Europe South Asia Asia Pacific Americas Middle East Africa BBC Homepage World Service Education

Front Page



UK Politics







Talking Point
On Air
Low Graphics

Tuesday, December 29, 1998 Published at 15:54 GMT


Agency nurse costs soar in NHS

About 8,000 nurse vacancies need to be filled, says the RCN

The government has come in for criticism over the shortage of nurses in the National Health Service, after new figures revealed a sharp increase in the money paid to agencies who supply staff to cover where there is a lack of personnel.

James Westhead: "Nursing leaders agree increase in agency nursing is a dangerous trend"
The bill for nurses recruited from private agencies has almost doubled over the last six years, according to the figures obtained by Liberal Democrat health spokesman Simon Hughes in a Parliamentary written answer.

The cost to the NHS for agency nurses was £216m last year, compared with £121m in 1991-92.

Recruitment crisis

He said the figures highlighted the extent of the recruitment crisis in the health service while the extensive use of private agency staff to plug gaps was draining vital resources from the NHS.

The situation had become so bad, Mr Hughes claimed, that some NHS trusts in Leeds were having to pay private agency nurses to travel from London because they were unable to recruit nurses from the local area.

The Royal College of Nursing (RCN) has already estimated that about 8,000 vacancies exist nationwide for nurses in the NHS.

The RCN's Liz Jenkins: "We've warned of this for years"
Liz Jenkins, assistant general secretary of the RCN, said the college had been aware of the situation for some time.

The NHS was maintaining staffing levels by using an emergency support service as a prop, she said.

She said: "Nursing agencies themselves say they should be seen as an emergency service for the NHS.

"Traditionally hospitals used agency nurses to top up nursing levels, but now they have no alternative but to rely on them day to day to make sure they are adequately staffed.

"To attract nurses back into the NHS they must be paid properly and be able to combine work with family responsibilities."

'Spend money on NHS nurses'

Simon Hughes MP explains his proposed solution to the crisis
Mr Hughes urged the government to tackle the issue of nurse shortages by promising next year's pay award would be paid in full and not staged like the last one.

He said: "There are now so few NHS nurses that the private sector is cashing in by filling the vacancies. This is a nonsense. Money must be spent recruiting badly-needed NHS nurses, not paying for private ones.

"Cash-strapped hospital trusts are having to pay private nurses inflated rates to keep wards open.

"After last year's staged pay awards and precious little success in recruiting new nurses, the government is to blame for this situation."

In an earlier warning in October, Mr Hughes said that the number of foreign nurses in the UK could double unless the government increased nurses' pay.

Government action

Earlier this month, former health minister Alan Milburn promised an overhaul of NHS pay, but only if next January's recommendations from the pay review bodies stayed within government spending targets.

Professional bodies reacted with anger at the postponement of reform at the time.

A Department of Health spokeswoman acknowledged that there were shortages but said the government was taking steps to recruit and retain more staff.

She highlighted the £50m programme launched in September to encourage former nurses who had left to have children to return to the profession.

"We are addressing the recruiting problem. Clearly that is going to be the only way to bring down the use of agency nurses," she said.

Advanced options | Search tips

Back to top | BBC News Home | BBC Homepage | ©

Health Contents

Background Briefings
Medical notes

Relevant Stories

29 Dec 98†|†Health
Why an NHS nurse is hard to find

17 Dec 98†|†Health
NHS workers reject pay reform plan

21 Oct 98†|†Health
Foreign nurses in UK 'could double'

09 Oct 98†|†Health
Novice nurses to get more pay

09 Sep 98†|†Health
£1,000 plus cash boost for health workers

08 Sep 98†|†Health
Nurses: 'We are already doing the job'

Internet Links

Royal College of Nursing

Department of Health

The BBC is not responsible for the content of external internet sites.

In this section

Disability in depth

Spotlight: Bristol inquiry

Antibiotics: A fading wonder

Mental health: An overview

Alternative medicine: A growth industry

The meningitis files

Long-term care: A special report

Aids up close

From cradle to grave

NHS reforms: A guide

NHS Performance 1999

From Special Report
NHS in crisis: Special report

British Medical Association conference '99

Royal College of Nursing conference '99