Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more

Unions issue warning over rules for agency staff spending


Unions have warned that rules for caps on nurse and midwife agency spending released today must not risk patient safety and should be looked at alongside other workforce issues rather than in isolation from them.

Both the Royal College of Nursing and Royal College of Midwives acknowledged the “essential” effort being made by regulators Monitor and the NHS Trust Development Authority to try and bring down trusts’ agency bill – which reached £3.3bn last year.

But they called for more to be done to both address the shortage of qualified staff and to boost the number of bank workers.

Monitor and the TDA today wrote to all NHS provider chief executives to give them individual ceilings for the proportion of nursing expenditure their trusts can spend with temporary staffing agencies. These come into force from 1 October.

However, price caps on the hourly rate the NHS can pay agency nurses may not take effect until December.

“These rules cannot get in the way of hospitals securing staff through agencies at short notice if they are essential to meet patient need”

Janet Davies

The RCN’s chief executive and general secretary Janet Davies said it was “crucial” the plans did not risk patient safety, especially at times when staff were required at short notice.

She also said trusts should not see the introduction of the new rules just as a way of saving money, but instead should focus their efforts on creating more permanent posts.

Alongside the rules, Ms Davies called for the NHS’s bank staff scheme to be improved to offer more incentives to workers, by introducing better rates and conditions for workers.

Royal College of Nursing

Janet Davies

“These rules cannot get in the way of hospitals securing staff through agencies at short notice if they are essential to meet patient need. Safe staffing levels should be the top priority for any care setting,” she said.

“If patient safety remains the utmost priority, these plans could have a lasting impact on hospital finances – and ultimately patient care. The NHS should work as one to make these proposals a reality, while ensuring staffing levels do not suffer as a consequence,” she added.

Meanwhile, the RCM’s director of policy, Jon Skewes, called for “an effective and sustainable solution, not a sticking plaster”.

He said Monitor and the TDA had been put in an “impossible” position by looking at agency staffing in isolation from other workforce issues.

“The government need to understand that one of the reasons for the spiralling cost of agency spending is because of their ongoing pay policy”

Jon Skewes

Mr Skewes noted there was a shortage of 2,600 midwives in England and said the solution to reducing agency spend was recruiting more permanent staff in the long term.

He also claimed that improving pay rates for permanent staff would help to bring down agency spend.

“The government need to understand that one of the reasons for the spiralling cost of agency spending is because of their ongoing pay policy.

“The cost of paying huge fees to agencies dwarfs the cost of paying a fair pay rise to hard working midwives and maternity support workers and other NHS staff. The solution to this problem is valuing NHS staff,” he said.


Readers' comments (6)

  • Bad Management is to blaim for not training enough nurses, this problem was predicted by numerous people for years, the Osterich approach has predominated in the NHS for years.

    Unsuitable or offensive? Report this comment

  • Bad management is a major cause of trained nurses, from abroad and homegrown, leaving the profession.

    Unsuitable or offensive? Report this comment

  • In house bank can definitely be improved to detract from agency nursing. What I've found is younger nurses work in bank for a while get frustrated with pay/conditions/lack of shifts and stop bank before eventually moving onto agency work. I dislike bank as I'm not doing as many shifts as I was hoping to do, probably because I can only work within my trust. Agencies send their nurses everywhere and have a much higher pay. I would say NHSP is OK, but the application process is a nightmare and I think you're paid less an hour than permanent staff nurse

    Unsuitable or offensive? Report this comment

  • working as a bank nurse while employed by the same trust with a regular contract I found that the pay rate was a level less with bank work. when querying it I was told that was how they had always done it. their policy for bank workers said something different and now they are doing a project to discuss what should eb done.

    Unsuitable or offensive? Report this comment

  • I have a substantive post with a Trust and recently they were begging us to take on extra shifts in the community. I would have been happy to have done so....until I discovered they were going to pay me much less than my hourly rate in my substantive post, for shifts that carried a much higher risk. I don't think so! If I need extra money I would rather work in a supermarket, where the pay would be lower, but at least I wouldn't be exploited.

    Unsuitable or offensive? Report this comment

  • Yes, Mr Skewes is absolutely correct. The NHS needs to value its staff, and then they wouldn't have this crisis with staff shortage. Come on and give us a decent pay rise and decent working conditions please. Nurses should boycott nurse banks and agencies and hold out for a decent pay rate, not the crumbs that the corrupt government thinks they can get away with paying. I accept ths NHS is in a mess, but once again it is nurses who will bear the brunt. Get up and fight for your rights. The NHS needs you, and you need your jobs, but stop letting them walk all over you.

    Unsuitable or offensive? Report this comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.