand the total resources they have available at any one time.
- How five people saved five million - Amanda Dunkley and Christine Brereton from North Cumbria University Hospitals Trust share how they've reduced the trust's agency spend.
Top tips for reducing agency spend
These top tips have been compiled by managers and staff in organisations from across the NHS where changes have been implemented and a reduction in agency spend has resulted. Find out more
Flexible working top tips
These top tips help you successfully manage flexible working in your organisation.