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National Health Service spend on temporary staff for 2012/13, 2013/14 and 2014/15 as included within the Q4 data collection is shown below.<\/p>

<\/p>

<\/p>

<\/p>

<\/p><\/td>

2014/15 Q4 data collection<\/p>

Unaudited (£ billion) 1<\/sup><\/p><\/td>

2013/14 Unaudited<\/p>

(£ billion) 2<\/sup><\/p><\/td>

2012/2013<\/p>

(£ billion) 3<\/sup><\/p><\/td><\/tr>

Total NHS Spend<\/p><\/td>

3.34<\/p><\/td>

2.61<\/p><\/td>

2.33<\/p><\/td><\/tr><\/tbody><\/table>

<\/p>

<\/p>

<\/p>

Following the Francis4<\/sup> report many trusts increased their spend on temporary staffing to meet safe staffing levels. The Department expects trusts to have a strong grip on their finances, and manage their contract and agency staffing spend (including use of locums) responsibly through effective and efficient workforce planning and management and to minimise temporary staffing costs in future years.<\/p>

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<\/strong><\/p>

<\/p>

The Government is clear that the current rate of spending is unsustainable. The Secretary of State has announced a comprehensive package of measures to address the problem including:<\/p>

<\/p>

- setting a maximum hourly rate for doctors and nurses;<\/p>

<\/p>

- banning the use of agencies that are not approved;<\/p>

<\/p>

- putting a cap on total agency staff spending for each NHS trust in financial difficulty; and<\/p>

<\/p>

- requiring specific approval for any expensive consultancy contracts over £50,000.<\/p>

<\/p>

<\/p>

<\/p>

1<\/sup> The 2014/15 figures reflect data collected from NHS trusts and foundation trusts as part of the Q4 data collection which is unpublished and unaudited. Whilst this data would not ordinarily be provided as part of a Parliamentary Question contribution, it has been included within this response as both Monitor and NHS Trust Development Authority have separately released data relating to temporary agency staff spend. It should be noted that their figures vary slightly from those included above. These figures may also be subject to revision as part of the 2014/15 final audited accounts production, and should therefore not be used once the final published Department of Health Annual Report and Accounts.<\/p>

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<\/p>

<\/p>

2<\/sup> For the first time, the Department collected unaudited financial data from NHS trusts for 2013/14 on Contract and Agency staffing costs and income to give a net expenditure figure. The data was collected on the NHS Summarisation Schedules that form the basis of the Department\u2019s Annual Report and Accounts.<\/p>

<\/p>

<\/p>

<\/p>

3 <\/sup>The 2012/13 figures included in the 2013/14 published accounts have been included in the same table; however they were compiled on a different basis to the 2013/14 figures. The figures published for 2012/13 for trusts are based on non-permanently employed staff which is defined as \u201cothers 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.\u201d This reconciles to the figures for those organisations in note 3 (Staff Costs 2012/13), whereas the 2013/14 figures were compiled for the first time under a stricter definition of contingent labour.<\/p>

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4<\/sup> http://www.midstaffspublicinquiry.com/<\/p>

<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1201", "label" : {"_value" : "Biography information for Alistair Burt"} } , "answeringMemberConstituency" : {"_value" : "North East Bedfordshire"} , "answeringMemberPrinted" : {"_value" : "Alistair Burt"} , "dateOfAnswer" : {"_value" : "2015-06-04", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2015-06-04T14:21:32.213Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2015-05-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "NHS: Temporary Employment"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, how much the NHS has spent on temporary staff in each of the last three years.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4473", "label" : {"_value" : "Biography information for Louise Haigh"} } , "tablingMemberConstituency" : {"_value" : "Sheffield, Heeley"} , "tablingMemberPrinted" : [{"_value" : "Louise Haigh"} ], "uin" : "189"} ], "itemsPerPage" : 10, "page" : 0, "startIndex" : 1, "totalResults" : 1, "type" : ["http://purl.org/linked-data/api/vocab#ListEndpoint", "http://purl.org/linked-data/api/vocab#Page"]} }