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797436

registered interest
date	29/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of the funding allocated to the NHS has been spent on agency staff in each of the last 7 years.
tabling member constituency	Colne Valley
tabling member printed	Thelma Walker
uin	116399
answer	answer is ministerial correction date of answer 07/12/2017 answer text <p>Total figures for agency expenditure are available for National Health Service secondary care in England for each year from 2013-14 to 2016-17 but not before. We do not hold figures for agency expenditure in primary care.</p><p> </p><p>The following table shows NHS secondary care agency expenditure figures:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>NHS England mandate (£ billion)</p></td><td><p>Total NHS secondary care expenditure on agency staff in England (£ billion)</p></td><td><p>Agency spend as % of mandate</p></td></tr><tr><td><p>2013-14</p></td><td><p>94.731</p></td><td><p>2.589</p></td><td><p>2.73</p></td></tr><tr><td><p>2014-15</p></td><td><p>97.342</p></td><td><p>3.189</p></td><td><p>3.28</p></td></tr><tr><td><p>2015-16</p></td><td><p>100.500</p></td><td><p>3.632</p></td><td><p>3.61</p></td></tr><tr><td><p>2016-17</p></td><td><p>105.962</p></td><td><p>2.935</p></td><td><p>2.77</p></td></tr></tbody></table><p> </p><p>A number of measures have been introduced by the Secretary of State to bring secondary care agency spending under control including price caps, procurement frameworks and expenditure ceilings. These have contributed to the NHS spending around £700 million less on agency in 2016/17 than in the previous financial year.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 07/12/2017 14:35:50 answering member 1542 label Biography information for Philip Dunne
tabling member	4649 label Biography information for Thelma Walker

791002

registered interest
date	16/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much NHS trusts and foundation trusts spent on temporary and agency staff in 2016-17 and in each of the previous five years.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	113605
answer	answer is ministerial correction date of answer 21/11/2017 answer text <p>Spending on agency staff rose by 40% to £3.7 billion in 2015/16. Measures introduced by the Secretary of State to bring spending under control – price caps, procurement frameworks and expenditure ceilings – contributed to the National Health Service spending around £700 million less on agency in 2016/17 than in the previous financial year.</p><p> </p><p>Bank staff are typically NHS employees that choose to fill additional shifts on an ad hoc basis, covering absences, vacancies or bringing specific skills to a trust to ensure patient care is prioritised. In 2017/18, NHS Improvement is taking forward a national plan to improve and increase the use of staff banks and rollout collaborative banks across the country, giving trusts a wider pool of NHS staff to fill shifts and further reduce reliance on agency staffing.</p><p> </p><p>Total figures for agency expenditure is only available for each year from 2013-14 to 2016-17. Total figures for bank expenditure are only available in 2016-17.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Total English NHS Trusts expenditure on agency staff (£ billion)</p></td><td><p>Total English NHS spending on bank staff (£ billion)</p></td><td><p>Total temporary staff expenditure (£ billion)</p></td></tr><tr><td><p>2016/17</p></td><td><p>2.935</p></td><td><p>2.511</p></td><td><p>5.446</p></td></tr><tr><td><p>2015/16</p></td><td><p>3.632</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>2014/15</p></td><td><p>3.189</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>2013/14</p></td><td><p>2.589</p></td><td><p>-</p></td><td><p>-</p></td></tr></tbody></table><p><em> </em></p><p> </p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 21/11/2017 17:35:46 answering member 1542 label Biography information for Philip Dunne
tabling member	4244 label Biography information for Jonathan Ashworth

788545

registered interest
date	13/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the safety implications for patients of more than 50 per cent of staff in mental health facilities commissioned by NHS England being agency staff.
tabling member constituency	Sheffield, Heeley
tabling member printed	Louise Haigh
uin	112710
answer	answer is ministerial correction date of answer 21/11/2017 answer text <p>We have made no such assessment. NHS Improvement introduced the agency rules in October 2015 and this has seen the overall expenditure on agency staff reduce by £1 billion. In implementing the rules, NHS Improvement has been very clear that the safety and welfare of patients is paramount.</p><p> </p><p>As such there are no plans to introduce any restrictions on the number of staff that can be engaged via an agency. NHS Improvement continue to monitor the safer staffing reports and work with trusts to ensure that staffing levels are maintained and patient safety is not compromised. All NHS services are also subject to inspections for quality and safety by the Care Quality Commission.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/11/2017 13:37:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4473 label Biography information for Louise Haigh

788549

registered interest
date	13/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make it his policy to cap the proportion of agency staff working in mental health facilities commissioned by NHS England.
tabling member constituency	Sheffield, Heeley
tabling member printed	Louise Haigh
uin	112689
answer	answer is ministerial correction date of answer 21/11/2017 answer text <p>Neither the Department nor NHS England is considering a cap on the proportion of agency staff working in mental health facilities commissioned by NHS England.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/11/2017 13:48:47 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4473 label Biography information for Louise Haigh

778223

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether he plans to introduce caps on agency usage in NHS-commissioned services.
tabling member constituency	Sheffield, Heeley
tabling member printed	Louise Haigh
uin	109897
answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>My Rt. hon. Friend the Secretary of State for Health introduced caps on agency spending in National Health Service trusts in November 2015 that were specifically designed to cap the amount spent on agency staff in NHS hospitals, where most NHS-commissioned care is undertaken. As a result in 2016/17 the NHS saved £700 million.</p><p> </p><p>NHS Improvement is taking forward a comprehensive plan for 2017/18 to deliver more savings focusing on improving the use of collaborative staff banks and improving flexible working options for substantive staff; targeted action on medical locum spending including hands-on support to highest spenders; increased compliance with agency rules particularly stamping out off-framework use; increased and improved data collection.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 03/11/2017 11:53:07 answering member 1542 label Biography information for Philip Dunne
tabling member	4473 label Biography information for Louise Haigh

517477

registered interest
date	04/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of hospital shifts breaching the national price caps for NHS agency staff occurred on patient safety grounds in the last year for which figures are available.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	36627
answer	answer is ministerial correction date of answer 09/05/2016 answer text <p>Last year the Government introduced a series of tough financial controls to help the National Health Service tackle overspending on agency staff, including an hourly price cap. These controls include a provision for any trusts that need to override the price caps on exceptional patient safety grounds. Trusts report any such overrides on a weekly basis to NHS Improvement.</p><p> </p><p>The latest information released by NHS Improvement on the number of trusts reporting using shifts in excess of the price caps from 23 November 2015 to 7 March 2016 is available here:</p><p> </p><p><a href="https://www.gov.uk/government/publications/foi-agency-shifts-exceeding-the-price-caps-by-trust" target="_blank">https://www.gov.uk/government/publications/foi-agency-shifts-exceeding-the-price-caps-by-trust</a></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 09/05/2016 15:54:32 answering member 1201 label Biography information for Alistair Burt
tabling member	4418 label Biography information for Justin Madders

518352

registered interest
date	04/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department monitors implementation of price caps for agency staff.
tabling member constituency	Brent Central
tabling member printed	Dawn Butler
uin	904958
answer	answer is ministerial correction date of answer 10/05/2016 answer text Hourly price caps are one part of a series of tough financial controls we introduced last year to help the National Health Service tackle overspending on agency staff. NHS Improvement consulted on the price caps before they were introduced and, with NHS England and the Care Quality Commission, has been monitoring their implementation on a weekly basis. answering member constituency Ipswich answering member printed Ben Gummer question first answered 10/05/2016 14:41:07 answering member 3988 label Biography information for Ben Gummer
tabling member	1489 label Biography information for Dawn Butler

506519

registered interest
date	08/04/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what regional variation there has been in the proportion of shifts which have not been filled since the introduction of national price caps for NHS agency staff.
tabling member constituency	Brent Central
tabling member printed	Dawn Butler
uin	33089
answer	answer is ministerial correction date of answer 18/04/2016 answer text <p>Information on temporary staff fill rates is not collected centrally.</p><p>NHS Improvement has calculated that since the introduction of the price caps, agency spending by National Health Service trusts and NHS foundation trusts has fallen from £303 million in October 2015 to £287 million in February 2016.</p><p>Monitor has previously released information on the number of trusts reporting using shifts in excess of the price caps from 23 November to 28 December 2015. This can be accessed here:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/497353/FOI_agency_staff_payments.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/497353/FOI_agency_staff_payments.pdf</a></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 33241 33242 33243 question first answered 18/04/2016 10:35:36 answering member 1201 label Biography information for Alistair Burt
tabling member	1489 label Biography information for Dawn Butler

506608

registered interest
date	08/04/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of changes in the level of expenditure on agency, bank or locum staff since the introduction of national price caps for NHS agency staff.
tabling member constituency	Brent Central
tabling member printed	Dawn Butler
uin	33241
answer	answer is ministerial correction date of answer 18/04/2016 answer text <p>Information on temporary staff fill rates is not collected centrally.</p><p>NHS Improvement has calculated that since the introduction of the price caps, agency spending by National Health Service trusts and NHS foundation trusts has fallen from £303 million in October 2015 to £287 million in February 2016.</p><p>Monitor has previously released information on the number of trusts reporting using shifts in excess of the price caps from 23 November to 28 December 2015. This can be accessed here:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/497353/FOI_agency_staff_payments.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/497353/FOI_agency_staff_payments.pdf</a></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 33089 33242 33243 question first answered 18/04/2016 10:35:36 answering member 1201 label Biography information for Alistair Burt
tabling member	1489 label Biography information for Dawn Butler

506609

registered interest
date	08/04/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of changes in the number of nursing, medical and other shifts that have not been filled since the introduction of national price caps for NHS agency staff.
tabling member constituency	Brent Central
tabling member printed	Dawn Butler
uin	33242
answer	answer is ministerial correction date of answer 18/04/2016 answer text <p>Information on temporary staff fill rates is not collected centrally.</p><p>NHS Improvement has calculated that since the introduction of the price caps, agency spending by National Health Service trusts and NHS foundation trusts has fallen from £303 million in October 2015 to £287 million in February 2016.</p><p>Monitor has previously released information on the number of trusts reporting using shifts in excess of the price caps from 23 November to 28 December 2015. This can be accessed here:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/497353/FOI_agency_staff_payments.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/497353/FOI_agency_staff_payments.pdf</a></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 33089 33241 33243 question first answered 18/04/2016 10:35:36 answering member 1201 label Biography information for Alistair Burt
tabling member	1489 label Biography information for Dawn Butler