These reports identified that the Trust’s agency rates were nearly the most expensive in the region for all grades of agency staff. The reporting also highlighted the difference between the Trust’s average bank rates compared to agency.
This clarity helped raise awareness of a need to develop and grow a trust bank and lent weight to internal discussions about the need to drive the project forward.
The Trust’s bank recruitment initiatives were also reviewed at the same time.
Other changes including moving responsibility for medical locum spend from HR Director to Medical Director and, after Liaison Workforce’s recommendation, combining the Trust’s partly decentralised booking team into a fully centralised team.
The new, robust internal authorisation process required all agency spend to be signed off before jobs could be released
to agencies, ensuring all jobs were first offered to the bank team before going out to agencies.
As part of the TempRE Bank service provision, Liaison Workforce also provided a weekly payroll facility to help make the bank an attractive option for locums.
We have continued this partnership into 2024/25, working alongside the Trust to guide and advise on further savings, achieving:
41% reduction in monthly agency spend
Increased bank fill rate from 30% to 66%
Reduced standard placement spend by 87%
Annualised savings delivered of over £3millon
Patricia Pedley
Medical Staffing Manager, Walsall Healthcare NHS Trust
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Walsall Healthcare NHS Trust
Agency Spend Reduction