NHS introduces plans to curb agency spending
Monitor and the NHS Trust Development Authority announced details of plans to curb agency spending previously announced by the Secretary for Health, Jeremy Hunt.
From October 19th 2015, NHS trusts will only be able to use agencies on frameworks to secure agency staff. Off-framework agencies will only be allowed if the trust has prior permission from Monitor/TDA. Those trusts that still want to use off-framework agencies must prove they offer value for money, be a quality supplier of staff and have been procured in accordance with the relevant legislation.
Trusts will be set limits on how much can be spent on agency staff and a cap on hourly rates will be set in the near future. The ultimate aim of these measures is to reduce the annual £3.3bn agency bill.
The NHS Trust Development Authority’s Nursing Director, Peter Blythin, said: “Whilst a number of existing local frameworks work well to support local nurse directors to find high quality agency staff, there is a recognition that more can be done to give trusts greater powers to have more control over their use of agency staff in the future.”
Read the full article: NHS introduces plans to curb agency spending»
Planning to relocate within the UK for a better job? Some information you might consider
Edward de Bono pioneered the system of “Six Thinking Hats“, in which, for example, you look at the same situation from different perspectives when taking a decision. In the article below, we’ll try to give you the perspective of getting some of the information which you might find useful about relocating.
We suggest you read this article in this way: instead of trying to click on all the links and getting all the information, try to just have a look all the graphics and tables which are already present in the article, and only click on the additional links when you require extra information.
There is a lot of information to take in, so consider going to the most relevant information to you.
Top links to consider
- UK, interactive map: A very good overall map to start looking: Best Places to Live in England, UK | illustreets
- UK, interactive map showing where do people commute in England: Commuting in the UK – Office for National Statistics
- UK, interactive database with very detailed official information: UK Local Area – Neighbourhood Profile – Schools – House Prices – Council Tax – Gas / Electricity Prices
Cost of living, UK and International
How inflation has changed in the last 10 years (inflation greatly affects the cost of living due to price increases):
Source: Consumer Price Inflation, July 2015. Latest data: Consumer Price Indices – ONS.
- UK, interactive map, cost of living, 2015: Cost of Living in United Kingdom. 2015 prices in United Kingdom.
- UK, interactive map, cost of living, 2011 (you should click on the images): What is the real cost of living for UK employees today?.
- International – table, Local purchasing power, 2014: Countries Compared by Cost of living > Local purchasing power. International Statistics at NationMaster.com.
- UK, interactive price comparison for various places in the UK: Cost of Living in United Kingdom. Prices in United Kingdom. Updated Aug 2015.
- International, static map, UK prices compared with other countries of the world: Cost of living infographic: Thinking of moving abroad? Here is a list of the cheapest and most expensive countries – Business News – Business – The Independent.
- International, text, UK prices compared with other countries, mostly of Europe: The cost of living: How prices in UK compare with rest of world – Mirror Online.
Housing – UK and London
- UK, static map housing affordability: Property affordability map? Most and least reasonable house prices in England | This is Money
- UK, interactive map: Average house prices: Heatmap of UK property values – Zoopla
- UK, interactive map: Average house prices: Average house prices: how expensive is your area? | Visual.ONS
- UK, interactive map: Average house prices: Where can I afford to live? – BBC News
- UK, interactive map: Price change: Land Registry heat maps
- UK, interactive map: Price change: Mapped: How much has your house price moved in 10 years? – Telegraph
- London, interactive map with accommodation prices: Interactive map: London’s renting crisis – FT.com
- London, interactive map with accommodation prices, by tube station: London property prices by tube line map
- UK, interactive map annual housing costs: Savills UK Blog | Residential Property | Interactive map annual housing costs in England and Wales
- UK, interactive map showing price increase in accommodation: Savills UK Blog | Residential Property | Interactive map 10 year real house price growth
- UK, static table on Housing expenditure Housing expenditure
- UK, static map with price-to-salary ratio: The house prices-to-salaries map which shows why you may never get a mortgage | Money | The Guardian
- UK, interactive database – house price index: Land Registry – search the house price index
- UK, static map with price-to-salary ratio: UK and London house prices mapped: An average wage in Blackpool will buy you less than two square metres in Chelsea | City A.M.
- UK, interactive map with influence of nearest universities to housing costs: Graphic reveals how the best schools in England drive up property values | Daily Mail Online
Crime rates, UK
- UK, interactive: crime rates map: England crime map: annual crime rates | illustreets
- UK, interactive: crime rates map: UK Crime Heatmap
Social life
- UK, static maps with various personality types: Where does my personality fit in? – BBC News
- UK, static maps: Various social classes: Huge survey reveals seven social classes in UK – BBC News; for full study, please visit: A New Model of Social Class: Findings from the BBC’s Great British Class Survey Experiment
- UK, interactive map: current population age and future trends: The UK’s ageing population: Use this interactive map to see the country’s average age getting older | City A.M.
- UK, interactive graph – Religious demographics: Religion
- UK, interactive graph – Ethnicity demographics: Ethnicity
- UK, interactive map: Single people: Census Analysis – Single People – ONS
- UK, interactive map: population Census work day population
- UK, interactive map: International passport holders: Census map analysis – Passports – ONS
- UK, interactive map: Country of birth: Census map analysis – Country of Birth – ONS
- UK, interactive map: Short-term residents: Census map analysis – Short-term residents – ONS
- UK, interactive map: Sound map – Accents & dialects | British Library – Sounds
- International, graph – Different types of cultures: “The Culture Map”: 8 Scales For Work – Business Insider
Air quality levels across the UK
The map below shows the locations of the Air Quality Management Areas (AQMAs) across the UK and which local authorities have AQMAs declared (source – Ordnance Survey data © Crown copyright and database).
- UK, interactive map: Air Pollution in United Kingdom;
- UK, interactive map: Pollution forecast;
- UK, interactive map: Interactive monitoring networks map;
- Study, London: Understanding the Health Impacts of Air Pollution in London;
- Article, London: London becomes first world city to quantify the health effects of nitrogen dioxide NO2 | Greenway;
- General web sites to consult on the matter: Defra, Air Quality England, HealthyAir, London Air.
Smaller factors to be considered
- International, static charts about nurses salaries in various countries: Doctors’ and nurses’ salaries.
- UK, interactive maps of climate (temperature in all UK, all year round): UK climate information – Met Office
- International, interactive maps of climate (please click on table cells): Weather Conditions and Climate Statistics (Averages and Records)
- UK, interactive map of Hospitals: Find UK Hospitals Inside a Radius
- UK, static list of hospitals: List of hospitals in England – Wikipedia, the free encyclopedia
- UK, interactive map of Universities: UK Active Map of Universities and HE Institutions
- UK, interactive map of Universities: UK University Map
- Lots of statistics about UK: [ARCHIVED CONTENT] 2011 Census Interactive – ONS
- UK, interactive map – Unemployment: [ARCHIVED CONTENT] Census Map – Labour Market – ONS
- UK, interactive graph: an average household expenditure: How much do households spend per week?
- UK, table, static: taxes: Tax map of Britain shows middle-class towns clobbered by the Treasury | Daily Mail Online
- UK, static table – transportation: UK transport mapped: Every bus stop, train station, ferry port and taxi rank in Britain. Welcome to the ultimate transport data | News | The Guardian
- UK, interactive map: list of airports in the UK: The Airport Guides – Air Travel Made Easy
- UK, interactive map: tourist attractions Via Michelin: tourist attractions viamichelin.co.uk
- UK, interactive map: What to visit in the UK? Places to visit in UK countries – holiday destinations & tourist map
- UK, interactive map: What do people tend to eat, across the UK? The Foods of England – Food Map of England
- UK, static list of cities with cultural attractions: England’s best cultural cities: From Newcastle to Portsmouth, these iconic metropolises offer visitors a host of treats | Daily Mail Online
Other factors to be considered when deciding to move, for which we couldn’t provide any external data, and which you will need to factor in for yourself
- International, article: How to decide where to live | Penelope Trunk Careers
- International, article: How to Decide Where to Live | The Art of Manliness
As a final suggestion, think about the other factors you might want to take into account, and try on other ‘hats’ than just data:
Meet Us at the RCN Bulletin Jobs fair in London on September 10th and 11th
Nursing Personnel will be exhibiting at the RCN Bulletin Jobs Fair in London’s Business Design Centre on September 10th and 11th.
It is free to register and there are numerous seminars to attend, covering topics such as revalidation and making the most of appraisals.
You will be able to meet the team at stand 74, get career tips and advice and understand how to make the most of your nursing career with a Framework nursing agency. Our experienced staff are there to help, so please drop by.
We look forward to seeing you there!
The Business Design Centre exterior, Matt Brown, https://goo.gl/cbE62s
Think your Job with a Off-Framework Agency is Secure? Hunt Set to Tackle Waste in NHS via measures on Expensive Staffing Agencies
Think your job is secure by working with an off-framework agency? The news below might give you some other ideas. (Note – Nursing Personnel is a framework agency, so the information below does not apply to it)
Health Secretary Jeremy Hunt recently announced (read here») new measures to tackle spending on agencies in the NHS, with the ultimate aim of reducing the £3.3bn agency staff bill.
These will include putting an end to the use of off-framework agencies, capping agency spending for those trusts in financial difficulty and setting a maximum hourly rate for agency staff. Management consultants have also been targeted by the Health Secretary in these new measures, with contracts over £50,000 needing official approval.
Jeremy Hunt said: “Expensive staffing agencies are quite simply ripping off the NHS. It’s outrageous that taxpayers are being taken for a ride by companies charging up to £3,500 a shift for a doctor. The NHS is bigger than all of these companies, so we’ll use that bargaining power to drive down rates and beat them at their own game.”
Read the full article: Clampdown on staffing agencies charging NHS extortionate rates »
File:Jeremy Hunt visiting the Kaiser Permanente Center for Total Health, 700 Second St, Washington, USA-3June2013.jpg, https://goo.gl/uN7W8J, Creative Commons Attribution-Share Alike 2.0 Generic
Why Are Nursing Agencies Popular with Nurses in the UK?
The NHS is one of the largest employers in the world, employing over 1.6 million people in the United Kingdom ». The vast majority of its workforce is based in England, with over 351,000 nurses » employed. While working for the NHS is an excellent option for many nurses, temporary work offers many advantages. In this article, I will look at what factors influence nurses’ decisions to register with agencies.
A Choice of Locations is Vital
Having jobs in the right locations helps attract nurses from across the country and increases the number of filled shifts. We looked at our data (Nursing Personnel internal data) concerning the issue and found the following:
- Visitors from regional cities such as Nottingham increased from 2.36% in July 2014 to January 2015 to 2.95% in the first half of this year. Coventry saw huge growth, rising to 1.23% after recording very little traffic in the July 2014 to January 2015.
- Northern cities are proving popular, with nurses from Newcastle (2.73%), Manchester (1.76%) and Sheffield (2.3%) among the most engaged users.
- Cities, unlike regional towns, dominate among sources of potential leads. The Midlands are one of the most popular locations, with Birmingham (6.14%) and Nottingham (3.1%) leading the charge.
- Surprisingly, northern cities such as Newcastle upon Tyne (2.53%) and Manchester (1.69%), proved to be more popular among prospective leads than Southern cities such as Southampton (2%) and Plymouth (1.38%).
High Pay Rates are Important
Having jobs across a range of locations needs to be matched by competitive pay rates. Take a glance at nursing agency ads and you will notice rates, almost literally, popping out at you. Rates, of course, vary according to bands, professions and locations. You will earn more in a city but the cost of living will be much higher.
What are some good locations for nurses interested in working for high rates of pay? Nursing Personnel investigated this area (Nursing Personnel internal data) and came to the following conclusions:
- Surprisingly, the Midlands is more popular among nurses looking for high rates than their Southern counterparts (Birmingham 4.75% vs Southampton 4%)
- Nurses in smaller towns are more interested in rates at hospitals close to them. Scarborough (2%) and Swindon (2%) are as equally popular as Nottingham (2%) when it comes to the level of interest in rates.
- London does not have an overall popularity in rates among nurses. Only 10.6% of nurses were interested in rates in the capital, suggesting a range of locations and rates are more attractive to RGNs registering at agencies.
Great Support is Essential
We recently ran a poll on social media to ask ‘what attracts you to nursing agencies?’ ‘Great support’ was the answer we got back ». Nurses looking at an agency with great locations and rates need the support to back them up, ensuring they can get booked into shifts quickly and easily.
Why Framework agencies are changing the market
Nurses looking to register with agencies should consider registering with framework agencies before signing-up elsewhere. Agencies on the national framework are highly regulated, with regular audits performed to ensure they are adhering to strict audit criteria.
Framework agencies aim to protect patients by meeting the NHS CQC standards for patient safety and protect nurses working to CQC best practice standards compliance. Agencies must pass audits otherwise they will not be able to supply nursing staff. They will always, therefore, have to maintain consistently high standards compared to off-framework agencies.
Nurses registering with these agencies will be required to undergo more thorough registration procedures, but the benefit is greater safety for patients at hospitals run by trusts which use framework agencies.
NHS trusts will have to choose framework agencies, increasing the level of available work for nurses. New measures announced by Health Secretary Jeremy Hunt in June will bar the use of off-framework agencies. If you want to work for agencies in the future, the only place to do so will be at a framework agency.
This is one of the major benefits of working for framework nursing agencies – for details, see the article: Clampdown on staffing agencies charging NHS extortionate rates ».
Technology may make a big difference to nurses in the future
According to the 2014 Mobile Consumer UK by Deloitte, over 35 million people in the UK have a smartphone ». The figure is 8% higher than 2013 and is growing rapidly thanks to the advent of 4G and free Wi-Fi almost everywhere you look. Technology is the cornerstone of agencies, which are primarily web-based, and rely on websites, apps and other technologies to help retain and recruit candidates. What does this mean for nurses interested in working for nursing agencies?
- More training will be done online – Aurion Learning » predicts that “In 2019, 50 per cent of all classes will be delivered online.”
- Your nursing agency app could also be the gateway to training sessions. Aurion » says that “Currently, 74 per cent of people use mobile devices for E-learning.” Your iPad or iPhone could be used instead of a classroom.
- Having a great social media and blogging presence will increasingly be more attractive to nurses in the future. There are 1.28 billion Facebook users according to Digital Insights », while “23% of internet time is spent on blogs and social networks” – a great agency blog with engaging and original content will always be more appealing to nurses.
Conclusion: Why are nurses choosing to register with agencies?
The United Kingdom has one of the well-respected healthcare systems in the world. Full Fact says research done by the Nuffield Trust and Health Foundation indicated “England had 5.8 nurses (including midwives and health visitors) per 1,000 of the population in 2011 according to analysis by the Nuffield Trust and Health Foundation ».”
According to the latest Care Quality Commission inpatient satisfaction survey, 27% of respondents gave a 10 out of 10 rating » to the treatment received. Nursing agencies help ensure these high standards are maintained by providing additional staff when and as needed.
Our article has shown that agencies are attracting nurses because of competitive rates of pay and jobs across a range of locations. Framework agencies offer a high standard of staffing to clients thanks to rigorous audits which safeguard patient safety.