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Agency & Bank Spend Locum Doctors Nov ’25 to Jan ’26,

Reference: 25-26456

Date response sent: 24/02/2026

Details of enquiry

  1. In the period 1st November 2025 to 31st January 2026 please provide a breakdown of Total trust spend with framework agencies for locum doctors
  2. Please provide a further breakdown for locum doctors by:

a. Spend per grade

b. Spend per specialty

c. Spend per agency name

  1.  In the period 1st November 2025 to 31st January 2026 please provide a breakdown of Total trust spend with off-framework agencies for locums doctors
  2. Please provide a further breakdown for locum doctors by:

a. Spend per grade

b. Spend per specialty

c. Spend per agency name

  1. In the period 1st November 2025 to 31st January 2026 please provide a breakdown of Total trust spend with the internal trust bank or associated external provider for locum doctors
  2. 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

  1. Please confirm your allocated budget for agency locum doctors for the period 1st November 2025 to 31st January 2026

Response sent

  1. In the period 1st November 2025 to 31st January 2026 please provide a breakdown of Total trust spend with framework agencies for locum doctors

£101,652

  1. Please provide a further breakdown for locum doctors by:

a. Spend per grade

Locum Consultant:  £101,652

b. Spend per specialty

Psychiatry £101,652

c.Spend per agency name

£101,652 Pulse

  1.  In the period 1st November 2025 to 31st January 2026 please provide a breakdown of Total trust spend with off-framework agencies for locums doctors

Nil

  1. Please provide a further breakdown for locum doctors by:

a. Spend per grade

Nil

b. Spend per specialty

Nil

c.Spend per agency name

Nil

  1. In the period 1st November 2025 to 31st January 2026 please provide a breakdown of Total trust spend with the internal trust bank or associated external provider for locum doctors

£47,506

  1. Please provide a further breakdown for locum doctors by:

a. Spend per grade

Locum Specialist Registrar £47,506

b. Spend per specialty

Psychiatry £47,506

c. Spend per internal or associated external provider

Not Applicable. The Trust manages its own Bank

 

  1. Please confirm your allocated budget for agency locum doctors for the period 1st November 2025 to 31st January 2026

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.

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