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NHS: Agency Workers

Asked by Helen MorganLiberal DemocratDepartment of Health and Social CareTabled Answered 3 June 2025UIN 54417

The question

To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the potential savings to the public purse from reduced usage of on-framework staffing agencies.

Answered by Karin Smyth

We have answered this question referencing the Planning Guidance for 2024/25, where NHSE England stated that trusts should end the use of off-framework agencies.

The 2025/26 NHS priorities and operational planning guidance aims to improve procurement, contract management, and work to accept operating models that meet commercial standards.

Use of off-framework agencies, which tends to be more expensive, is at record lows, contributing to a forecast cost reduction of £1.4 billion from 2024/25 (approximately 38% reduction) - NHS England » Financial performance update.

Off-framework use is actively monitored through NHS England governance mechanisms, with additional oversight applied to Trusts with recurring non-compliance.

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