Nursing & Agency Nursing

I appreciate you are busy, but we value your support and request some detail under the Freedom of Information Act 2000.

Information Request

We understand that the trust has a managed vendor in place in clinical staffing groups

1 Please could we ask when this contract is due to expire

2 What clinical groups are covered under the contract

3 What the Trusts annual spend in Agency nursing and medical locums for the last financial year
Agency Nursing: £
Agency Doctors: £

4 Who would be the key contact in the trust for us to liaise with in relation to re procurement and cost reduction initiatives

Under the Freedom of Information Act 2000, please provide the following information relating to your organisation’s use of temporary agency staffing.

1. Neutral Vend / Master Vend
Do you use a Neutral Vend (NV) or Master Vend (MV) supplier for the following staff groups? If yes, please complete:
Staff Group Supplier Name Contract Expiry Date
Medical
Allied Health Professionals (AHPs)
Non-Medical, Non-Clinical (NMNC)
Nursing
2. Direct Engagement (DE)
Do you use a Direct Engagement supplier for any of the following staff groups? If yes, please complete:
Staff Group DE Provider Contract Expiry Date % of Agency Spend via DE
Medical
Allied Health Professionals (AHPs)
Non-Medical, Non-Clinical (NMNC)
3. Agency Spend (Most Recent Financial Year)
Please provide total agency spend (worker pay & agency commission only):
Staff Group Total Spend (£)
Medical
Allied Health Professionals (AHPs)
Non-Medical, Non-Clinical (NMNC)
Nursing
4. Agency Hours (Most Recent Financial Year)
If you can access this information, please provide the total number of agency worker hours:
Staff Group Total Hours Worked
Medical
Allied Health Professionals (AHPs)
Non-Medical, Non-Clinical (NMNC)
Nursing
5. Contract Management
For any Neutral Vend, Master Vend, or Direct Engagement contracts in place, please provide:
• Name of lead contact/responsible officer:
• Job title:
• Email address:

Good morning,

Please can you provide the below information:

In the period 1st July 2025 to 30th September 2025 please provide a breakdown of:
• Total trust spend with framework agencies for locum nurses
Please provide a further breakdown for locum nurses by:
• Spend per band
• Spend per specialty
• Spend per agency name

In the period 1st July 2025 to 30th September 2025 please provide a breakdown of:
• Total trust spend with off framework agencies for locum nurses
Please provide a further breakdown for locum nurses by:
• Spend per band
• Spend per specialty
• Spend per agency name

In the period 1st July 2025 to 30th September 2025 please provide a breakdown of:
• Total trust spend with the internal trust bank or associated external provider for locum nurses
Please provide a further breakdown for locum nurses by:
• Spend per band
• Spend per specialty
• Spend per agency name

Please confirm the total number of nursing shifts booked during this period for all agency nursing only, no bank staff nursing to be included (1st July 2025 to 30th September 2025)

Please confirm the total number of nursing shifts booked above NHSE capped rates during this period for all agency nursing only, no bank staff nursing to be included (1st July 2025 to 30th September 2025)

Please confirm the framework you utilise for nursing agency staff.

I’d like to make a freedom of information request regarding the below:

1) What is the total Framework Agency spend solely for Nurses from 1st March 2025 to 1st August 2025? Please provide a breakdown of spend, per specialty, per banding (upto Band 7).
2) What is the total Off-Framework Agency spend solely for Nurses from 1st March 2025 to 1st August 2025? Please provide a breakdown of spend, per specialty, per banding (upto Band 7).
3) What is the total amount of framework agencies currently suppling at NHSI capped rates? Please specify these agencies.
4) What is the total amount of framework agencies currently suppling above NHSI Capped rates (Escalated on framework)? Please specify these agencies.
5) In relation to question 4 please specify the speciality of nurse that is being charged above the capped rates including hourly charge rate and agency providing the nurse.

Under the Freedom of Information Act 2000, I would like to request the following information:

Has the trust used the Crown Commercial Service RM6277 Non-Clinical Temporary and Fixed-Term Staff framework agreement since its launch?

If so, please provide:

The total value of any call-offs or contracts made under RM6277 during the period April 2024 to March 2025.

The names of the suppliers engaged through this framework.

The departments or business areas within the trust that have used the framework.

The dates and duration of the contracts awarded.

Please can I request the following information:

• Total agency spend for Doctors between January 2025 – Present
• The breakdown of this spend by grade of doctor i.e. Consultant/SPR/SHO/GP and also specialty i.e. Old Age Psychiatry/General Psychiatry
• Total off framework spend for the same period
• Breakdown of grade and department the off framework spend was used in.
• The breakdown of spend between Direct Engagement placements and Non Direct Engagement placements.
• Of the non direct engagement spend – what departments and grade of doctor was this used in?
• List of all of the Service/General Managers and rota Co-Ordinator’s at the trust including departments they look after.

I am writing to request information under the Freedom of Information Act 2000. Please provide the following information for your Trust for the period from 1st April 2025 to the date of this request:

1. Agency Spend Breakdown (April 2025 – Present)

For each month, please provide the total amount spent on:

a. Clinical Nurses:
• Via NHS-approved framework agencies
• Via off-framework agencies

Please separate the above by Agenda for Change (AfC) banding levels (e.g. Band 2, Band 5, Band 6, etc.).

b. Medical Doctors:
• Via NHS-approved framework agencies
• Via off-framework agencies

Please break down the above by grade (e.g. FY1, SHO, Registrar, Consultant) and specialty (e.g. A&E, General Medicine, Psychiatry).

2. Agency Details
Please provide the names of the agencies used in each category above (framework and off-framework) for nurses and doctors.

3. Activity Data (if available)
If available and within the appropriate cost/time limits, please also include the number of shifts or hours filled for each staff group, broken down as above.

Good morning,

Under the FOI act please can you confirm the following:

Please confirm if you operate a vendor management system for agency staff such as an MSP/neutral vendor/master vendor etc.
If so, please can you name the below:

-Company name
-Contract start and end date
-Framework utilised
-Healthcare specialty used for, EG Doctors/Nursing/AHP/HSS/NMNC
-Do you utilise a direct engagement model and the name of the model, eg Tempre/Own DE model etc

Please confirm if you operate a vendor management system for bank staff.
If so, please can you name the below:

-Company name
-Contract start and end date
-Framework utilised
-Healthcare specialty used for, EG Doctors/Nursing/AHP/HSS/NMNC

Thanks

Please treat this as a freedom of information request.

Please provide:

1. Planned spend on agency staff in 2025-26
2. Planned spend on bank staff in 2025-26

For the 6-month period ending 30th June 2025, can you please provide:

1. Total Framework Agency Spend for the below specialties:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

2. Total Off Framework Agency Spend for the below specialties:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

3. Total hours filled by Framework Agencies for the below specialties:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

4. Total hours filled by Off Framework Agencies for the below specialties:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

5. A list of all Framework Agencies utilised by the Trust for the below specialties and total number of shifts for each framework agency:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

6. A list of all Off Framework Agencies utilised by the Trust for the below specialties and total number of shifts for each Off Framework agency:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

7. The highest Framework Agency Charge Rate within your Trust for each of the below specialties:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

8. The highest Off Framework Agency Charge Rate within your Trust for each of the below specialties:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

9. A list of any agency (Framework and Off Framework) that have ongoing block booking arrangements for the below specialties within your Trust within the identified time frame (01.01.2025 – 30.06.2025):
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

Please can you provide me with the Agency Spend, split between the 3 individual staff groups below :

1. Agency Registered Nurses (all specialities e.g. adult nursing, children’s nursing, community, mental health, midwives, etc) – June 2025
2. Agency Health Care Support Workers – June 2025
3. Agency Doctors – June 2025

Please can you provide the below information:

In the period 1st April 2025 to 30th June 2025 please provide a breakdown of:
• Total trust spend with framework agencies for locum nurses
Please provide a further breakdown for locum nurses by:
• Spend per band
• Spend per specialty
• Spend per agency name

In the period 1st April 2025 to 30th June 2025 please provide a breakdown of:
• Total trust spend with off framework agencies for locum nurses
Please provide a further breakdown for locum nurses by:
• Spend per band
• Spend per specialty
• Spend per agency name

In the period 1st April 2025 to 30th June 2025 please provide a breakdown of:
• Total trust spend with the internal trust bank or associated external provider for locum nurses
Please provide a further breakdown for locum nurses by:
• Spend per band
• Spend per specialty
• Spend per agency name

Please confirm the total number of nursing shifts booked during this period for all agency nursing only, no bank staff nursing to be included (1st April 2025 to 30th June 2025)

Please confirm the total number of nursing shifts booked above NHSE capped rates during this period for all agency nursing only, no bank staff nursing to be included (1st April 2025 to 30th June 2025)

Please can you provide the below information:

From 1st April 2025 to 30th June please provide a breakdown of:
• Total trust spend with framework agencies for locum AHP/HSS staffing.

Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per band
• Spend per specialty
• Spend per agency name

In the period 1st April 2025 to 30th June please provide a breakdown of:
• Total trust spend with off-framework agencies for locum AHP/HSS staffing.

Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per band
• Spend per specialty
• Spend per agency name

In the period 1st April 2025 to 30th June please provide a breakdown of:
• Total trust spend with the internal trust bank or associated external provider for locum AHP/HSS staffing

Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per grade
• Spend per specialty
• Spend per internal or associated external provider

Please confirm your allocated budget for agency locum AHP/HSS staffing for the period 1st April 2025 to 30th June

Please can I request the below information:
In the period 1st February 2025 to 30th April 2025 please provide a breakdown of:
• Total trust spend with framework agencies for locum doctors
Please provide a further breakdown for locum doctors by:
• Spend per grade
• Spend per specialty
• Spend per agency name
 
In the period 1st February 2025 to 30th April 2025 please provide a breakdown of:
• Total trust spend with off-framework agencies for locums doctors
Please provide a further breakdown for locum doctors by:
• Spend per grade
• Spend per specialty
• Spend per agency name
 
In the period 1st February 2025 to 30th April 2025 please provide a breakdown of:
• Total trust spend with the internal trust bank or associated external provider for locum doctors
Please provide a further breakdown for locum doctors by:
• Spend per grade
• Spend per specialty
• Spend per internal or associated external provider

Please confirm your allocated budget for agency locum doctors for the period 1st February 2025 to 30th April 2025
Please confirm the name of the framework used for the supply of locum doctors in your trust.

I am writing to request information under the Freedom of Information Act 2000 regarding your organisation’s Managed Bank service.

Please could you provide the following details:

1. Does your organisation currently use a Managed Bank service or system?
2. If yes, what is the name of the provider?
3. What is the end date of the current contract with this provider?
4. What are the current fees or costs associated with the service?

If possible, please also include any relevant documentation or links that provide further detail.

I am writing to formally request information under the Freedom of Information Act 2000 regarding the management of temporary staffing at your Trust. Specifically, I would like to request the following:

1. Fulfilment: Are bank workers directly engaged with the Trust or provided by 3rd parties (such as NHS Professionals)
2. Arrangement: Are bank workers legally ‘workers’ or ’employees’ within your organisation?
3. Temporary Staffing Policy: Please provide a copy of the current policy or guidelines in place for managing bank workers within the Trust.
4. Management of Conduct and Performance Bank Workers: Is there a clear process for managing complaints in relation to conduct / performance? Is this part of policy and procedure also used for permanent employees? Please supply documentation / SOPs where applicable.
5. Appraisal Arrangements / Supervision: Is an appraisal, PDR or supervision offered to bank workers? If so, at what interval and is this a mandatory requirement?

• Can you confirm your head of procurement name, phone number and email address?
• How many agency nursing shifts have your Trust used Thornbury Nursing Services for between 1st Jan 2025 and 1st March 2025?
• Please provide a breakdown of the amount of shifts per ward or department where Thornbury Nursing Services were used between 1st Jan 2025 and 1st March 2025?
• Please name any other OFF CONTRACT SUPPLIERS who have been utilised by the Trust between 1st Jan 2025 and 1st March 2025 above the NHS Improvement + 50% caps and how many shifts each of these agencies have filled.
• If for any reason you are unable to supply data up until 1st Jan 2025 and 1st March 2025 please provide from 1st December 2024 and 1st Feb 2025?
• Can you confirm your head of procurement name, phone number and email address?
• Can you confirm medical director name, phone number and email address for Psychiatry?

Under the FOI Act please can I request:

From 1st January 2025 to 31st March please provide a breakdown of:
• Total trust spend with framework agencies for locum AHP/HSS staffing.

Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per band
• Spend per specialty
• Spend per agency name

From 1st January 2025 to 31st March please provide a breakdown of:
• Total trust spend with off-framework agencies for locum AHP/HSS staffing.

Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per band
• Spend per specialty
• Spend per agency name

From 1st January 2025 to 31st March please provide a breakdown of:
• Total trust spend with the internal trust bank or associated external provider for locum AHP/HSS staffing

Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per grade
• Spend per specialty
• Spend per internal or associated external provider

Please confirm your allocated budget for agency locum AHP/HSS staffing for the period 1st January 2025 to 31st March

Please can you provide the below information:

In the period 1st January 2025 to 31st March 2025 please provide a breakdown of:
Total trust spend with framework agencies for locum nurses
Please provide a further breakdown for locum nurses by:
Spend per band
Spend per specialty
Spend per agency name

In the period 1st January 2025 to 31st March 2025 please provide a breakdown of:
Total trust spend with off framework agencies for locum nurses
Please provide a further breakdown for locum nurses by:
Spend per band
Spend per specialty
Spend per agency name

In the period 1st January 2025 to 31st March 2025 please provide a breakdown of:
Total trust spend with the internal trust bank or associated external provider for locum nurses
Please provide a further breakdown for locum nurses by:
Spend per band
Spend per specialty
Spend per agency name

Please confirm the total number of nursing shifts booked during this period for all agency nursing only, no bank staff nursing to be included (1st January 2025 to 31st March 2025)

Please confirm the total number of nursing shifts booked above NHSE capped rates during this period for all agency nursing only, no bank staff nursing to be included (1st January 2025 to 31st March 2025)

For ease, and for minimal admin effort at your end, I have attached a basic template in excel format – to be populated with your response to the 6 questions (repeated per agency staff group – one per worksheet), and have kept the questions basic and the reporting time frame short. I hope this is helpful.

Please return the information in the requested format – see instructions and clarifications in the attached MS Excel file. Please do not return the data in PDF formal unless also attaching the completed Excel file along with it.

Under the Freedom of Information Act 2000, I would like to request the following information regarding agency spend and hiring responsibility within your organisation:

1. The total agency spend for the financial year 2023-2024 broken by Agencies on the following roles:
o Psychological Wellbeing Practitioner (PWP)
o Social Worker
o CAMHS Practitioner
o Cognitive Behavioural Therapist (CBT)
o Mental Health Practitioner
o Psychologist
o Psychotherapist

2. The total agency spend from April 2024 to the present date broken by Agencies on the same roles listed above.

3. The name and job title of the appointed Service Lead or responsible hiring manager for each of the above staff groups. If direct names cannot be disclosed, please provide the relevant job titles and departments responsible for recruitment in these areas.

If possible, please provide a breakdown of spend per role. If this information is held in a different format or is only available in part, please provide any relevant data that you do hold.

1) What is the total Framework Agency spend solely for Nurses from 1st June 2024 to 1st Jan 2025? Please provide a breakdown of spend, per specialty, per banding (upto Band 7).
2) What is the total Off-Framework Agency spend solely for Nurses from 1st June 2024 to 1st Jan 2025? Please provide a breakdown of spend, per specialty, per banding (upto Band 7).
3) What is the total amount of framework agencies currently suppling at NHSI capped rates? Please specify these agencies.
4) What is the total amount of framework agencies currently suppling above NHSI Capped rates (Escalted on framework)? Please specify these agencies.
5) In relation to question 4 please specify the speciality of nurse that is being charged above the capped rates including hourly charge rate and agency providing the nurse.