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‘Incredible’ spending spree by NHS boards on agency nurses

Spending on agency nurses has increased.
Spending on agency nurses has increased.

Spending on agency and bank nurses to cover workforce gaps has soared by a third in Tayside to nearly £9m a year, new figures show.

The rise comes as the number of nurses and midwives on the health board’s books fell by 119 in just a month, according to the NHS Scotland data.

Liz Smith, the Conservative MSP for Mid Scotland and Fife, said the “incredible” figures shine a light on staff shortages on our wards.

Tayside saw its agency and bank nurse bill go up from £6.7m to £8.8m in a year, the latest figures for 2015/16 show. Five years ago the health board was forking out £3.5m a year.

While Fife has seen its spending on its agency and bank nursing staff go down on last year, its annual bill has risen from £5m in 2010/11 to £8m in 2015/16.

The IDS figures also revealed the number hours worked by such staff has gone up by 62% in Tayside and 29% in Fife since 2011.

Ms Smith said: “Everyone accepts there will be time when cover needs to be called in, and that this cover comes at a price. However, for so many hours to be filled by non-permanent staff members is quite incredible.”

She added: “The Scottish Government must ensure that hospitals in Tayside and Fife are properly staffed and funded.”

George Doherty, human resources director at NHS Tayside, said they “sometimes face hard-to-fill vacancies in some specialities” but take a “proactive approach to avoiding unnecessary reliance on use of agency personnel”.

That includes targeting new nursing and midwifery graduates, Mr Doherty said.

He added: “While some short or longer-term workforce requirements can mean the use of agency staffing is necessary, our nursing and midwifery policies ensure that any use of agency nurses is only considered as a final option.”

Health secretary Shona Robison said nationally the spend on agency nurses has fallen since 2006 and in the latest figures accounted for just 0.4% of overall staffing numbers.

She added: “However, we know more needs to be done and earlier this year we launched a new initiative, in partnership with NHS National Services Scotland, to drive down the cost and use of all temporary agency staff.”