Agency Nurses

How many nursing shifts (for nurses of any grade) have you needed to cover with agency staff from 31st March 2014, to 31st March 2015? 19,470 shifts. Please note that for theatre areas this also includes ODPs (Operating Department Practitioners) as these figures are included within the Registered Nurse bookings.

How much did you spend in total on agency staff between 31st March 2014 and 31st March 2015? £16,766,596 for all Agency staff.

Did you use Medacs Healthcare plc to provide temporary nursing cover from 31st March 2014 to 31st March 2015, and if so how much did you pay them in total? No

Did you use Mayday Healthcare plc to provide temporary nursing cover from 31st March 2014 to 31st March 2015, and if so how much did you pay them in total? Yes – £582,879

Did you use Imperial Medical Staffing to provide temporary nursing cover from 31st March 2014 to 31st March 2015, and if so how much did you pay them in total? Yes – £2,092,336

Did you use Thornbury Nursing Services to provide temporary nursing cover from 31st March 2014 to 31st March 2015, and if so how much did you pay them in total? Yes – £219,958 (now called Independent Clinical Services)

From 31st March 2014 to 31st March 2015, what is the highest day rate you have paid for an agency nurse shift and to which agency was this paid? To obtain this information the Trust would need to scrutinize all invoices individually for the requisite time period and, therefore, the cost of compliance would exceed the appropriate limit under Section 12 of the Freedom of Information Act.

Are there any duties that an agency nurse would not be allowed to carry out that a staff nurse of the same rank would be? An agency staff nurse is not permitted to administer oral medication until they have completed a Trust oral drug assessment. They are not permitted to administer intravenous medication unless they have completed a Trust IV drug assessment programme. They will not take charge of a ward unless they have passed their oral drug assessment, they need to have worked in that area previously and the manager has assessed them as competent to do so.

Do you have any policy to reduce your reliance on nursing agency cover in the future, and if so why? The Trust does not have a dedicated policy to reduce agency spend. The Trust has a project that outlines the action plan to review and reduce the reliance on the agency usage of nurses. This is reviewed weekly and all actions are reported to the senior management team and adapted to the needs of the service.

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