Freedom of Information Request – Ref: FOI 174-2025
Thank you for your recent Freedom of Information request. Please find our response below.
You asked:
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).
Our response:
| M01 25/26 | M02 25/26 | M03 25/26 | M04 25/26 | April to July 2025 | ||
| Non-medical – Clinical staff | £k | £k | £k | £k | £k | |
| Registered nursing, midwifery and health visiting staff | 74 | 74 | 110 | 79 | 337 | Can’t split Staff Group Agency Spend by banding or On Framework / Off Framework |
| Allied health professionals | 9 | 9 | 7 | 6 | 30 | Can’t split Staff Group Agency Spend by banding or On Framework / Off Framework |
| Other scientific, therapeutic and technical staff | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | Can’t split Staff Group Agency Spend by banding or On Framework / Off Framework |
| Health care scientists | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | Can’t split Staff Group Agency Spend by banding or On Framework / Off Framework |
| Healthcare scientists and scientific, therapeutic and technical staff | 83 | 83 | 116 | 84 | 367 | |
| Qualified ambulance service staff | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | Can’t split Staff Group Agency Spend by banding or On Framework / Off Framework |
| Support to nursing staff | 30 | 30 | 40 | 41 | 141 | Can’t split Staff Group Agency Spend by banding or On Framework / Off Framework |
| Support to allied health professionals | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | Can’t split Staff Group Agency Spend by banding or On Framework / Off Framework |
| Support to other clinical staff | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | Can’t split Staff Group Agency Spend by banding or On Framework / Off Framework |
| Support to clinical staff | 30 | 30 | 40 | 41 | 141 | |
| Total non-medical – Clinical staff | 113 | 113 | 156 | 126 | 508 | |
| Medical and dental | ||||||
| Consultants (including Directors of Public Health) | 105 | 91 | 129 | 63 | 387 | ALL NHS Approved Framework Agencies |
| Career/staff grades | 79 | 79 | 89 | 61 | 307 | ALL NHS Approved Framework Agencies |
| Trainee grades | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Total medical and dental staff | 184 | 170 | 217 | 124 | 695 | |
| Non-medical – Non-clinical staff | ||||||
| NHS infrastructure support | 0.00 | 0.00 | 0.00 | 2 | 2 | Can’t split Staff Group Agency Spend by banding or On Framework / Off Framework |
| Any others | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Total non-medical – Non-clinical staff | 0.00 | 0.00 | 0.00 | 2 | 2 | |
| Total pay bill – staff excluding capitalised staff costs | 297 | 283 | 373 | 251 | 1,205 | |
| M01 25/26 | M02 25/26 | M03 25/26 | M04 25/26 | April to July 2025 | ||
| £ | £ | £ | £ | £ | ||
| THORNBURY NURSING SERVICES | 12,125 | 14,579 | 16,739 | 12,619 | 56,061 | Off Framework Agency Spend – on Nursing & HCA staff |
You asked:
2. Agency Details
Please provide the names of the agencies used in each category above (framework and off-framework) for nurses and doctors.
Our response:
- ID Medical – On Framework
- Thornbury Nursing Services – Off Framework
You asked:
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.
Our response:
Hours and shifts on framework
HCSW Band 2 – 45hrs – 5 shifts
HCSW Band 3 – 6765hrs – 789 shifts
Nursing Band 5 – 6507hrs – 768 shifts
Nursing band 6 – 2319hrs – 300 shifts
Nursing band 7 – 1606hrs – 213 shifts
AHP band 7 – 252hrs – 51 shifts
Medical GP – 1659hrs – 223 shifts
Hours and shifts Off framework
HCSW Band 3 – 211hrs – 30 shifts
Nursing Band 5 – 416hrs – 78 shifts
Nursing band 6 – 8.75hrs – 1 shift
Nursing band 7 – 3.5hrs – 1 shift
Next steps:
Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:
Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk
If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.