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Editorial Graham Scott EDITOR

Workforce planning needs to improve Agency nurses invariably receive a bad press. Their positive contribution to the health service is often overlooked amid headlines about how much they cost, and the threat they pose to continuity of care. Yet the NHS could not survive without them. Working for an agency can bring many benefits, both for the individual nurse and his or her employer. The flexibility afforded by nurses who prefer (or need) to pick and choose when they work can prove invaluable when there is a sudden or unexpected shortage of staff on a ward or in a community team. Managers are sometimes left with a short-term vacancy that can only be filled by someone from an agency or bank.

IT IS NOT AGENCY NURSES’ FAULT THAT ONE-OFF PAYMENTS CAN RUN INTO HUNDREDS OF POUNDS

Nonetheless, the amount of money spent on agency nurses is eye-watering. A Nursing Standard survey of 100 NHS trusts and health boards across the UK reveals that their total spend topped £175 million in 2012/13, up by £32 million on the previous 12 months. Workforce planning in nursing is notoriously complex, but it must be possible for supply and demand to be in better harmony. Within a matter of months there can be newly qualified nurses unable to find work, then a shortage that prompts a flood of recruits from overseas. Over the past three years there has been a drop of 5,000 in the number of nurses working in England’s health service, followed now by a promise that almost 4,000 staff will be recruited to fill the gaps that have been left. Agency nurses find themselves caught in the middle. It is not their fault that successive governments have made decisions on staffing levels based on the current financial year and the electoral cycle. Nor can they be blamed when managers approve one-off payments running into hundreds of pounds for a single shift. See news page 7 and analysis page 14 Air your views on

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Workforce planning needs to improve.

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