Understanding agency worker pay and NHS policy  

The current healthcare landscape is challenging, with significant changes affecting various aspects of the workforce, including shifting pay rates for agency workers. We want to be as transparent as possible and help you understand these changes and the market forces behind them.  

NHS policy plays a crucial role in setting pay rates for agency workers. These policies are designed to manage overall healthcare spending, ensure consistency, and address budgetary rules within the NHS.  

Pulse and its directors do not have the authority to independently set or reduce these rates. Instead, we operate within frameworks defined by NHS policies and guidelines. Pay rate adjustments are made by our clients and are a direct response to NHS policy changes and market forces beyond our control. As we move forward, we will continue to advocate for fair and competitive pay rates for our healthcare professionals. 

Pulse is a fully compliant agency on all UK frameworks. The NHS is phasing out the use of off-framework agencies from the market. This move aims to streamline the process and ensure that all staffing solutions align with NHS policies. However, it also means that pay rates can become standardised.  

The NHS has also faced budget constraints that directly impact international staffing. With limited budgets, there is increased pressure to reduce reliance on international staff and prioritise cost-effective and cost-saving solutions, including domestic agency workers.    

Despite one in nine posts across the NHS being vacant, there is significant pressure to reduce spending on agency staff. The NHS’s dependency on agency workers is undeniable. They provide flexibility, expertise, and critical support, especially during times of staffing shortages in the core workforce. The goal is to balance this dependency with fiscal responsibility, resulting in tighter controls for pay rates.  

It’s important to acknowledge the indispensable role that agency staff play in the NHS. Their contribution is invaluable. At Pulse, we understand the impact these changes have on your livelihoods, and we remain committed to supporting our healthcare professionals in navigating this evolving environment.  

Our specialist recruitment teams place thousands of healthcare professionals into temporary and permanent roles throughout the NHS and private healthcare sector every year. To learn more about our latest opportunities or any of our exciting upcoming roles, you can request a call back or speak to our expert teams by phone or email.