Reducing agency spend

Agency spend logo

In November 2016 the Secretary of State for Health Jeremy Hunt announced that an investment would be made to support NHS organisations to improve how they use their e-rostering tools, with the aim of reducing reliance on agency and to promote flexible working.

Following the announcement, NHS Employers has been commissioned by the Department of Health to work with the NHS in England to focus on reducing agency spend. 

We are currently working directly with 15 trusts to support a reduction in agency spend, focusing on support to:

  • help line managers implement greater flexibility in their work practices 
  • increase, improve or extend the utilisation of e-rostering
  • reduce medical locum spend.

We will also be sourcing and sharing examples of good practice from the NHS, and other sectors, to support the wider NHS in the areas outlined above. 

If you have any questions about the programme, or would like to share your examples of good practice, please email  

Existing resources

NHS Employers has a number of existing resources to support employers including:

Information for trusts about agency rules on price caps, wage rates and terms of employment can be found on the NHS Improvement website.

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