Agency & Bank Spend for Locum Doctors Aug-Oct 2025

Reference: 25-26352

Date response sent: 27/11/2025

Details of enquiry

In the period 1st August 2025 to 31st October 2025 please provide a breakdown of:

1. Total trust spend with framework agencies for locum doctors

Please provide a further breakdown for locum doctors by:

a. Spend per grade

b. Spend per specialty

c. Spend per agency name

2. Total trust spend with off-framework agencies for locums doctors

Please provide a further breakdown for locum doctors by:

a. Spend per grade

b. Spend per specialty

c. Spend per agency name

3. Total trust spend with the internal trust bank or associated external provider for locum doctors

Please provide a further breakdown for locum doctors by:

a. Spend per grade

b. Spend per specialty

c. Spend per internal or associated external provider

4. Please confirm your allocated budget for agency locum doctors for the period 1st August 2025 to 31st October 2025

5. Please confirm the name of the framework used for the supply of locum doctors in your trust.

Response sent

In the period 1st August 2025 to 31st October 2025 please provide a breakdown of:

1. Total trust spend with framework agencies for locum doctors

£80,103.23

Please provide a further breakdown for locum doctors by:

a. Spend per grade

Locum Consultant: £76,066.57

Locum Specialist Registrar:  £4,036.66

b. Spend per specialty

Psychiatry – £80,103.23

c. Spend per agency name

£80,103.23- Pulse

2. Total trust spend with off-framework agencies for locums doctors

Nil

3. Total trust spend with the internal trust bank or associated external provider for locum doctors

£80,103.23

Please provide a further breakdown for locum doctors by:

a. Spend per grade

• • Locum Consultant: £76,066.57
  • Locum Specialist Registrar: £4,036.66

b. Spend per specialty

See our response to 2a above – this relates to Mental Health only.

c. Spend per internal or associated external provider

Not Applicable.  The Trust manages its own Bank

4. Please confirm your allocated budget for agency locum doctors for the period 1st August 2025 to 31st October 2025

Our budget is nil and spend is reimbursed to us.

We provide certain local acute hospitals’ mental health services with shift cover by our own resident doctors (previously known as junior doctors).

 

We would occasionally hire locum doctors from an agency, when there is a gap in the shift/s we are committed to fill at local acute Trusts but cannot otherwise do, for which we are reimbursed in full by the relevant local acute Trust.

 

As the net hire costs for these shifts are nil to our Trust, due to full reimbursement, as explained above, we do not have a set budget to spend on locum doctors and do not keep historic records of this spend.

 

You might find it helpful to note that the Tavistock and Portman NHS Foundation Trust is not a hospital, it is a small specialist mental health Trust, which does not provide acute services, nor inpatient patient services, nor detention facilities, and does not have an A&E department.