Changes with Agency Staff in the NHS

The NHS from the 1 April 2017 will not be using agencies to employ individuals who are substantively employed elsewhere in the NHS. Trusts subject to the agency rules will only be able to engage substantive NHS staff working additional hours through staff banks, and / or overtime, and deduct PAYE as appropriate.

UNISON’s Concerns:

Our recent pay survey results showed that – of those doing additional work – 7% were doing this via agencies.  This is therefore likely to cut off an existing route by which members can ‘top up’ their salary to make up for inadequate pay rises.

If this instruction leads to more staff being asked to work additional hours, we  will want our members to be paid at the correct rate.

Staff in the NHS are already working under considerable pressure.  This instruction may translate into greater demands for staff to work extra hours.  We are worried that the potential impact on the health and wellbeing of staff may not be considered.

If this impacts you as members we want to hear from you, please talk to your local reps.

NHS Improvement has paused plans to ban health service employees from picking up extra work with agencies, following a campaign by UNISON.

UNISON head of health Christina McAnea has made a statement on the National UNISON website:


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