1. Medical locums and the NHS Employers Workforce QIPP Community Andrew Milner - Programme Lead London, 2 October 2012

2. The NHS Employers Workforce QIPP Community

3. Medical Locums- why so important? Market value estimated to be circa £500m Variations in the quality of staff available A time of change - revalidation, new frameworks and financial pressures.

4. Diagnostics Demand management Cost of supply The future... The process...

5. Specific issues... Diagnostics Lack of quality information The systems that do exist are disjointed. Demand management Workforce planning, service planning and education commissioning Junior doctor & foreign doctor restrictions Poor leave management. Supply Shortages in certain specialities Competition between trusts Difficulties securing staff through frameworks. The future

6. ‘Diagnosing’ your locum use... 1.Collate high quality management information Activity, total staffing, agency usage, temporary staffing usage, adherence to roster. 2.Establish a minimum data set and report on it regularly Number and grade of locums engaged, reasons for appointment, locum recruitment source (internal, external, agency), cost incurred, completion of performance review forms, unauthorised locum expenditure incurred. 3.Benchmark What are your high performing areas doing that other departments are not?

7. Reducing demand Workforce planning Succession planning Skill mix Effective use of time Reducing the time taken to recruit Consider alternative ways of working. Workforce planning Succession planning Skill mix Effective use of time Reducing the time taken to recruit Consider alternative ways of working. Policies and procedures Controls on planned leave Identify a rationale for booking all locums Ensure all bookings go through a single point. Policies and procedures Controls on planned leave Identify a rationale for booking all locums Ensure all bookings go through a single point.

8. Reducing the cost of supply Manage the billing process Work with fewer agencies Use procurement frameworks Look at working collaboratively

9. Any questions?