NHS England Cuts Agency staff Spending by Nearly $1 Billion

‍ Updated June 01, 2025

NHS England has significantly reduced its reliance on agency staff, achieving nearly a‍ $1 billion decrease in spending during the last financial year. This ⁢follows a commitment from ​Health Secretary Wes Streeting to slash agency costs⁤ by 30%.

The ⁢Department of Health and ​Social Care reported that NHS trusts spent almost $1 billion less on agency‍ staff‌ in 2024-25 compared ⁤to⁢ the previous ⁢year.Streeting addressed‌ the NHS Providers conference‌ in November, highlighting that⁣ the reliance on agency-provided staff to fill gaps due to a lack ‍of permanent employees was costing‌ approximately $3 billion annually.

Streeting’s proposals, ​which are still under ⁣consideration, include possibly banning NHS ⁣trusts​ from using agency staff for lower-level positions, such as healthcare assistants and domestic support workers. another measure aims to prevent ‍NHS staff from resigning only to rejoin as agency workers​ at higher pay rates.

In addition to agency staff, NHS trusts ‍frequently enough use “bank”⁤ staff—NHS employees working ⁣extra shifts at their own ⁤or nearby facilities—to cover staffing⁢ shortages.⁣ A report indicated that hospitals and GP surgeries across the U.K. spent $4.6 ​billion on agency staff and $5.8 billion on bank shifts ⁣annually.

Streeting and James mackey, chief ⁣executive of NHS‍ England, have​ jointly instructed⁤ NHS providers⁢ and integrated care board executives to target a 30% reduction in agency staff ​spending.⁤ Progress will be⁣ closely monitored,‍ and ​further legislative​ steps may ‍be‍ considered⁣ if sufficient progress isn’t made by autumn.

The directive also emphasizes that hospital administrators should ensure bank shift pay rates are competitive ⁢but ​do ‍not exceed agency rates. Trusts have already been directed to cut bank ​staff⁣ usage by at least⁣ 10%.

“The ⁤NHS is fully committed to making sure that every penny of taxpayers’ money is used wisely to the benefit of patients and the quality of care they receive,” said Elizabeth O’Mahony, NHS ‍England’s chief financial officer.

“Our reforms towards driving down agency spend by nearly ‌$1bn over the past year will boost frontline services and help to cut down ⁢waiting lists, while ensuring​ fairness for our permanent⁢ staff,” O’Mahony added.

What’s​ next

The NHS will continue to monitor agency​ staff spending and explore further measures to optimize staffing strategies ​and reduce costs, ensuring resources ⁢are directed towards frontline services and patient care.