1 .Do you have a training compliance threshold for individual bank workers? If yes, what is this percentage threshold, for example, above 90%?

Response: Bank workers are expected to be 100% compliant with their mandatory training passport to undertake bank work. Moreover, there are specific courses that bank workers must be compliant with to undertake bank shifts, refer to point 3 below.

2. If you do have a training compliance threshold, how do you enforce/maintain this? For example, is a bank worker restricted from working or given a warning if their training compliance falls below a certain percentage?

Response: Bank workers are contacted if their mandatory training falls below 100% compliance.

Bank workers are also notified of the courses that are out of date and those that are due to go out of date. Furthermore, they are supported with the booking of training courses.

Failure to complete the training will result in the bank worker being restricted from working

3. If bank workers are not prevented from working for falling below a certain percentage of training, are they prevented from working based on being out of date for specific training, for example, resuscitation training?

Response: There are specific courses that incur immediate restriction:

• Automated Defib (AED)
• Prevention and Management of Violence and Aggression (PMVA) Teamwork
• Breakaway
• Therapeutic Engagement and Supportive Observation (TESO)

4. Is bank worker training compliance monitored by the organisation or only by the team that manages them?

Response: Monitored by the Temporary Staffing team, with oversight by the organisation.

5. Please provide a list of statutory and mandatory training for generic bank healthcare assistants and generic bank band 5 registered nurses.

Response: Please see below:

• Mental Capacity Act (MCA)
• Mental Health Law Update - Clinical
• Infection Prevention and Control - Clinical
• Teamwork Refresher London
• The Oliver McGowan Mandatory Training on Learning Disability and Autism (Part A)
• Therapeutic Engagement and Supportive Observations (TESO)
• Information Governance (IG) and Data Security
• Breakaway London
• Clinical Risk Training (Previously Suicide Prevention)
• Diversity, Equality and Dignity at Work
• Fire Safety
• Handcuff Course
• Safety and Welfare 21
• Moving and Handling Level 2 (Patient Handling Staff)
• NEWS 2
• Patient Safety Syllabus Training - Essentials for Patient Safety (Level 1)
• Preventing Radicalisation – Prevent Awareness
• PSTS (24 months)
• Resuscitation Level 2 – Automated External Defib
• Safe Handling of Medicines and Mental Health Medication
• Safeguarding Adults Level 3 – (Part A + Part B includes Prevent L3)
• Safeguarding Children Level 3 – (Part A + Part B )
• Security Training Forensics.

6. Is bank worker training compliance included in the organisation's strategy or organisational objectives?

Response: Yes, our structure is aligned with the directorate’s strategy and objectives, and it includes provisions to incorporate compliance within the temporary staffing framework.

7. Do you pay for mandatory training as a complete package or for the individual courses? If, as a package, for example, you would pay for 5 hours of training for all e-learning modules?

Response: All training on the mandatory training passport is paid.

1. In the period 1 January 2025 to 31 March 2025, please provide a breakdown of:

• Total Trust spend with framework agencies for locum nurses

Please provide a further breakdown for locum nurses by:

• Spend per band

• Spend per specialty

• Spend per agency name.

Response: The Trust will not be disclosing this information on the grounds of cost, as locating and extracting the information will exceed the cost limit. You may be aware that under Section 12 of the Freedom of Information Act 2000, a public authority is not obliged to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.  The appropriate limit for the NHS is £450 (based on £25 per person per hour to locate and extract the requested data. This represents the estimated cost of one person spending more than 18 hours, as we have established that providing this information would require a manual audit of relevant records to be carried out.

2. In the period 1 January 2025 to 31 March 2025, please provide a breakdown of:

• Total Trust spend with off-framework agencies for locum nurses

Please provide a further breakdown for locum nurses by:

• Spend per band

• Spend per specialty

• Spend per agency name.

Response: The Trust will not be disclosing this information on the grounds of cost, as locating and extracting the information will exceed the cost limit. You may be aware that under Section 12 of the Freedom of Information Act 2000, a public authority is not obliged to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.  The appropriate limit for the NHS is £450 (based on £25 per person per hour to locate and extract the requested data. This represents the estimated cost of one person spending more than 18 hours, as we have established that providing this information would require a manual audit of relevant records to be carried out. 

3. In the period 1 January 2025 to 31 March 2025, please provide a breakdown of:

• Total trust spend with the internal trust bank or associated external provider for locum nurses

Please provide a further breakdown for locum nurses by:

• Spend per band
• Spend per specialty
• Spend per agency name.

Response: The Trust will not be disclosing this information on the grounds of cost, as locating and extracting the information will exceed the cost limit. You may be aware that under Section 12 of the Freedom of Information Act 2000, a public authority is not obliged to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.  The appropriate limit for the NHS is £450 (based on £25 per person per hour to locate and extract the requested data. This represents the estimated cost of one person spending more than 18 hours, as we have established that providing this information would require a manual audit of relevant records to be carried out.

4. Please confirm the total number of nursing shifts booked during this period for all agency nursing only, no bank staff nursing to be included (1 January 2025 to 31 March 2025)

Response: 3273 shifts.

5. Please confirm the total number of nursing shifts booked above NHSE capped rates during this period for all agency nursing only, no bank staff nursing to be included (1 January 2025 to 31 March 2025).

Response: zero nursing shifts above NHSE capped rates.

Please can you provide me with the Agency Spend, split between the 3 individual staff groups below:

1. Agency Registered Nurses (all specialities, for example, adult nursing, children’s nursing, community, mental health, midwives, etc.) – April 2025
2. Agency Health Care Support Workers – April 2025
3. Agency Doctors - April 2025.

Response: Please refer to the table below with the information requested:

I am writing to ask what your locum rates are for resident doctors of all grades, and how often you review your rates.

Response: Please find this information in the table below with our rates reviewed in June 2023.
 

Core Training (CT) – Senior House Officer (SHO)

ST -Speciality Registrar​​​​​​​ - (SpR)

What are your locum rates for resident doctors of all grades, and how often do you review your bank rates?

Response: Please find below our rates, reviewed as of 23 June.

Bank rates effective 1 June 2023

CT (Senior House Officer (SHO)

Speciality Training (SP) Specialty Registrar (SpR)

I would like to request the following information relating to temporary staffing at West London NHS Trust, covering the most recent full financial year (or most recent 12-month period available):

1.Temporary staffing agency spend

Please provide the total agency/locum spend across all staff groups. Where possible, please also provide a breakdown by the following clinical and non-clinical categories:

• Medical and Dental
• Nursing and Midwifery
• Allied Health Professionals (AHPs)
• Health Science Services
• Administrative and Clerical
• Estates and Facilities.

2. Bank staffing spend

Please provide the total spend on internal bank staffing during the same period, also broken down by the staff groups listed above.

​​​​​​​

3. Agency hourly charge rates

For each staff group, please provide:

The average hourly charge rate paid to agencies

Response: We use the One Pan London Rate Card.

The highest hourly charge rate paid:

Response: The NHS England Capped Rate.

The lowest hourly charge rate paid:

Response: We use the One Pan London Rate Card, as above.

4.Breakdown of agency spend, and hours worked. For each recruitment agency supplying temporary staff, please provide:

• The total spent with that agency
• The total number of hours worked by agency-supplied staff.

5. Preferred Supplier List (PSL) and supply model

a. Please list all recruitment agencies currently supplying temporary staff to the organisation

b. Please confirm which of these agencies are on your PSL

c. Please outline how your PSL operates, including:

• Whether it is tiered, which agencies are on which tiers, how shifts or roles are distributed among suppliers.

6. Internal temporary staffing/resourcing team

Please provide the annual cost of operating the internal temporary staffing or resourcing function, including:

• Staff salaries and on-costs
• Overheads
• Costs of any relevant platforms, technology, or vendor management systems used.

Response to questions 4-6: In question 4, the total spend will take over 18 hours to answer. There are over 72,000 transactions in which the agency is not identified. At 1 min per line, this would take 1200 hours to complete. *

*The Trust will not be disclosing this information on the grounds of cost, as locating and extracting the information will exceed the cost limit. You may be aware that under Section 12 of the Freedom of Information Act 2000, a public authority is not obliged to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit. The appropriate limit for the NHS is £450 (based on £25 per person per hour to locate and extract the requested data. This represents the estimated cost of one person spending more than 18 hours, as we have established that providing this information would require a manual audit of relevant records to be carried out.

Under Section 16 of the Freedom of Information Act 2000, the Trust has a duty to offer advice and assistance to applicants in these circumstances. We would therefore advise you, if you wish to make a new request, to reduce your request by removing question 4, as this could reduce the processing time below the appropriate limit.

7. Spend with NHS Professionals (NHSP)

Please confirm the total spend with NHS Professionals (NHSP), if applicable, for the same period.

Response: Expenditure on NHSP is zero.​​​​​​​

1. In the period 1 April 2025 to 30 June 2025, please provide a breakdown of:

• Total Trust spend with framework agencies for locum nurses

 Response: £667,717.21.

• Please provide a further breakdown for locum nurses by: 
• Spend per band – Response in the chart below.

• Spend per specialty: Response: No specialty categorisation available.
• Spend per agency name. Response below.

Section 12 FOI Act 2000 - Cost of compliance exceeds the appropriate limit.

The Trust will not be disclosing this information on the grounds of cost, as locating and extracting the information will exceed the cost limit. You may be aware that under Section 12 of the Freedom of Information Act 2000, a public authority is not obliged to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.  The appropriate limit for the NHS is £450 (based on £25 per person per hour to locate and extract the requested data. This represents the estimated cost of one person spending more than 18 hours, as we have established that providing this information would require a manual audit of relevant records to be carried out.

Please find more information about section 120 on the gov.uk website.

Please see the breakdown below:

This would take over 18 hours, as there are 4000 transaction lines with no agency identified, which would take a band 7, over 72 hours at a min per line

2. In the period 1 April 2025 to 30June 2025, please provide a breakdown of:

• Total Trust spent with off-framework agencies for locum nurses
• Please provide a further breakdown for locum nurses by:

 Response: Zero – there are no off-framework agency nurses.

Spend per band – Response: N/A.

Spend per specialty – Response: N/A.

Spend per agency name – Response N/A.

3. In the period 1 April 2025 to 30 June 2025, please provide a breakdown of:

• Total Trust spends with the internal Trust bank or associated external provider for locum nurses
• Please provide a further breakdown for locum nurses by £3,163,055.24
• Spend per band – Response in the chart below.

• Spend per specialty – Response: No specialty categorisation available.
• Spend per agency name – Response: Internal bank only.

Please confirm the total number of nursing shifts booked during this period for all agency nursing only, no bank staff nursing to be included (1 April 2025 to 30 June 2025)

Response: 2,434 nursing shifts booked during 1 April – 30 June 2025.

4. Please confirm the total number of nursing shifts booked above National Health Service England (NHSE capped) rates during this period for all agency nursing only, no bank staff nursing to be included (1 April 2025 to 30 June 2025)

Response: No nursing shifts booked above NHSE capped rates during this period.

Please confirm the Trust's total spend during the period 1 April 2025 – 30 June 2025 for insourcing for the following specialties:

• Neurology
• Neurophysiology
• Dermatology
• Gastroenterology
• Endoscopy
• Cardiology
• Respiratory
• Orthodontics / Dental
• Oral and Maxillofacial Surgery (OMFS)[JW1] [MB2] 
• (Ear, Nose and Throat) ENT
• Rheumatology
• Gynaecology
• Ophthalmology
• Surgery- including all subspecialties.

• Please break the spend down by the insourcing company
• Please confirm if there was a budget for insourcing for the specialties outlined during the same period
• What was the service type relating to the specialties outlined, for example, outpatient, diagnostic, or theatres?
• Was it a fully managed service or a team provision?
• Please can you confirm the frameworks utilised for each specialty?
• Please confirm any direct awards or mini competitions that are being utilised for each specialty
• Please confirm the total number of procedures completed by insourcing companies for the specialties outlined during the same period.

Response: As a community and Mental Health (MH) Trust, we are not a commissioned provider of any of the above pathways.

We therefore do not undertake any insourcing activities here.

We do have a community respiratory service, but no insourcing activity has been required.

For completeness, we have an arrangement with a local NHS dental surgery to support the dental care of long-stay forensic inpatients, but this is not formally an insourcing arrangement.

From 1 April 2025 to 30 June, please provide a breakdown of:

Total Trust spent with framework agencies for locum Allied Health Professions (AHP)/ High Secure Services (HSS) staffing:

Response: £403,383.79

1. Please provide a further breakdown for locum AHP/HSS staffing by:

Spend per band. Response: Section 12 (S12) – Cost of Compliance, please see response below.

Spend per specialty. Response: Section 12 (S12) – Cost of Compliance, please see response below.

Spend per agency name *Section 12 (S12)– Cost of Compliance, please see response below.

Section 12 FOI Act 2000 

The cost of compliance exceeds the appropriate limit

The Trust will not be disclosing this information on the grounds of cost, as locating and extracting the information will exceed the cost limit. You may be aware that under Section 12 of the Freedom of Information Act 2000, a public authority is not obliged to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.  The appropriate limit for the NHS is £450 (based on £25 per person per hour to locate and extract the requested data. This represents the estimated cost of one person spending more than 18 hours, as we have established that providing this information would require a manual audit of relevant records to be carried out.

Please find more information about section 12 on the gov.uk website.

Unable to identify agencies due to how transactions are posted – there are over 2900 lines of transactions requiring identification at 30 seconds per line, this would take a (Band 7) over 24 hours to complete.

1. In the period 1 April 2025 to 30 June, please provide a breakdown of:

• Total Trust spends with off-framework agencies for locum AHP/HSS staffing.

Response: We do not have any off-framework agencies working with the Trust currently.

1. Please provide a further breakdown for locum AHP/HSS staffing by:

• Spend per band

Response: N/A.

• Spend per specialty

 Response: N/A.

• Spend per agency name

Response: N/A.

 In the period 1 April 2025 to 30 June, please provide a breakdown of:

Total Trust spends with the internal trust bank or associated external provider for locum AHP/HSS staffing:

Response: £284,192.42.

1. Please provide a further breakdown for locum AHP/HSS staffing by:

Spend per grade.

Response: Please see below.

Spend per specialty.

Response: Please see the table below.

Spend per internal or associated external provider Response: Internal

Please confirm your allocated budget for agency locum AHP/HSS staffing for the period 1 April 2025 to 30 June. 

Response: There are no budgets for agency locum AHP.

Please confirm which framework West London NHS Trust is currently using for the supply of locum doctors?

Response: The Trust engages with agencies that are on the Workforce Alliance Framework.

Please can you provide me with the agency spend, split between the three individual staff groups below:

1. Agency Registered Nurses (RN) (all specialties, for example, adult nursing, children’s nursing, community, mental health, midwives) – June 2025

 £154,318.17.

2. Agency Health Care Support Workers – June 2025

£10,159.38.

3. Agency Doctors – June 2025

£255,531.08.

Please provide:

1. A list of all permanent medical vacancies (For example, Consultant or Specialty Doctor level) that have been advertised but remain unfilled, including the relevant specialties, over the past 12 months.

Response: Three vacancies, which are:

• Specialty Doctor - Hounslow Child and Adolescent Mental Health Service (CAMHS)
• Specialty Doctor – Forensic Service
• Consultant - Community Rehabilitation.

2. The number of permanent medical appointments made by the Trust during the same 12-month period.

Response: 34.

3. The name, job title, and contact email address of the person who oversees and is responsible for all permanent medical recruitment across the Trust.

Response: Mladenka Suvajdzic, Medical Staffing Manager, and Dhanesh Athiyadath, Medical Recruitment Officer.

Contact email address: wlt.Recruitment.Admin@nhs.net

Phone number: 020 8354 8485

Webpage: https://www.westlondon.nhs.uk/careers/contact-us.

1. Total number of multi-professional approved clinicians (MPACs) currently employed by the Trust:

Response: Zero

1a.  A breakdown of this number by base profession:

Response: All are consultant psychiatrists; we do not have any MPACs.

1b. The number of these working as responsible clinicians:

Response: Zero.

1c. A breakdown of which teams these staff are working in based on the following: 

Response: No MPACs.

Our consultant responsible clinician (RC) breakdown is as follows:

        i. Inpatient vs outpatient setting

Response: 45 in inpatient settings, 84 in outpatient settings (this includes liaison psychiatry)

ii. Specialty (old age, general adult, Child and Adolescent Mental Health Service (CAMHS), intellectual disability, forensic, or other)

Response:

Old age - nine

General adult - 42

CAMHS - seven

Intellectual disability - two

Forensic - 42

Other – 27.

iii. For inpatient settings, whether male ward, female ward, or mixed ward

Response:

Male wards - 33

Female wards – nine

Mixed wards – two.

1d. The total number of trainee multi-professional approved clinicians currently in training in the Trust:

Response: Two (one occupational therapist (OT), one Clinical Psychologist).

2. The mean pro-rata salary of multi-professional approved clinicians and multi-professional responsible clinicians currently employed by the Trust:

Response: N/A, all are currently consultant psychiatrists.

3. Are multi-professional approved/responsible clinicians currently allowed to cover gaps in service left by doctor-approved/responsible clinicians?

Response: No, but currently not applicable.

4. Do multi-professional approved/responsible clinicians contribute to on-call rotas?

Response: No.

a) If yes, are these on rotas shared with doctor-approved/responsible clinicians?

Response: N/A.

b) If yes, is this in hours, out of hours, or both:

Response: N/A.

Please provide the following details for your Trust:

• A breakdown of monthly spend on agency staff, distinguishing between:

• Agency staff engaged via NHS-approved frameworks (“on framework”)
• Agency staff engaged via agencies not on frameworks (“off framework”)
• For each category above (on and off framework):
• The types of staff procured through agencies (For example, nurses, doctors, allied health professionals, and administrators)
• The monthly spend on each staff type
• If possible, please provide this information for the most recent 12-month period.

Financial year 24/25

Financial Year 24/25