Temporary Nursing     

FOI REFERENCE:  24508  FOI DATE: 8^th November 2024     

1- Please confirm the number of shifts sent to agencies for fulfilment per month for Band 5 and Band 6 Nurses, broken down by specialty (e.g., A&E, ITU) from June 2024 to October 2024.

Directorate	Jun 24	Jul 24	Aug 24	Sep 24	Oct 24
Central Trustwide	15	21	17	31	30
Corporate	21	26	30	51	46
Medicine	2419	2288	2207	2251	1942
S.C.S.D.	235	358	353	249	358
Surgery	634	630	709	674	536
Women & Children	465	423	481	543	477

 2- Please confirm the number of shifts that were filled by agencies each month from June 2024 to October 2024.   

Status	Jun 24	Jul 24	Aug 24	Sep 24	Oct 24
Agency Filled	3212	3013	3219	3153	2837

 3- Please confirm any specific days, weeks, or months during which agency usage is consistently highest. Not Applicable Agency use is consistent across all days, and has been decreasing.

 4- Please provide the agency spend per month by nursing band (e.g., Band 5, Band 6) for agency nurses, from June 2024 to October 2024.  

	Jun-24	Jul-24	Aug-24	Sep-24	Oct-24
BAND 5	£851,450	£776,911	£808,133	£798,115	£737,911
BAND 6	£10,407	£12,759	£15,592	£3,821	£10,859

 5- Please provide a breakdown of the filled Nursing shifts by agency on a monthly basis over the period from June 2024 to October 2024 Commercially Sensitive

 6- Please confirm the number of Nursing hours filled by off-framework agencies, broken down by month, between June 2024 and October 2024.  

Off framework hours	Jun-24	Jul-24	Aug-24	Sep-24	Oct-24
Total	97.5	202	183	180	0

 7- Please provide details of the Trust’s spend per month for each nursing agency supplier during the period of June 2024 to October 2024. Commercially Sensitive

 8- Please confirm if a Preferred Supplier List (PSL) or tiered system is in place for Nursing agency engagement. A tiering system is in use Commercially Sensitive

 9- How many different agencies does the Trust engage with monthly to fill nursing shifts, and is there a limit on the number of agencies used? Currently there are 30 agencies engaged with the trust. This number changes regularly, however it has been reducing, and will continue to do so in lien with demand. Whilst there is no set upper limit it is in the trusts interests to maintain a manageable number of suppliers.

 10- Does the Trust have a projected agency usage plan for the coming year, and are there specific goals for reducing agency dependency? The Trust have agency reduction plans in place and we are working to specific targets

11- If you answered yes to the above question, what are they? Our plans are to remove all off framework agency usage and reduce rates to below price cap

 12- Is there a long-term strategy in place to reduce agency nursing costs or transition to alternative staffing models? Strategies are in place which are reviewed on a monthly basis

 13- If you answered yes to the above question, what are they?  Various strategies are in place which are reviewed at our Nursing & Midwifery Workforce Action Group.