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Responses > Staff Sickness 2020 to 2025 & Agency Usage

Freedom of Information request Staff Sickness 2020 to 2025 & Agency Usage

Response published: 1 December 2025

FOI Request

Under the Freedom of Information Act 2000, I would like to request copies of the following: 1. General sickness absence from 2020-2025: - The total number of staff sickness absence days taken each year, broken down by year from 2020-2025. 2. Categorisation of sickness absence: - Does your organisation code sickness absences by specific category or reason (e.g. ‘mental health’, ‘burnout’, ‘flu’, ‘musculoskeletal issues’)? - If yes, please provide the breakdown for each recorded sickness category for each year in the five-year period (2020-2025). - If such categorisations have changed over time, please indicate when changes to categories or coding were implemented. 3. Locum and agency staff usage from 2020-2025: - The total number of locum or agency staff engaged in each year of the five-year period (2020-2025). - If records permit, please detail the total expenditure on locum or agency staff for each year. - If possible, please indicate whether the use of locum/agency staff was linked to covering staff sickness absences.

FOI Response

Freedom of Information Request – Ref: GHC-29102025-571356

Thank you for your recent Freedom of Information request. Please find our response below.

You asked:

1. General sickness absence from 2020-2025:

– The total number of staff sickness absence days taken each year, broken down by year from 2020-2025.

Our response:

Year Sum of Absence Days
2020 77,667
2021 80,037
2022 96,665
2023 88,365
2024 94,134
2025 72,046

You asked:

2. Categorisation of sickness absence:

a.  Does your organisation code sickness absences by specific category or reason (e.g. ‘mental health’, ‘burnout’, ‘flu’, ‘musculoskeletal issues’)?

Our response:

Yes

You asked:

b.  If yes, please provide the breakdown for each recorded sickness category for each year in the five-year period (2020-2025).

Our response:

2020 2020
Absence Reason Abs Days
S10 Anxiety/stress/depression/other psychiatric illnesses 20,084
S13 Cold, Cough, Flu – Influenza 12,309
S99 Unknown causes / Not specified 8,144
S98 Other known causes – not elsewhere classified 7,801
S17 Benign and malignant tumours, cancers 3,850
S12 Other musculoskeletal problems 3,769
S25 Gastrointestinal problems 3,657
S28 Injury, fracture 3,649
S15 Chest & respiratory problems 2,583
S11 Back Problems 2,435
S16 Headache / migraine 1,625
S21 Ear, nose, throat (ENT) 1,511
S26 Genitourinary & gynaecological disorders 1,366
S19 Heart, cardiac & circulatory problems 1,228
S30 Pregnancy related disorders 892
S27 Infectious diseases 571
S23 Eye problems 561
S24 Endocrine / glandular problems 456
S22 Dental and oral problems 365
S29 Nervous system disorders 327
S31 Skin disorders 257
S14 Asthma 139
S18 Blood disorders 69
S20 Burns, poisoning, frostbite, hypothermia 19

 

2021 2021
Absence Reason Abs Days
S10 Anxiety/stress/depression/other psychiatric illnesses 20,608
S13 Cold, Cough, Flu – Influenza 10,534
S98 Other known causes – not elsewhere classified 8,509
S99 Unknown causes / Not specified 7,032
S12 Other musculoskeletal problems 5,267
S25 Gastrointestinal problems 4,408
S28 Injury, fracture 3,972
S17 Benign and malignant tumours, cancers 3,572
S15 Chest & respiratory problems 2,761
S26 Genitourinary & gynaecological disorders 2,121
S11 Back Problems 2,053
S16 Headache / migraine 2,018
S19 Heart, cardiac & circulatory problems 1,498
S21 Ear, nose, throat (ENT) 1,490
S30 Pregnancy related disorders 1,241
S27 Infectious diseases 776
S31 Skin disorders 574
S23 Eye problems 465
S29 Nervous system disorders 324
S22 Dental and oral problems 322
S14 Asthma 174
S24 Endocrine / glandular problems 146
S18 Blood disorders 133
S20 Burns, poisoning, frostbite, hypothermia 33

 

2022 2022
Absence Reason Abs Days
S13 Cold, Cough, Flu – Influenza 26,254
S10 Anxiety/stress/depression/other psychiatric illnesses 19,631
S98 Other known causes – not elsewhere classified 11,933
S12 Other musculoskeletal problems 5,528
S25 Gastrointestinal problems 5,136
S28 Injury, fracture 3,392
S15 Chest & respiratory problems 3,229
S99 Unknown causes / Not specified 3,220
S11 Back Problems 2,730
S17 Benign and malignant tumours, cancers 2,669
S26 Genitourinary & gynaecological disorders 2,165
S21 Ear, nose, throat (ENT) 2,023
S16 Headache / migraine 1,837
S30 Pregnancy related disorders 1,716
S19 Heart, cardiac & circulatory problems 1,301
S27 Infectious diseases 1,151
S23 Eye problems 527
S29 Nervous system disorders 500
S14 Asthma 426
S22 Dental and oral problems 411
S24 Endocrine / glandular problems 386
S31 Skin disorders 226
S18 Blood disorders 199
S20 Burns, poisoning, frostbite, hypothermia 74

 

2023 2023
Absence Reason Abs Days
S10 Anxiety/stress/depression/other psychiatric illnesses 24,922
S13 Cold, Cough, Flu – Influenza 15,044
S98 Other known causes – not elsewhere classified 8,701
S12 Other musculoskeletal problems 7,157
S25 Gastrointestinal problems 5,595
S28 Injury, fracture 3,317
S11 Back Problems 3,234
S17 Benign and malignant tumours, cancers 2,636
S26 Genitourinary & gynaecological disorders 2,431
S99 Unknown causes / Not specified 2,399
S15 Chest & respiratory problems 2,119
S16 Headache / migraine 1,984
S21 Ear, nose, throat (ENT) 1,816
S19 Heart, cardiac & circulatory problems 1,648
S30 Pregnancy related disorders 1,454
S29 Nervous system disorders 1,197
S23 Eye problems 875
S31 Skin disorders 435
S18 Blood disorders 387
S22 Dental and oral problems 330
S24 Endocrine / glandular problems 228
S27 Infectious diseases 226
S14 Asthma 201
S20 Burns, poisoning, frostbite, hypothermia 31

 

2024 2024
Absence Reason Abs Days
S10 Anxiety/stress/depression/other psychiatric illnesses 27,193
S13 Cold, Cough, Flu – Influenza 14,380
S12 Other musculoskeletal problems 7,874
S25 Gastrointestinal problems 7,014
S17 Benign and malignant tumours, cancers 4,596
S98 Other known causes – not elsewhere classified 4,315
S28 Injury, fracture 3,891
S15 Chest & respiratory problems 3,386
S26 Genitourinary & gynaecological disorders 3,344
S11 Back Problems 3,165
S16 Headache / migraine 2,638
S30 Pregnancy related disorders 1,898
S21 Ear, nose, throat (ENT) 1,883
S99 Unknown causes / Not specified 1,853
S19 Heart, cardiac & circulatory problems 1,634
S29 Nervous system disorders 1,588
S23 Eye problems 1,072
S18 Blood disorders 514
S27 Infectious diseases 514
S22 Dental and oral problems 446
S31 Skin disorders 416
S24 Endocrine / glandular problems 339
S14 Asthma 155
S20 Burns, poisoning, frostbite, hypothermia 27

 

2025 2025
Absence Reason Abs Days
S10 Anxiety/stress/depression/other psychiatric illnesses 23,522
S13 Cold, Cough, Flu – Influenza 8,070
S12 Other musculoskeletal problems 5,888
S25 Gastrointestinal problems 5,881
S28 Injury, fracture 3,872
S26 Genitourinary & gynaecological disorders 3,009
S17 Benign and malignant tumours, cancers 3,009
S98 Other known causes – not elsewhere classified 2,635
S11 Back Problems 2,583
S30 Pregnancy related disorders 2,063
S15 Chest & respiratory problems 2,031
S16 Headache / migraine 1,932
S19 Heart, cardiac & circulatory problems 1,721
S21 Ear, nose, throat (ENT) 1,223
S31 Skin disorders 769
S29 Nervous system disorders 697
S23 Eye problems 685
S99 Unknown causes / Not specified 596
S18 Blood disorders 520
S22 Dental and oral problems 516
S27 Infectious diseases 501
S24 Endocrine / glandular problems 208
S20 Burns, poisoning, frostbite, hypothermia 62
S14 Asthma 55

You asked:

c.  If such categorisations have changed over time, please indicate when changes to categories or coding were implemented.

Our response:

No changes.

You asked:

3. Locum and agency staff usage from 2020-2025:

a. The total number of locum or agency staff engaged in each year of the five-year period (2020-2025).

Our response:

Our information held is not recorded in a way that allows us to report on the number of locum or agency staff engaged.  We can provide total number of shifts for the more recent years as agreed. see below:

M1 M2 M3 M4 M5 M6 M7 M8 M9 M10 M11 M12 Total
2021/22 1,589 1,829 1,496 1,838 1,328 1,346 1,535 2,090 13,051
2022/23 1,621 1,902 2,005 1,982 1,776 1,916 2,176 2,039 1,753 1,651 1,711 2,034 22,566
2023/24 1,653 1,759 1,862 1,544 1,443 1,365 1,476 1,106 916 1,024 1,125 1,079 16,352
2024/25 932 810 843 884 795 910 868 882 970 1,058 958 900 10,810

You asked:

b.  If records permit, please detail the total expenditure on locum or agency staff for each year.

 M12 20/21  M12 21/22  M12 22/23  M12 23/24  M12 24/25
 Non-medical – Clinical staff
 Registered nursing, midwifery and health visiting staff 2,382 3,173 4,765 3,495 1,775
 Allied health professionals 324 14 186 198
 Other scientific, therapeutic and technical staff 59 69 146 144
 Health care scientists
 Healthcare scientists and scientific, therapeutic and technical staff 324 59 83 332 342
 Qualified ambulance service staff
 Support to nursing staff 45 2,980 1,763 695
 Support to allied health professionals 1,166 4,119 4  –
 Support to other clinical staff 538
 Support to clinical staff 1,166 4,702 2,980 1,767 695
 Total non-medical – Clinical staff 3,872 7,933 7,828 5,594 2,811
 Medical and dental
 Consultants 580 534 824 1,141 1,415
 Career/staff grades 751 720 698 890
 Trainee grades 2   –
 Total medical and dental staff 1,333 534 1,544 1,839 2,305
 Non-medical – Non-clinical staff
 NHS infrastructure support 40 447 237 17 7
 Any others
 Total non-medical – Non-clinical staff 40 447 237 17 7
 Total pay bill –   staff excluding capitalised staff costs 5,245 8,914 9,609 7,449 5,123

Please note that while the reporting categories themselves remain unchanged, improvements in reporting standards have led to increased declarations under Section 10.  This is primarily due to a shift from previous use of Sections 98/99, as well as transition towards more accurate classification of cases as stress/anxiety rather than “unknown”.

You asked:

c.  If possible, please indicate whether the use of locum/agency staff was linked to covering staff sickness absences.

Our response:

Our information held is not recorded in a way that allows us to report whether it was linked to staff sickness absences.

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.