Increased Agency Direct Employment. Delivered.

Achieving savings, streamlining processes and increasing visibility through the utilisation of Agency Direct Employment.

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Net savings of £220,422 achieved since go live

Overall shift fill rate of 87% between go live and April 2025

100% ADE utilisation for Agency shifts from November 2024 to April 2025

The Challenge

Bradford District Care NHS Foundation Trust were struggling with a lack of Agency Direct Employment utilisation, leading to concerns about inadequate control over staffing spend, including:

A lack of accessible data, making it difficult for the Trust to understand its actual expenditure and make informed decisions.
High agency commission rates, without the necessary reporting tools to benchmark rates or negotiate effectively with agencies.
Inefficient, manual administrative processes, which created a fragmented and time-consuming workflow.

Overall, the Trust lacked visibility, streamlined systems, and strategic control, all of which hampered its ability to manage temporary workforce costs efficiently.

The Solution

The Liaison Workforce product team, in partnership with the Trust’s Medical Staffing Project Lead, developed a successful business case outlining the delivery of cloud-based software with key features including:

Vacancy management
Electronic pay and commission rate controls
E-timesheets and consolidated invoicing
Worker contracts and onboarding/offboarding
Outsourced weekly payroll and pensions admin (NHS & NEST)
UK-based helpdesk with agency engagement support
Dedicated Client Services Consultant
Full reporting suite and access to reporting services

Implementation was completed in just two weeks, enabling the Trust to quickly begin realising savings on medical staffing spend. Ongoing training and support from our Client Services Team ensures continued adoption of best practices, helping to sustain financial savings and internal efficiencies.

The Outcomes

Net savings of £220,422 achieved to date.
Overall shift fill rate of 87% between go live and April 2025.
100% ADE utilisation for Agency shifts from Nov ‘24 to Apr ’25.
Standard Placements have been eradicated, reducing spend from £77,000 to £0.
Agency Direct Employment utilisation has increased with the Trust benefiting from increased savings.
Regular reporting and management information is shared with key Trust stakeholders including Executive members, giving them visibility and the ability to inform future steps and required actions.
Manual processes have been removed, ensuring an auditable streamlined process is in place.
Our Client Services Team are supporting the Medical Staffing Project Lead to negotiate and further reduce commission rates.

The team at Liaison have been great supporting the implementation of the system and the swift realisation of savings. We are now able to control our locum use much better with regular reporting and ongoing support.

Jo Wilson

Head of Medical Staffing and Education, Bradford District Care NHS Foundation Trust

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