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Nursing & Agency Nursing > Temporary Staffing Expenditure / Safe Staffing Levels

Freedom of Information request Temporary Staffing Expenditure / Safe Staffing Levels

Response published: 24 August 2026

FOI Request

Dear Freedom of Information Team, I am writing to request information under the Freedom of Information Act 2000. The purpose of this request is to better understand how the Trust balances the control of temporary staffing expenditure with maintaining safe staffing levels and supporting patient flow. There is a significant public interest in understanding how financial controls on agency staffing interact with workforce resilience and the prevention of operational pressures such as corridor care. Unless otherwise stated, please provide the information for the six-month period ending 30 June 2026. Where possible, I would appreciate the information in Excel or CSV format. 1. Agency nursing expenditure Please provide: 1. The total expenditure on nursing staff supplied through NHS framework agencies. 2. The total expenditure on nursing staff supplied through off-framework (non-framework) agencies. 3. A breakdown of both categories by nursing speciality or staff group, where recorded (for example RGN, RMN, RNLD or other nursing categories used by the Trust). 2. Temporary staffing expenditure Please provide: 1. The total expenditure on the Trust's nursing staff bank. 2. The budget for temporary nursing staffing, showing agency and bank separately where this is recorded. 3. Where available, the same information for the equivalent six-month period in the previous financial year. 3. Agency governance Please provide copies of: 1. The Trust's current policy or procedure governing the use of agency nursing staff. 2. The approval or escalation process required before booking off-framework agency staff. 4. Agency demand and fulfilment Please provide: 1. The total number of nursing shifts released to agency. 2. The total number and percentage of those shifts that remained unfilled. 3. Where recorded, the number of unfilled agency shifts that were released with less than five hours' notice before the shift start time. 5. Workforce resilience and corridor care Please provide a copy of any Board, Executive, Finance or Workforce Committee report produced during the reporting period that discusses one or more of the following: • Agency nursing expenditure. • Staff bank expenditure. • Unfilled nursing shifts. • Workforce availability in relation to corridor care, emergency department overcrowding or patient flow. If any part of this request exceeds the appropriate cost limit under Section 12 of the Freedom of Information Act 2000, I would be grateful if you could provide advice and assistance under Section 16 to help me refine the request rather than refusing it in its entirety. If any information is withheld, please specify the exemption(s) relied upon and explain why they apply. Thank you for your assistance. I look forward to your response within the statutory timeframe. Many thanks

FOI Response

Freedom of Information Request – Ref: FOI 242-2026

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

You asked:

1. Please provide the information for the six-month period ending 30 June 2026.

Agency nursing expenditure

a. The total expenditure on nursing staff supplied through NHS framework agencies.

Our response:

£308k – total spend.

You asked:

b. The total expenditure on nursing staff supplied through off-framework (non-framework) agencies.

Our response:

£308k – total spend.

You asked:

c. A breakdown of both categories by nursing speciality or staff group, where recorded (for example RGN, RMN, RNLD or other nursing categories used by the Trust).

Our response:

Supplier

£

6-month period ending 30th June 2026

ID Medical Group Ltd On Framework 1,887,726.64 Includes Medical/Nursing/AHPs/HCAs
Thornbury Nursing Services Off Framework 85,493.45 mostly Nursing & HCAs
Total 1,973,220.09

You asked:

2.  Temporary staffing expenditure

a. The total expenditure on the Trust’s nursing staff bank.

Our response:

6 month period ending 30th June 2026 (£000)
Agency Staff Registered nursing, midwifery and health visiting staff 308 no further breakdown available
Bank Staff Registered nursing, midwifery and health visiting staff 2146 no further breakdown available
Total 2,454

You asked:

b. The budget for temporary nursing staffing, showing agency and bank separately where this is recorded.

Our response:

We do not have budget for bank as the budget is held at the substantive role.

You asked:

c. Where available, the same information for the equivalent six-month period in the previous financial year.

Our response:

6 month period ending 30th June 2026 (£000)
Agency Staff Registered nursing, midwifery and health visiting staff 666
Bank Staff Registered nursing, midwifery and health visiting staff 3683
Total 4,349

You asked:

3.  Agency demand and fulfilment

a. The total number of nursing shifts released to agency.

Our response:

3343.

You asked:

b. The total number and percentage of those shifts that remained unfilled.

Our response:

1130 = 33%

You asked:

c. Where recorded, the number of unfilled agency shifts that were released with less than five hours’ notice before the shift start time.

Our response:

407.

You asked:

4. Workforce resilience and corridor care

Please provide a copy of any Board, Executive, Finance or Workforce Committee report produced during the reporting period that discusses one or more of the following:
• Agency nursing expenditure.
• Staff bank expenditure.
• Unfilled nursing shifts.
• Workforce availability in relation to corridor care, emergency department overcrowding or patient flow.

Our response:

Please click on links below to access documents:

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.