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  Hi Peter , the agency costs are high , but at some point the " political " ( small p ) decision was made to ban overtime , and a lot of posts are frozen, An NHS employee is more expensive than most employees given the Holiday allowance (that needs back filling ) the period of paid sick pay 6 months ful 6 months half after ? 5 years . The redundancy package is exceptionally generous I believe its one month for every year worked rather than one week . The extra paid paternity and maternity leave . So although the hourly rate is at some times astronomical long term in a pure pounds and shillngs assesment Agency work out cheaper . If what is being judged is bodies avaliable for work and comparative costs agency wins out everytime . There is no comitment from the employer to the individual and a shift can be cancelled at very short notice with no penalty if the staffing levels change .

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