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<p>The information requested is shown in the following tables.</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> </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)
Barking, Havering and Redbridge</p><p>University Hospitals Trust</p></td><td><p>27</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> </td><td> </td><td> </td><td> </td></tr><tr><td><p>- National
Health Service 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> </td><td> </td><td> </td><td> </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> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p>
</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p>Spending on agency
staff over the last four quarters.</p><p> </p><table><tbody><tr><td> </td><td> </td><td>
</td><td> </td><td> </td></tr><tr><td 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><p>(a) Barking, Havering and
Redbridge</p><p>University Hospitals 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><p>(b)
London</p></td><td> </td><td> </td><td> </td><td> </td></tr><tr><td><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><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><p>(c)
England</p></td><td> </td><td> </td><td> </td><td> </td></tr><tr><td><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><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></tbody></table><p>
</p><p><em>n/a: data not available</em></p><p> </p><p> </p><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 Barking, Havering and Redbridge University Hospitals 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 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
spend staff 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>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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