29/05/2026
π°UNISON PRESS RELEASEπ°
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UNISON notes with serious concern the report published by the Northern Ireland Audit Office (27th May) on the use of temporary nursing staff in Northern Ireland. The report finds that annual expenditure on agency nursing staff in Northern Ireland has tripled in six years, reaching Β£162 million in 2024-25. Commenting on the report, UNISON Northern Ireland Head of Bargaining and Representation John Patrick Clayton said:
ββThis report must serve as a wake-up call to the Minister of Health, Department of Health and Health and Social Care (HSC) Trusts on the urgent need to tackle unacceptably high levels of spending on agency nursing. UNISON has long argued that this doesnβt provide for the most effective use of public money.
We have been engaging with the Department of Health and HSC employers calling on them to reduce agency costs and to seek greater investment in directly employed staff. This report shows that much more needs to be done.
In addition to specific reforms needed to the bank system operated by employers, it is vital that Safe Staffing legislation which places clear duties to workforce plan come forward to the Assembly without further delay. Real investment must be made in recruiting and retaining the workforce our services need through pay structure reform.ββ
UNISON Regional Organiser Conor McCarthy said:
ββUNISON has clear, actionable proposals that we believe can curb this unsustainable use of public funds. By listening to our members and the wider HSC workforce, we think the Department and employers can do much more to redirect resources into permanent staff pay and better working conditions.
HSC employers should implement robust reforms of existing bank arrangements that would create greater financial reward for staff who are willing to take on bank shifts, as opposed to the high level of cost that comes with using agency staff. In addition, we are seeking that bank staff be paid more promptly.
These measures would incentivise existing directly employed staff effectively covering gaps in rotas, improve continuity of patient care and represent a much better use of resources.
The Department and employers should engage with us on such proposals to prevent this unsustainable use of funding.ββ