London Agency and Consultancy Expenditure

Roedd y cais yn rhannol lwyddiannus.

Dear NHS England

Can you please supply me with a monthly breakdown for 2013/14 of London Regional Office and Local Area Team combined spending on agency staff and consultants, freelances and contracted staff not on your payroll.

I specifically require:

1 - Breakdown of agency costs for 2013/14 YTD by month. Please include these costs in the month work was undertaken, not based on invoice dates.

2 - Which agencies are being used? Including spend with each agency for 2013/14 YTD.

3 - Reasons for each agency use (by post) in 2013/14 YTD, including a proportion attributed to established posts in your structures.

4 - The upper and lower rate paid to agencies for each agenda for change grade, together with the average.

5 - Breakdown of length of each agency post in 2013/14 YTD

6 - A breakdown of all Moorhouse Consultants used in 2013/14 (Grade, cost per day, number of days), including total cost per month (in the month of activity, not billed - i.e. your accruals)

7 - The business cases attributed to each engagement with Moorhouse Consulting, which demonstrates why the work cannot be done by existing staff.

8 - Your running cost targets and the process for how this was set.

9 - Your actual achievement of these running costs.

10 - The number of people in your Southside building, together with the total cost, who you consider exempt from your running cost targets.

Yours faithfully,

Mrs Shirely Wick

Contactus England (HEALTH AND SOCIAL CARE INFORMATION CENTRE), NHS England

Thank you for contacting NHS England.

 

Your Freedom of Information (FOI) request, which we received on 06 March
2014 has been allocated a reference number of SDR 222792.  Please quote
this reference in any further communication regarding this matter.

 

Your FOI request has been passed to the Case Management Team and a Case
Officer will acknowledge your request within two working days.  We will
respond to your FOI request within 20 working days in line with the FOI
Act 2000.

 

If you require any further information or wish to speak to someone about
your request, please contact NHS England at the email address and
telephone number shown below.

 

Yours sincerely

 

 

 

NHS England

PO Box 16738 | Redditch | B97 9PT

0300 3 11 22 33

[email address]

www.england.nhs.uk

 

 

 

 

 

dangos adrannau a ddyfynnir

FOI England (NHS ENGLAND), NHS England

Dear Ms Wick

 

Our reference: SDR-222792 - Acknowledgement

 

Thank you for your Freedom of Information (FOI) request dated 6 March
2014.

 

Please be assured that your request is being dealt with under the terms of
the Freedom of Information Act 2000 and will be answered within twenty
working days.

 

If you have any queries about this request or wish to contact us again,
please email [1][email address] and the message will be
forwarded appropriately. Please remember to quote the above reference
number in any future communications.

 

Please do not reply directly to this email. This message has been sent
from a central mailbox and incoming messages will not be received.

 

Yours sincerely,

 

Chloe Wilkins

Freedom of Information

NHS England

 

Tel: 0300 311 2233

Email: [2][email address]

Website: [3]www.england.nhs.uk

Address: NHS England, PO Box 16738, REDDITCH, B97 9PT

 

dangos adrannau a ddyfynnir

References

Visible links
1. mailto:[email address]
2. mailto:[email address]
3. http://www.england.nhs.uk/

FOI England (NHS ENGLAND), NHS England

1 Atodiad

Dear Mrs Wick,

 

Re:      Freedom of Information request (Our Ref: SDR – 222792)

 

Thank you for your Freedom of Information (FOI) request dated 6 March
2014.

 

Your exact request was;

 

“Can you please supply me with a monthly breakdown for 2013/14 of London
Regional Office and Local Area Team combined spending on agency staff and
consultants, freelances and contracted staff not on your payroll.

 

I specifically require:

 

1 - Breakdown of agency costs for 2013/14 YTD by month. Please include
these costs in the month work was undertaken, not based on invoice dates.

 

2 - Which agencies are being used? Including spend with each agency for
2013/14 YTD.

 

3 - Reasons for each agency use (by post) in 2013/14 YTD, including a
proportion attributed to established posts in your structures.

 

4 - The upper and lower rate paid to agencies for each agenda for change
grade, together with the average.

 

5 - Breakdown of length of each agency post in 2013/14 YTD

 

6 - A breakdown of all Moorhouse Consultants used in 2013/14 (Grade, cost
per day, number of days), including total cost per month (in the month of
activity, not billed - i.e. your accruals)

 

7 - The business cases attributed to each engagement with Moorhouse
Consulting, which demonstrates why the work cannot be done by existing
staff.

 

8 - Your running cost targets and the process for how this was set.

 

9 - Your actual achievement of these running costs.

 

10 - The number of people in your Southside building, together with the
total cost, who you consider exempt from your running cost targets.”

 

NHS England holds some information related to your request.

 

However, we estimate that to respond to your request as it is currently
framed would exceed the cost limit as set out in Section 12(1) of the FOI
Act. Section 12(1) states that a public authority can refuse a request if
complying with it would exceed the appropriate limit of £450 (which
represents 18 hours).  This represents the estimated cost of one person
spending this time in determining whether the information is held, and
locating, retrieving and extracting the information.

 

Section 12(1) is an absolute exemption therefore we are not required to
assess the public interest test in its application.

 

Typically, where information requested would take over 18 hours to
compile, NHS England advises applicants how they can revise their request
in order to limit the time it will take to compile a response. However,
due to the complexities surrounding the information you have requested
this is regretfully not possible in this case. Instead, however, the
London Region team (hereon in referred to as ‘the region’) have pulled
together information which addresses the issues raised in your questions,
but does not directly answer your questions in the format requested. I
hope you will still find this useful.

 

The region does not record agency and consultancy expenditure in the
format requested. Data can only be extracted from the General Ledger
showing payment made. Due to the volume of transaction covered, analysis
at the level requested is not possible. The file extract contains over
4000 lines.

The Region has an established structure of 508 Whole Time Equivalents
(WTEs) based at Southside, at a gross cost of £35.8m. Of these staff 69
WTEs (£5.9m) are budgeted against Programme Costs (relating to clinical
services) and not charged to the Running Cost allocation. The Programme
staff work within the GP Revalidation & Assurance department and for the
Clinical Networks and Senates.

 

The Running Cost expenditure has been extracted from the ledger using the
subjective codes relating to Agency Staff and Consultancy. General
Practitioner costs for sessional staff totalling £619,000,000 have been
excluded as these do not relate to management consultancy but clinical
services provided by GP practices incorrectly coded.

 

The agency and consultancy expenditure up to February is £4.2m, £2.8m
agency and £1.2m consultancy. The payments by supplier and by month are
listed in the tables in appendix 1. The agency staff costs have been
predominantly used to cover vacancies within the Running Cost-funded
established structure. As at December 2013 the budgeted cost of the vacant
posts was £3.5m p.a.

 

The Region was issued with a Running Cost pay budget at the beginning of
the year by the NHS England central team. This budget was devolved between
the Area Teams within NHS England largely on the basis of population, with
a weighting for London. London’s share was 16.6%, £31m, excluding Primary
Care Support services, which were subject to a ‘Lift and Shift’ of staff
and costs, pending a review and consultation now being carried out. 

 

The region reports to the central team each month on its budgetary
performance. As of month 11 we are forecasting break-even.

 

The total expenditure (Running Cost & Programme and Commissioning) with
Moorhouse consulting was excluded from the analysis above and is listed
separately below, totalling £0.9m of procured consultancy support and
£0.8m of interim staff seconded:

 

Consultancy procurement
 Direct Commissioning Planning and Contracting - programme
management 381,700
Primary Care Support services Transformation Programme - London
region   344,700
A&E Winter Performance Improvement Project 195,800
Interim Staffing
 Specialised Commissioning 222,605
Public Health 59,280
Direct Commissioning Planning and Contracting  209,700
Primary Care 291,720

A brief summary of the procured consultancy support for each project is
set out below:

 

Direct Commissioning Programme Management Office

The London region was established at 1^st April 2013, a new unit within a
completely new organisation, with a Direct Commissioning budget of £5.8bn.
External support was required to both support contracting and assure the
planning processes.

 

Primary Care Support Services (FHS) Programme

A national programme has been established to drive significant cost
reductions in the provision of PCS / FHS across all regions during
2013/14, with a subsequent transformation of those services in 2014/15 and
beyond. This is a major change management programme (London has 6
providers and 230 staff). External support was required develop a range of
options and associated business cases for an ‘at scale’ solution.

 

A&E Programme

External support was required, including launching and embedding (at
speed) an improved A&E reporting and performance management process across
the new system, specifically emphasising the responsibilities of Trusts,
CCGs and Urgent Care Boards.

 

I hope this information is helpful. However, if you are dissatisfied, you
have the right to ask for an internal review by writing to us, within two
months of the date of this letter, to:

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Email: [1][email address]

 

Please quote the reference number SDR-222792 in any future communications.

 

If you are not content with the outcome of the internal review, you have
the right to apply directly to the Information Commissioner for a
decision. The Information Commissioner’s Office (ICO) can be contacted at:

 

The Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

K9 5AF

 

Telephone: 0303 123 1113

Email: [2][email address].uk  

Website: www.ico.gov.uk

 

Please note there is no charge for making an appeal.

 

Please be aware that in line with the Information Commissioner’s directive
on the disclosure of information under the FOI Act, your request will be
anonymised and published on our website as part of our disclosure log.

 

Please do not reply to this email. It has been sent from a central mailbox
and incoming messages will not be received.     

 

Yours sincerely,

 

 

Chloe Wilkins

Freedom of Information

NHS England

 

Tel: 0300 311 2233

Email: [3][email address]

Website: [4]www.england.nhs.uk

Address: NHS England, PO Box 16738, REDDITCH, B97 9PT

 

dangos adrannau a ddyfynnir

References

Visible links
1. mailto:[email address]
2. mailto:[email address]
3. mailto:[email address]
4. http://www.england.nhs.uk/