Public Expenditure on Health and Personal Social Services 2009 - Health Committee Contents


10.  FOUNDATION TRUSTS

10.1.4  What was the expenditure by Foundation Trusts been on non-NHS (agency, etc.) staff (nursing, midwifery and health visiting staff; and other staff), for each year in respect of which data are available, in cash terms and as a percentage of total staff costs? (Q121)

Answer

  1.  Monitor does not collect information on the above expenditure in the categories shown.

  2.  NHS foundation trusts report aggregate expenditure on agency and contract staff as part of their annual accounts, which were presented to Parliament in the summer.

  3.  The expenditure on agency and contract staff has increased as a percentage of total staff costs and in cash terms in the three years from 2006-07: in 2006-07, it was 2.8% (£177 million), in 2007-08: 3.3% (£325 million), and in 2008-09: 4.3% (£622 million). During this period the number of NHS foundation trusts has increased from 59 (March 2007), to 89 (March 2008) and to 115 (March 2009).

  4.  See table 121 for a detailed breakdown of expenditure on agency and contract staff as a percentage of total staff costs by NHS foundation trust.

Table 121

AGENCY EXPENDITURE AS A PERCENTAGE OF TOTAL STAFF COSTS



  
  
  
  
  
  
  
  
£ million/percentage

  
2006-07 (2)
2007-08 (3)
2008-09
  
Agency/ contract staff costs
Total
staff costs
Agency costs as a
percentage of total
staff costs
Agency/ contract staff costs
Total
staff costs
Agency costs as a
percentage of total
staff costs
Agency/
contract
staff costs
Total
staff costs
Agency costs as a
percentage of total
staff costs

2gether NHS Foundation Trust
Not a Foundation Trust
  
  
1.2
38.0
3.2%
1.4
53.6
2.6%
Aintree University Hospitals NHS Foundation Trust
2.9
89.5
3.2%
4.8
138.9
3.5%
7.0
158.7
4.4%
Alder Hey Children's NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
0.8
71.3
1.2%
Barnsley Hospital NHS Foundation Trust
2.3
79.6
2.8%
2.7
85.5
3.1%
4.3
93.7
4.6%
Basildon & Thurrock University Hospitals NHS Foundation Trust
2.5
109.6
2.3%
3.5
123.7
2.8%
7.3
143.0
5.1%
Basingstoke and North Hampshire NHS Foundation Trust
0.2
26.1
0.9%
2.4
83.8
2.9%
3.9
92.9
4.2%
Berkshire Healthcare NHS Foundation Trust
Not a Foundation Trust
  
  
5.4
57.2
9.5%
9.2
68.9
13.3%
Birmingham and Solihull Mental Health NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
4.0
116.8
3.5%
Birmingham Children's Hospital NHS Foundation Trust
-
17.1
0.0%
5.6
105.7
5.3%
6.9
114.7
6.0%
Birmingham Women's NHS Foundation Trust
Not a Foundation Trust
  
  
0.4
8.3
5.1%
2.6
51.4
5.1%
Blackpool, Fylde and Wyre Hospitals NHS Foundation Trust
Not a Foundation Trust
  
  
0.5
45.3
1.1%
2.6
149.3
1.8%
Bradford Teaching Hospitals NHS Foundation Trust
5.0
153.4
3.3%
7.0
165.2
4.2%
10.2
178.4
5.7%
Burton Hospitals NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
0.5
35.8
1.5%
Calderdale and Huddersfield NHS Foundation Trust
2.6
109.0
2.4%
4.7
169.9
2.8%
6.3
184.8
3.4%
Cambridge University Hospitals NHS Foundation Trust
3.5
230.2
1.5%
5.4
252.2
2.1%
8.4
291.2
2.9%
Cambridgeshire and Peterborough NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
4.5
75.9
6.0%
Camden and Islington NHS Foundation Trust
Not a Foundation Trust
  
  
0.2
6.9
3.3%
3.2
84.0
3.8%
Central and North West London NHS Foundation Trust
Not a Foundation Trust
  
  
-
137.8
0.0%
-
162.2
0.0%
Central Manchester University Hospitals NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
3.1
87.9
3.5%
Chelsea and Westminster NHS Foundation Trust
2.9
63.6
4.5%
6.2
133.9
4.6%
11.4
148.0
7.7%
Cheshire and Wirral Partnership NHS Foundation Trust
Not a Foundation Trust
  
  
5.3
66.2
7.9%
3.1
94.1
3.3%
Chesterfield Royal Hospital NHS Foundation Trust
2.9
90.0
3.3%
4.5
95.8
4.7%
5.5
103.3
5.3%
Christie Hospital NHS Foundation Trust
Not a Foundation Trust
  
  
0.8
67.6
1.1%
1.4
78.2
1.8%
City Hospitals Sunderland NHS Foundation Trust
0.7
160.1
0.4%
2.9
161.0
1.8%
5.3
171.5
3.1%
Clatterbridge Centre for Oncology NHS Foundation Trust
0.2
14.2
1.6%
0.4
22.0
1.6%
0.4
25.4
1.7%
Colchester Hospital University NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
4.2
105.7
3.9%
Countess of Chester Hospital NHS Foundation Trust
0.8
94.4
0.9%
0.9
101.7
0.9%
1.2
108.6
1.1%
County Durham and Darlington NHS Foundation Trust
0.1
28.8
0.3%
1.3
177.7
0.7%
3.3
191.1
1.7%
Cumbria Partnership NHS Foundation Trust
Not a Foundation Trust
  
  
0.5
22.3
2.4%
1.2
45.9
2.6%
Derby Hospitals NHS Foundation Trust
2.2
188.2
1.2%
2.9
199.6
1.4%
7.6
218.7
3.5%
Doncaster & Bassetlaw Hospitals NHS Foundation Trust
2.2
175.0
1.3%
3.6
186.2
1.9%
6.2
202.0
3.0%
Dorset County Hospital NHS Foundation Trust
Not a Foundation Trust
  
  
2.1
69.4
3.0%
4.6
91.4
5.1%
Dorset Healthcare NHS Foundation Trust
Not a Foundation Trust
  
  
3.0
54.7
5.4%
2.6
56.8
4.6%
Dudley Group of Hospitals NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
3.7
64.3
5.7%
East Kent Hospitals University NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
1.3
22.1
5.9%
East London NHS Foundation Trust
Not a Foundation Trust
  
  
0.9
50.2
1.8%
3.9
126.9
3.1%
Frimley Park Hospital NHS Foundation Trust
6.3
102.7
6.1%
6.1
110.9
5.5%
7.9
127.1
6.2%
Gateshead Health NHS Foundation Trust
0.3
97.8
0.3%
1.1
104.4
1.1%
2.4
112.6
2.1%
Gloucestershire Hospitals NHS Foundation Trust
1.8
205.8
0.9%
4.1
221.9
1.8%
5.0
241.3
2.1%
Great Western Hospitals NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
1.5
35.9
4.1%
Greater Manchester West Mental Health NHS Foundation Trust
Not a Foundation Trust
  
  
1.3
15.8
8.5%
6.2
96.4
6.4%
Guy's & St Thomas' Hospital NHS Foundation Trust
18.5
398.8
4.6%
27.5
412.5
6.7%
38.9
461.0
8.4%
Harrogate and District NHS Foundation Trust
0.5
60.3
0.9%
1.1
66.6
1.7%
1.9
76.1
2.4%
Heart of England NHS Foundation Trust
7.2
189.8
3.8%
10.3
293.9
3.5%
16.0
319.3
5.0%
Heatherwood and Wexham Park Hospitals NHS Foundation Trust
Not a Foundation Trust
  
  
9.6
111.3
8.6%
10.6
145.9
7.3%
Hertfordshire Partnership NHS Foundation Trust
Not a Foundation Trust
  
  
3.7
70.4
5.3%
4.7
114.7
4.1%
Homerton University Hospital NHS Foundation Trust
8.2
95.8
8.6%
8.6
97.5
8.8%
10.5
101.9
10.3%
James Paget University Hospitals NHS Foundation Trust
-
57.7
0.0%
4.3
92.8
4.7%
4.3
99.1
4.3%
Kettering General Hospital NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
1.5
46.2
3.3%
King's College Hospital NHS Foundation Trust
1.6
84.5
1.8%
6.4
269.6
2.4%
9.2
297.3
3.1%
Lancashire Care NHS Foundation Trust
Not a Foundation Trust
  
  
5.4
43.8
12.3%
6.1
135.9
4.5%
Lancashire Teaching Hospitals NHS Foundation Trust
4.4
185.8
2.4%
5.2
197.5
2.6%
6.9
217.7
3.2%
Leeds Partnerships NHS Foundation Trust
Not a Foundation Trust
  
  
3.0
54.2
5.5%
5.0
86.7
5.7%
Lincolnshire Partnership NHS Foundation Trust
Not a Foundation Trust
  
  
0.5
29.9
1.6%
0.9
61.3
1.5%
Liverpool Women's NHS Foundation Trust
0.5
48.0
1.0%
0.6
48.7
1.3%
1.0
50.5
2.1%
Luton and Dunstable Hospitals NHS Foundation Trust
1.9
66.5
2.9%
3.9
106.3
3.6%
7.0
121.0
5.8%
Medway NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
4.5
126.7
3.5%
Mid Cheshire Hospitals NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
4.3
103.2
4.2%
Mid Staffordshire NHS Foundation Trust
Not a Foundation Trust
  
  
0.3
14.4
1.9%
1.9
87.0
2.2%
Milton Keynes Hospital NHS Foundation Trust
Not a Foundation Trust
  
  
1.1
42.3
2.5%
2.7
93.0
2.9%
Moorfield Eye Hospital NHS Foundation Trust
2.2
52.5
4.3%
3.3
58.4
5.6%
4.4
65.2
6.8%
Norfolk and Norwich University Hospitals NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
0.9
190.2
0.5%
Norfolk and Waveney Mental Health NHS Foundation Trust
Not a Foundation Trust
  
  
0.1
12.8
0.7%
3.2
83.2
3.8%
North East London NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
8.7
69.8
12.4%
North Essex Partnership NHS Foundation Trust
Not a Foundation Trust
  
  
0.9
35.9
2.4%
3.0
73.1
4.2%
North Tees and Hartlepool NHS Foundation Trust
Not a Foundation Trust
  
  
0.6
45.4
1.4%
4.4
165.5
2.6%
Northern Lincolnshire and Goole NHS Foundation Trust
Not a Foundation Trust
  
  
1.7
155.3
1.1%
2.2
182.2
1.2%
Northumbria Healthcare NHS Foundation Trust
0.6
114.6
0.5%
0.9
176.0
0.5%
1.7
186.5
0.9%
Oxfordshire & Buckinghamshire Mental Health NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
7.6
95.9
8.0%
Oxleas NHS Foundation Trust
1.9
73.4
2.6%
1.9
84.8
2.2%
2.4
88.3
2.7%
Papworth Hospital NHS Foundation Trust
0.8
44.8
1.8%
1.0
48.5
2.1%
1.3
55.3
2.3%
Pennine Care NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
1.3
63.8
2.0%
Peterborough and Stamford Hospitals NHS Foundation Trust
1.3
101.9
1.3%
2.1
107.7
1.9%
3.3
117.7
2.8%
Poole Hospitals NHS Foundation Trust
Not a Foundation Trust
  
  
0.8
47.8
1.7%
3.5
121.8
2.9%
Queen Victoria Hospital NHS Foundation Trust
0.4
30.0
1.3%
0.2
31.6
0.7%
0.3
34.4
0.8%
Rotherham Doncaster and South Humber Mental Health NHS Foundation Trust
Not a Foundation Trust
  
  
1.2
43.6
2.7%
3.0
78.8
3.8%
Royal Berkshire NHS Foundation Trust
3.8
116.6
3.3%
8.2
151.9
5.4%
13.2
166.8
7.9%
Royal Bolton Hospital NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
1.5
64.3
2.3%
Royal Devon and Exeter NHS Foundation Trust
2.9
150.0
1.9%
3.7
161.0
2.3%
4.7
177.8
2.6%
Royal National Hospital For Rheumatic Diseases NHS Foundation Trust
0.2
10.3
2.3%
0.3
10.2
3.3%
0.6
11.1
5.3%
Salford Royal NHS Foundation Trust
2.7
98.6
2.7%
5.6
157.5
3.5%
7.8
173.6
4.5%
Salisbury NHS Foundation Trust
1.5
76.8
2.0%
2.1
98.5
2.1%
5.0
108.8
4.6%
Sandwell Mental Health and Social Care NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
0.1
5.8
1.6%
Sheffield Children's NHS Foundation Trust
0.7
39.9
1.7%
1.0
64.6
1.6%
1.5
72.6
2.1%
Sheffield Health and Social Care NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
1.8
67.1
2.6%
Sheffield Teaching Hospitals NHS Foundation Trust
4.3
416.4
1.0%
5.2
432.5
1.2%
5.8
454.1
1.3%
Sherwood Forest Hospitals NHS Foundation Trust
0.4
20.4
1.7%
2.6
122.8
2.1%
4.4
131.3
3.3%
Somerset Partnership NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
2.2
35.0
6.3%
South Devon Healthcare NHS Foundation Trust
0.1
9.2
0.7%
0.7
113.1
0.7%
1.9
123.5
1.5%
South Essex Partnership NHS Foundation Trust
1.4
63.3
2.3%
-
70.5
0.0%
-
75.8
0.0%
South London and Maudsley NHS Foundation Trust
4.8
89.5
5.3%
10.5
221.6
4.7%
45.8
242.7
18.9%
South Staffordshire and Shropshire Healthcare NHS Foundation Trust
1.1
59.0
1.8%
3.0
95.8
3.1%
4.6
108.9
4.2%
South Tyneside NHS Foundation Trust
0.4
62.9
0.7%
0.6
63.7
1.0%
1.2
66.4
1.8%
Southend University Hospital NHS Foundation Trust
2.5
106.1
2.4%
4.0
134.0
3.0%
6.9
144.7
4.8%
Stockport NHS Foundation Trust
2.7
115.6
2.3%
2.6
126.8
2.0%
4.1
139.1
3.0%
Surrey and Borders Partnership NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
12.9
126.5
10.2%
Sussex Partnership NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
5.5
99.1
5.5%
Tameside Hospital NHS Foundation Trust
Not a Foundation Trust
  
  
0.5
13.8
3.8%
4.4
87.9
5.0%
Taunton & Somerset NHS Foundation Trust
Not a Foundation Trust
  
  
1.1
39.6
2.8%
5.8
129.4
4.5%
Tavistock and Portman NHS Foundation Trust
-
7.9
0.0%
1.4
20.1
7.2%
1.2
20.8
6.0%
Tees, Esk and Wear Valleys NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
3.0
121.8
2.5%
The Newcastle Upon Tyne Hospitals NHS Foundation Trust
30.3
294.6
10.3%
38.0
372.0
10.2%
42.1
398.3
10.6%
The Rotherham NHS Foundation Trust
0.4
95.0
0.4%
0.4
98.9
0.4%
1.9
107.0
1.7%
The Royal Bournemouth And Christchurch Hospitals NHS Foundation Trust
2.0
110.3
1.8%
2.2
119.4
1.8%
1.8
130.4
1.4%
The Royal Marsden NHS Foundation Trust
2.8
101.6
2.7%
3.4
103.7
3.3%
8.5
111.7
7.6%
The Royal Orthopaedic Hospital NHS Foundation Trust
-
4.9
0.0%
-
30.8
0.0%
-
32.8
0.0%
University College London Hospitals NHS Foundation Trust
12.5
272.3
4.6%
13.7
290.1
4.7%
18.3
323.5
5.7%
University Hospital of South Manchester NHS Foundation Trust
1.3
66.6
2.0%
3.8
167.1
2.3%
4.7
179.0
2.6%
University Hospitals Birmingham NHS Foundation Trust
8.1
227.9
3.5%
8.4
240.8
3.5%
8.7
257.5
3.4%
University Hospitals Bristol NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
9.4
233.4
4.0%
Warrington and Halton Hospitals NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
5.1
44.3
11.6%
Wirral University Teaching NHS Foundation Trust
Not a Foundation Trust
  
  
1.2
128.7
0.9%
1.8
177.8
1.0%
Wrightington, Wigan and Leigh NHS Foundation Trust
Not a Foundation Trust
  
  
Not a Foundation Trust
  
  
2.2
48.0
4.6%
Yeovil District Hospital NHS Foundation Trust
0.5
46.0
1.2%
1.4
59.4
2.4%
2.9
64.2
4.5%
York Hospitals NHS Foundation Trust
Not a Foundation Trust
  
  
1.2
128.4
0.9%
3.8
139.7
2.8%
Total
177.0
6,301.1
2.8%
324.8
9,916.7
3.3%
622.1
14,300.6
4.3%

Source:
Monitor (NHS foundation trusts' consolidated accounts)
  
Footnotes:
1.  The number of NHS foundation trusts has increased each year: by 31 March 2007, there were 59 NHS foundation trusts, by 31 March 2008: 89 NHS foundation trusts and by 31 March 2009: 115 NHS foundation trusts.
2.  Original 2006-07 as per NHS foundation trusts' consolidated accounts 2006-07.
3.  Restated 2007-08 as per NHS foundation trusts' consolidated accounts 2008-09.





 
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Prepared 20 January 2010