To ask the Scottish Executive what the temporary staffing costs were in respect of (a) doctors, (b) nurses, (c) other healthcare professionals, (d) managers and (e) administrative staff in each of the last five years, broken down by NHS board.
Information on the temporarystaffing costs in respect of four of the five groups listed above is notcollected centrally; however separate costs are available for nursing staff(both agency and bank) and we can provide an overall total for the cost ofemploying agency staff which is reported in the Annual Accounts of NHS boards.
(a) Nursing agency costsfrom 2001-02 to 2005-06 (2006-07 figures are not all available) broken down byNHS boards, as detailed in the national workforce unit’s report E13 is given in table 1 of parliamentary questionS3W-1907 – Nursing Agency costs 2001-02 – 2005-06’, a copy of which has beenplaced in the Scottish Parliament Information Centre (Bib. number reference43222):
(b) Costs for nursing bankstaff from 2001-02 – 2005-06 as detailed in the national workforce unit’sreport E16 is given in table 2 of parliamentaryquestion S3W-1907 – Nurse Banking Staff costs 2001-02 – 2005-06, a copy ofwhich has been placed in the Scottish Parliament Information Centre (Bib.number 43223):
Nationally co-ordinatednurse bank arrangements are being implemented to assist nurse placement across Scotland, toimprove patient services and cut costs of agency nursing.
The increase in the numberof bank staff used is in line with recommendations made within the report and actionplan of the nationally co-ordinated nurse bank arrangements project and reflectsour policy on reducing the reliance on agency nurses in NHSScotland.
Effectively managed nurse banksallow NHS employers to deploy resources effectively and safely in light ofservice demands, while affording individual staff members improved flexibilityin their employment that better meet work/life demands. Bank staff are employees of NHSScotland, are deployedby individual NHS employers to cover temporary nursing gaps and as such haveaccess to training and career opportunities.
A project manager has beenappointed to take forward the 18 recommendations set out in the nursing and midwiferyworkload and workforce planning report, which will impact on bank and agencyusage. Significant progress is being made by NHS boards who are responsible forensuring that their board has a local action plan to take the recommendationsforward in their own area.
A national contract for theprovision of agency nurses, through the best procurement initiative, (BPI) isin place. The BPI is part of NHSScotland’s agenda for modernising supportservices and is an important element of the Executive’s Efficient Governmentinitiative aimed at delivering public services to the highest possible qualityin Scotland. A contract was initially established in the West ofScotland in November 2003 and this was rolled out to the North and East ofScotland in November 2004. It is anticipated that the contract will deliversavings of approximately £7 million per annum by 2006-07.
(c) Total agency costs forNHS boards as reported in the annualaccounts of NHS boards and trusts, is defined as the gross cost of all paymentsto employment agencies for the provision of agency staff of all disciplines.The figures are given in table 3 of parliamentaryquestion S3W-1907 – Total Agency costs for NHS boards 2001-02 – 2005-06’, acopy of which has been placed in the Scottish Parliament Information Centre(Bib. number 43224); these figures willnot include nurse bank staff.
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