David Rose
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NHS hospitals have paid more than £120 an hour for agency workers to fill staffing gaps during the past year, according to figures obtained under the Freedom of Information Act.
The payments included £96.75 an hour for a GP in Wolverhampton, £100 an hour for a human resources manager in Blackburn, and £121.59 an hour paid for a nurse in a Berkshire hospital.
The figures, which were obtained by the Conservative Party, form part of a bill for NHS agency staff that totalled £1.18 billion in 2005-06, the last year for which the Department of Health has released figures. The total amount was down from the £1.45 billion that was recorded in 2003-04, but more than double the £540 million spent in 1997.
Average hourly pay rates for NHS employees are £15.66 for a nurse, £24.14 for a junior doctor and £60.31 for a consultant, based on the 37.5-hour standard working week, the Tories said.
Andrew Lansley, the Shadow Health Secretary, said: “Labour’s chaotic short-term planning has let down NHS staff. Some stability for them is the least we would have expected from the billions that the Government has poured into the NHS.”
He added that it was incredible that agencies could be paid such high hourly rates for staff at a time when jobs were being cut.
The Conservatives asked NHS trusts to reveal the top hourly rates that each had paid for agency staff during the previous 12 months. The highest figures also included £121.10 an hour for a nurse at Chesterfield and Royal Hospital NHS Trust and £111.96 for a nurse at Salisbury NHS Foundation Trust. The highest hourly rate for a non-clinical worker was £119 for a turnaround director at Coventry Teaching Primary Care Trust, followed by £110 for financial staff at Heatherwood and Wrexham Park Hospitals NHS Trust and £106.66 for a director of healthcare and procurement at Havering PCT.
Some trusts appeared to have kept agency costs more strictly under control. Bath and North East Somerset PCT said that the most it paid was £31.15 per hour for a nurse, while the South Western Ambulance Service NHS Trust’s most expensive agency worker was a temporary deputy finance director at £33.33 an hour.
Temporary staff are employed across the NHS to meet fluctuations in activity levels and to cover vacancies and short-term absences. Trusts obtain temporary workers from their own nursing bank, from private agencies or from the NHS-run temporary staffing service, NHS Professionals.
A 2007 report by the House of Commons Public Accounts Committee said: “Properly managed, temporary nurses play an important role in helping hospitals achieve flexibility.
“Excessive use can be costly, particularly when trusts are heavily reliant on agency nurses. High use of temporary nurses can also have a negative impact on patient care and satisfaction.”
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Just come across your article dated 04/02/08 about agency nhs staff. The trust I work for will not pay their substantive staff the overtime rates for which they are eligible under AFC but instead choose to employ agency staff at rates which would make you weep
moorhouse, bradford, england
Good point Michael! I have no idea where they plucked that figure from - as a senior-ish junior doctor, my basic pay is about £13/hour for basic hours i.e. 40/week. And where did they get that standard 37.5 hour week from? I'm contracted for 56 and work more which IS standard.
Incidentally, the way the NHS treats overseas trained doctors is scandalous - good luck to your wife....
Katie, Oxford,
My wife is a mid 40's foreign trained doctor, a chief surgeon in her EU country with 20 years experience as a Surgeon. Here, after passing all of the UK langauge and professional qualifications, and submitting over 3,000 job applications over the last 3 years, she is now earning £2,200 per month, for 42 hour weeks, as a Staff Doctor position in a large Casualty department. She is the most senior of "Junior Doctors" in the NHS and earns nowhere near the £24.14 per hour quoted in this article. Nor does anyone she knows. This false impression of Junior Doctors salaries and working conditions should be exposed.
Also relevant is that they have no job security at all, having to apply for new positions every 6 months.
When you take your sick child to casualty and see a tired "Junior Doctor" like my wife, be aware that the biggest worry in her life is how she can pay her bills at the end of the month , and how she will have to submit another 50 application to find her next job.
Michael, Colchester, Essex
Agencies may charge £120 an hour, but this money is not going to the nurses etc. The agency will no doubt pocket £100 for its own so-called costs and give £20 an hour to nurses.
Thats the way it always works with agencies no matter what the industry.
louis blanc, Liverpool, merseyside
My friend was made redundant as part of PCT merging, he got 20K redundancy and straight after applied for and got another job (and pay rise) in another NHS structure in the same area.
The whole previous management team managed to be maintained despite the merger.
This is where all the NHS money goes, not on front-line staff.
Its not just nurses who can't get jobs despite the desperate need, some hospitals are shamefully inviting newly qualified dietitians and physio's to undertake VOLUNTEER work once qualified. The big sell being that you'll get experience and be in pole position for a job that eventually will come up.
Well done labour, well done MR Brown.
Dave, Gib,
A reason why agency staff are needed is the constant series of changes imposed by managers on experienced clinical staff. My wife was happily working hard in theatres - 25 years' experience, SRN and formally trained as a theatre sister. The first major upheaval transferred her from elective surgery in most disciplines to day surgery. She was told that her downgrading to staff nurse would soon cease when the unit was expanded and needed her in a sister's job. The managers then closed the hospital where she worked, moved the main hospital into a PFI hospital and made everyone bid for their own jobs in teams which put together disciplines many were unqualified to work in. Many left to become private or agency nurses. Short staffed, the hospital brought in theatre staff from the Phillipines. They banned the use of agencies. When the number of 'guestworkers' decreased (marriage to breadwinner etc) agencies were back in. The best theatre nurses earn about £35/hour gross.
verbant, Malmesbury, UK
what is a turnaround director?
I am a health manager overseas,and I have no idea what the heeck the NHS thinks its management training course is doing.
not providing healthcare managers for sure.
I thank god I got my clinical training in UK years ago and my mangement training in the forces.
I currently have a budget of millions-and no made up posts.
I pass my best wished to judith and wish her well in her job hunt.
the sooner these made up posts are gone and the cash put into clinical care and staff wages,the better.
fraser, manila, phillipines
Good grief! That is crazy!
How can responsible managers act this way? Those responsible should either be sacked or made to do some appropriate retraining. This should never be allowed.
Steve Lowman, ABERYSTWYTH, Wales
I am due to qualify as a nurse in 4 weeks and as of yet i dont have a job and it doesn't look like i will have a job for finishing..this is a disgrace
judith, lisburn, northern ireland