To ask the Scottish Executive what the cost was of bank and agency nurses for (a) 1999-2000, (b) 2000-01, (c) 2001-02, (d) 2002-03 and (e) 2003-04, broken down by NHS board.
The cost of bank nurses, broken down by NHS board area, is shown in the table below. Information on agency nurses is published in tables E12 to E15 on the Scottish Health Statistics website at www.isdscotland.org/workforce.
Table E14 provides a breakdown of agency nurse costs by NHS board area. Information for the year 2003-04 is not currently available.
Table A: Cost of Bank Nursing and Midwifery staff; trend by NHS Board
| | Bank Cost |
| 1999-2000 | 2000-01 | 2001-02 | 2002-03 |
| Total | 21,604,589 | 24,887,686 | 31,262,459 | 38,964,926 |
| Qualified | 12,583,106 | 14,500,531 | 17,418,060 | 21,009,771 |
| Argyll and Clyde | 1,062,302 | 916,881 | 1,433,734 | 1,439,255 |
| Ayrshire and Arran | 597,460 | 712,906 | 636,966 | 670,635 |
| Borders | 441,479 | 388,994 | 499,133 | 577,034 |
| Dumfries and Galloway | 26,108 | 52,375 | 131,702 | 112,050 |
| Fife | 816,222 | 1,017,115 | 993,307 | 1,353,110 |
| Forth Valley | 285,853 | 357,867 | 490,591 | 1,223,219 |
| Grampian | 1,816,785 | 2,231,590 | 2,183,714 | 2,453,245 |
| Greater Glasgow | 2,205,412 | 2,669,129 | 3,014,238 | 3,889,517 |
| Highland | 701,147 | 867,490 | 1,057,952 | 1,153,761 |
| Lanarkshire | 509,310 | 853,111 | 790,805 | 1,271,099 |
| Lothian | 2,892,078 | 3,169,205 | 4,827,831 | 5,399,373 |
| Orkney | 72,737 | 92,516 | 164,120 | 182,335 |
| Shetland | 79,335 | 90,038 | 100,874 | 141,900 |
| Tayside | 887,211 | 906,948 | 950,294 | 871,909 |
| Western Isles | 103,215 | 158,853 | 128,788 | 213,512 |
| Special Health Boards | 69,780 | 10,803 | 8,614 | 46,711 |
| Unqualified | 9,021,483 | 10,387,155 | 13,844,399 | 17,955,155 |
| Argyll and Clyde | 610,977 | 589,300 | 1,099,805 | 1,227,354 |
| Ayrshire and Arran | 841,888 | 1,099,425 | 1,182,610 | 1,425,957 |
| Borders | 351,405 | 406,807 | 519,456 | 538,621 |
| Dumfries and Galloway | 5,307 | - | 15,413 | 3,261 |
| Fife | 572,585 | 578,472 | 624,662 | 747,370 |
| Forth Valley | 190,639 | 304,281 | 395,774 | 1,210,864 |
| Grampian | 977,906 | 1,265,578 | 1,514,693 | 1,504,279 |
| Greater Glasgow | 1,824,883 | 2,455,682 | 3,500,659 | 4,842,372 |
| Highland | 371,654 | 445,277 | 558,409 | 687,574 |
| Lanarkshire | 413,156 | 661,852 | 762,735 | 1,117,152 |
| Lothian | 2,342,527 | 1,917,739 | 2,797,841 | 3,609,200 |
| Orkney | 24,598 | 26,321 | 51,865 | 56,755 |
| Shetland | 49,532 | 51,090 | 52,765 | 64,455 |
| Tayside | 161,643 | 470,356 | 653,401 | 778,223 |
| Western Isles | 59,288 | 118,029 | 116,884 | 149,803 |
| Special Health Boards | 240,168 | 1,655 | 2,824 | 3,021 |
Source: Earning Related Base Of Data
Bank nurses are employees of NHSScotland whilst agency nurses are employed by private nursing agencies and both are utilised by individual NHS employers to cover temporary nursing gaps. These gaps will continue to occur but employers have been encouraged to follow the guidance in Temporary Measures the Accounts Commission for Scotland Report 2000 on reducing usage and costs through a hierarchy of options in which preference for bank is higher than more expensive agency nurses.
The Partnership Agreement commits to implementing nationally co-ordinated nursing bank arrangements in Scotland and a project is currently examining a range of options to reduce the reliance on agency nurses, assist nurse placement across Scotland and improve patient services. This will report in the autumn.
The Scottish Health Workforce Plan 2004 Baseline report published inApril 2004, focuses on our drive to increase our capacity, reduce waiting times,improve outcomes and provide care in new and better ways.