Agency staff/locums/on and off framework

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Bank workers are also notified of the courses that are out of date and those that are due to go out of date.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from working for falling below a certain percentage of training, are they prevented from working based on being out of date for specific training, for example, resuscitation training?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)