Eincyf/Our ref:
Gofynnwch am/Please ask for:
RhifFfôn /Telephone:
E-bost/E-mail: / FOI/397/17
Katie Diong
01267 239670
/ BwrddIechydPrifysgol Hywel Dda
Corporate Offices
Adeilad Ystwyth
HafanDerwen
ParcDewiSant
Fynnon Job
Caerfyrddin
Sir Gaerfyrddin
SA31 3BB
Hywel Dda University Health Board
Corporate Offices
Ystwyth Building
HafanDerwen
St David's Park
Job's Well Road
Carmarthen
Carmarthenshire
SA31 3BB

9 November2017

Dear Sarah

Information Requested Under The Freedom Of Information Act 2000

Further to your request of 6 October 2017, I am now able to provide you with the information requested in regardto our spending on agency staff.

Your request

  1. What is the total agency spend for nursing at the health board since 01/01/2017 to date
  1. What is the 'off framework' agency spend at the health board since 01/01/2017 to date
  1. Please can you provide a breakdown of agency spend for each niche area at the health board:
  • A&E
  • ITU
  • General Nursing
  • Mental Health
  • Theatres
  1. Please can you provide a list of your NHS Framework and 'off framework' suppliers

Our response

  1. Between 1 January 2017 and 30 September 2017 Hywel Dda University Health Board (the UHB) spent a total of £13,742,637 on agency nurses.
  1. Between 1 January 2017 and 30 September 2017 the UHB spent a total of £7,724,436 on ‘off framework’ agency nurses.
  1. A breakdown of expenditure on agency nursing by department between 1 January 2017 and 30 September 2017 is provided within the table below.Please note:

BGH – Bronglais General Hospital

GGH – Glangwili General Hospital

PPH – Prince Philip Hospital

WGH – Withybush General Hospital

Department / Total
CARDIOVASCULAR SERVICES BGH / £577,773
CARDIOVASCULAR SERVICES GGH / £803,047
CARDIOVASCULAR SERVICES PPH / £277,318
CARDIOVASCULAR SERVICES WGH / £892,577
CARMS COMMUNITY HOSPITALS / £26,476
CARMS COMMUNITY NURSING / £226
CARMS PALLIATIVE CARE / £7,931
CERED COMMUNITY HOSPITALS / £49,382
CHILD AND ADOLESCENT / £412,030
CRITICAL CARE, ENDOSCOPY, ANAESTHETICS, PAIN AND UROLOGY / £1,260,553
GENERAL SURGERY AND BREAST CARE / £1,188,721
HEAD AND NECK / £93,047
LEARNING DISABILITIES / £29,009
MEDICAL SPECIALTIES BGH / £803,346
MEDICAL SPECIALTIES GGH / £1,071,772
MEDICAL SPECIALTIES PPH / £716,271
MEDICAL SPECIALTIES WGH / £963,900
MENTAL HEALTH SERVICES / £277,621
ONCOLOGY AND CANCER SERVICES / £1,577
ORTHOPAEDICS, TRAUMA & ASSOCIATED SERVICES / £849,956
OUTPATIENTS, DERMATOLOGY AND RHEUMATOLOGY / £1,377
PEMBS COMMUNITY HOSPITALS / £94,050
PEMBS COMMUNITY NURSING / £246
PHYSIOTHERAPY / -£327
PODIATRY / £658
RADIOLOGY / £577
RESERVES / -£468
THEATRES, DAY SURGERY UNIT AND PRE-ASSESSMENT / £227,144
WOMEN'S SERVICES / £189,361
Grand Total / £5,319,177
  1. A list of each of our framework and ‘off framework’ suppliers of agency staff is provided within the table overleaf.

Framework/Off Framework / Agency Name
Framework / Allied Healthcare Group Ltd
Bluestones Medical
Castlerock Recruitment Group Ltd
Direct Nursing Services Ltd
Medacs Healthcare Plc
MPS Healthcare Ltd
Richmond Nursing Agency Ltd
Trinity Nursing Services Ltd
Off Framework / Thornbury Nursing Services Ltd

I trust this provides you with the information you require. However should you be dissatisfied with the way your request has been handled by the UHB or you have other concerns, you have the right to appeal and request a review of our decision, you should write to:

Board Secretary

Hywel Dda University Health Board

Corporate Offices

Ystwyth Building

Hafan Derwen

St David's Park

Job's Well Road

Carmarthen

Carmarthenshire/Sir Gaerfyrddin

SA31 3BB

If following your review you remain dissatisfied with the outcome of your appeal, you may apply directly to the Information Commissioner’s Office (ICO) for a decision. Generally, the ICO cannot make a decision unless you have exhausted the appeals procedure provided by Hywel Dda Health Board.

The Information Commissioner can be contacted at:

The Information Commissioner’s Office

2nd Floor, Churchill House

Churchill Way

Cardiff

CF10 2HH

Most of the information provided by the UHB in response to Freedom of Information Act 2000 requests will be subject to copyright protection. In most cases the copyright will be owned by Hywel Dda University Local Health Board. The copyright in other information may be owned by another person or organisation, as indicated on the information itself.

You are free to use any information supplied for your own non-commercial research or private study purposes. The information may also be used for any other purpose allowed by a limitation or exception in copyright law, such as news reporting. However, any other type of re-use, for example by publishing the information in analogue or digital form, including on the internet, will require the permission of the copyright owner.

For information where the copyright is owned by Hywel Dda University Local Health Board, details of the conditions for re-use can be found on our website at For information where the copyright is owned by another person or organisation you must apply to the copyright owner to obtain their permission.

Yours sincerely

Katie Diong

SwyddogRhyddidGwybodaeth/Freedom of Information Officer

SwyddfeyddCorfforaethol, Adeilad Ystwyth,
HafanDerwen, ParcDewiSant, HeolFfynnon Job,
Caerfyrddin, Sir Gaerfyrddin, SA31 3BB / Corporate Offices, Ystwyth Building,
HafanDerwen, St Davids Park, Job’s Well Road, Carmarthen, Carmarthenshire, SA31 3BB / Cadeirydd / Chair
Mrs Bernardine Rees OBE
PrifWeithredwr/Chief Executive
Mr Steve Moore
BwrddIechydPrifysgol Hywel Dda ywenwgweithredolBwrddIechydLleol Prifysgol Hywel Dda
Hywel Dda University Health Board is the operational name of Hywel Dda University Local Health Board
Mae BwrddIechyd Prifysgol Hywel Dda ynamgylchedddi-fwg Hywel Dda University Health Board operates a smoke free environment