Cost of A&E locum doctors soar 60% in three years

Data shows £83.3m was spent on locums last year – up from £52m in 2009-10

Dominic Harris
Tuesday 14 January 2014 03:04 EST
Comments
Data shows £83.3m was spent on locums last year – up from £52m in 2009-10
Data shows £83.3m was spent on locums last year – up from £52m in 2009-10 (Bethany Clarke/Getty Images)

Your support helps us to tell the story

From reproductive rights to climate change to Big Tech, The Independent is on the ground when the story is developing. Whether it's investigating the financials of Elon Musk's pro-Trump PAC or producing our latest documentary, 'The A Word', which shines a light on the American women fighting for reproductive rights, we know how important it is to parse out the facts from the messaging.

At such a critical moment in US history, we need reporters on the ground. Your donation allows us to keep sending journalists to speak to both sides of the story.

The Independent is trusted by Americans across the entire political spectrum. And unlike many other quality news outlets, we choose not to lock Americans out of our reporting and analysis with paywalls. We believe quality journalism should be available to everyone, paid for by those who can afford it.

Your support makes all the difference.

The cost of paying temporary doctors to work at accident and emergency units in England increased by 60 per cent in three years as hospitals struggle to find permanent staff.

Data obtained by the Labour Party showed that spending on locums was £83.3 million last year, a rise from £52 million in 2009-10, the BBC said.

Agency doctors are employed for almost one in 10 consultant shifts and up to one in six more junior posts, the figures reveal.

A locum can earn £1,500 a shift, more than four times what it would cost to employ a permanent doctor in the same role.

Doctors groups said the situation was “absurd” and damaged morale.

Dr Cliff Mann, president of the College of Emergency Medicine, said such spending was “unwise”.

“It is not an efficient way of spending NHS money and can be damaging for morale when doctors work alongside other, sometimes less qualified doctors, who are earning much more,” he told the BBC.

“But this has really been building for the past decade. There has been a lack of job planning and it is now very hard to attract doctors to this speciality.”

According to the college in the last three years A&E units have filled just half of decision-making posts, with 383 specialist registrar posts vacant, The Times said.

Dr Mann told the newspaper: “We've only recruited 50% for each of the past three years. When people say there's no money, there is - we're throwing money down the drain. It's absurd. The only people who benefit from this are the locum agencies.”

He said that A&E units were trapped as doctors realised they could earn almost four times their normal shift rate by working as a locum at a different hospital.

The figures were uncovered after Labour received data from 108 of the 145 hospital trusts it questioned under the Freedom of Information Act.

Shadow health secretary Andy Burnham said the increasing costs were linked to the Coalition's “disastrous” reorganisation of the NHS.

He told the BBC: “This government is guilty of gross mismanagement of the NHS. They are paying more for an A&E service which is getting worse by the week.”

The College of Emergency Medicine believes unsocial hours and increased pressures on A&E departments have made it a less attractive prospect for doctors, the BBC said.

Last week it was revealed that around two thirds of the 144 trusts that run major A&E departments are missing targets of seeing patients within four hours of their arrival.

PA

Join our commenting forum

Join thought-provoking conversations, follow other Independent readers and see their replies

Comments

Thank you for registering

Please refresh the page or navigate to another page on the site to be automatically logged inPlease refresh your browser to be logged in