In a climate where NHS Trusts are under mounting pressure to reduce spend while maintaining workforce supply, the data tells a powerful story: smart workforce management is making a real impact.

Between FY 23/24 and FY 24/25, Plus Us clients saw overall agency spend fall — but savings increase. That’s not a contradiction — it’s the outcome of more Trusts shifting a greater proportion of their temporary workforce through Direct Engagement (DE) and maximising use of our Workforce Manager platform.

Key Wins from the Past Year

More workers onboarded, especially in NMNC roles
Spend in Nursing, Midwifery and Non-Clinical staffing has grown — not due to inefficiency, but because more roles are now captured within the DE model. That means increased savings and better visibility for our Trust partners.

DE % up across the board
Trusts are becoming more sophisticated with their agency supply chains. An uplift in DE penetration means more spend is now being processed through tax-efficient, compliant mechanisms — reducing risk and increasing savings.

Average agency charge rates stabilising
We’ve helped Trusts keep control of rates, with positive movements across several staff groups and bands. That’s the result of real-time MI, rate card compliance tools, and consistent agency engagement.

The Bottom Line? DE is Working.

The data proves that the Plus Us approach delivers more than savings — it brings visibility, control, and compliance to a complex part of the NHS staffing puzzle.

If you’re looking to improve agency workforce performance without compromising supply, now is the time to talk.

Download our detailed report to explore the data and insights in full — and contact us to learn how our DE technology and workforce consultancy could support your Trust.