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<p>The information available is presented in the table.</p><p> </p><p> </p><p> </p><p>Spending
on agency staff over the last four years:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Organisation</p></td><td
colspan="4"><p>Total Agency Spend (£ million)</p></td></tr><tr><td><p> </p></td><td><p>2013-14</p></td><td><p>2012-13</p></td><td><p>2011-12</p></td><td><p>2010-11</p></td></tr><tr><td><p>(a)
Lewisham and Greenwich NHS Trust</p></td><td><p>18</p></td><td><p>n/a</p></td><td><p>n/a</p></td><td><p>n/a</p></td></tr><tr><td><p>(b)
London</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>-
NHS Trusts</p></td><td><p>334</p></td><td><p>n/a</p></td><td><p>n/a</p></td><td><p>n/a</p></td></tr><tr><td><p>-
Foundation Trusts</p></td><td><p>366</p></td><td><p>273</p></td><td><p>229</p></td><td><p>205</p></td></tr><tr><td><p>(c)
England</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>-
NHS Trusts</p></td><td><p>1,082</p></td><td><p>n/a</p></td><td><p>n/a</p></td><td><p>n/a</p></td></tr><tr><td><p>-
Foundation Trusts</p></td><td><p>1,396</p></td><td><p>1,113</p></td><td><p>918</p></td><td><p>855</p></td></tr></tbody></table><p>
</p><p> </p><p> </p><p>Spending on agency staff over the last four quarters</p><p>
</p><p> </p><table><tbody><tr><td colspan="2"><p> </p></td><td><p> </p></td><td><p>
</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2" rowspan="2"><p>Organisation</p></td><td
colspan="4"><p>Total Agency Spend (£ million)</p></td></tr><tr><td><p>Q1 2014-15</p></td><td><p>Q2
2014-15</p></td><td><p>Q3 2014-15</p></td><td><p>Q4 2014-15</p></td></tr><tr><td colspan="2"><p>(a)
Lewisham and Greenwich NHS Trust</p></td><td><p>n/a</p></td><td><p>n/a</p></td><td><p>n/a</p></td><td><p>n/a</p></td></tr><tr><td
colspan="2"><p>(b) London</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p>
</p></td></tr><tr><td colspan="2"><p>NHS Trusts</p></td><td><p>n/a</p></td><td><p>n/a</p></td><td><p>n/a</p></td><td><p>n/a</p></td></tr><tr><td
colspan="2"><p>Foundation Trusts</p></td><td><p>95.7</p></td><td><p>101.9</p></td><td><p>107.3</p></td><td><p>111.6</p></td></tr><tr><td
colspan="2"><p>(c) England</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p>
</p></td></tr><tr><td colspan="2"><p>NHS Trusts</p></td><td><p>n/a</p></td><td><p>n/a</p></td><td><p>n/a</p></td><td><p>n/a</p></td></tr><tr><td
colspan="2"><p>Foundation Trusts</p></td><td><p>388.7</p></td><td><p>428.4</p></td><td><p>448.2</p></td><td><p>504.9</p></td></tr><tr><td
colspan="6"><p><em>n/a: data not available</em></p></td></tr><tr><td> </td><td colspan="5">
</td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr></tbody></table><p>
</p><p><em>Notes:</em></p><p> </p><p> </p><p> </p><p>1. Data on net spending on contract
and agency staff for NHS trusts (including Lewisham and Greenwich NHS Trust) is unaudited
financial data taken from the NHS Summarisation Schedules and consolidated figures
were published in the Department’s Annual Report and Accounts. These data sets were
collected for the first time in 2013/14.</p><p> </p><p> </p><p> </p><p>2. The figures
for NHS trusts exclude spending on bank staff. Data on temporary/agency staff reported
in the Department’s Annual Report and Accounts include payments to external bodies
such as NHS Professionals for the supply of bank staff, working extra hours at NHS
rates of pay. The above table presents data excluding spending on bank staff using
unaudited figures for the element of NHS trust expenditure relating to bank staff.</p><p>
</p><p> </p><p> </p><p>3. NHS trusts existing in 2013/14 were asked to also provide
prior year figures (2012/13) for Contract and Agency staff in the NHS Summarisation
Schedules. These figures have not been included in the answer as the data provided
only includes information from existing 2013/14 NHS trusts, rather than data from
all 2012/13 trusts.</p><p> </p><p> </p><p> </p><p>4. The prior year figures included
in Table C12 of the published accounts have not been included in the answer, as they
were compiled on a different basis to the 2013/14 figures. The figures published for
2012/13 for NHS trusts are based on non-permanently employed staff which is defined
as “others engaged on the objectives of the organisation and will include staff on
inward secondment or loan from other organisations, bank/agency/temporary staff and
contract staff.” This reconciles to the figures for those organisations in note 3
(Staff Costs 2012/13), whereas the 2013-14 figures are compiled for the first time
under a stricter definition of contingent labour.</p><p> </p><p> </p><p> </p><p>5.
The figure for 2013/14 Contract and Agency staff spend for all NHS trusts reported
in the published accounts under the heading “Temporary/Agency” (Table C12 page 197)
is £1.184 billion. This is understated as one organisation did not provide the data,
so the answer is based on a higher figure (including spend on bank staff) of £1.209
billion.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>6. In the guidance that accompanied
the data collection, the definition of Contract / Agency staff is: “Agency” employee
payments for the employment of staff where the staff remain employees of the agency
and “Contract staff” where the NHS trust has control over numbers and qualifications
of staff (in contrast to a service obtained under contract) .</p><p> </p><p> </p><p>
</p><p>7. Excluded from the “Agency/Contract” category are the costs of staff recharged
by another organisation where no element of overhead is included i.e. where the staff
costs are shared between the NHS Trust and other bodies; staff on secondment or on
loan from other organisations; amounts payable to contractors in respect of the provision
of services (for example, cleaning or security).</p><p> </p><p> </p><p> </p><p>8.
Where an NHS trust obtains foundation trust status part way through any year, the
data provided is only for the part of the year the organisation operated as an NHS
Trust.</p><p> </p><p> </p><p> </p><p>9. For the first time in 2013/14 the figures
for NHS trusts and foundation trusts have been aggregated and published in the Departmental
Annual Accounts together under the heading “NHS Providers”. Figures provided separately
for either sector will include a small amount of cross-sector transactions that would
ordinarily be eliminated if the figures were provided at group level.</p><p> </p><p>
</p><p> </p><p>10. Data on net spending on agency staff presented for foundation trusts
for last four years is audited data from in-year returns of NHS foundation trusts.</p><p>
</p><p> </p><p> </p><p>11. Data on net spending on agency staff presented for foundation
trusts for last four quarters is unaudited data from in-year returns of NHS foundation
trusts. It comprises spending on agency and contract staff.</p><p> </p><p> </p><p>
</p><p>12. Annual data is based on published accounts data. 2014-15 data is expected
to be published next month. Quarterly data for 2014-15 is drawn from unpublished in-year
returns.</p><p> </p>
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