Observations NHS Staffing

The locum cap is working but we still have a long way to go

BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5737 (Published 26 October 2016) Cite this as: BMJ 2016;355:i5737
  1. Kathy Mclean, executive medical director
  1. NHS Improvement
  1. enquiries{at}improvement.nhs.uk

Kathy Mclean warns that NHS trusts are still using too many expensive agency staff

Before NHS Improvement introduced controls aimed at reducing expenditure on agency staff in the NHS, trusts’ spending on such staff had been spiralling out of control, growing 25% on average year on year.

A year after the caps were introduced, we have made a difference and are starting to reap the benefits. Trusts up and down the country have worked hard to save a total of just over £600m to date. It’s a solid start, and we expect agency costs to continue to fall.

However, despite all this hard work the sector is still spending £250m a month on agencies. We believe that this is …

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