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NHS Staff Bank and Agency Management

Integrated staff bank and agency managed services for NHS trusts and health boards, helping optimise staff banks, reduce agency reliance and strengthen workforce control across acute, mental health and community healthcare settings.
Smiling managed services team member with headset

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Typical staffing cost savings

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Minimum fill rates achieved

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Staffing support

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Supply chain partners
Healthcare staffing team showing togetherness and team working

Reducing Agency Reliance Through Better Bank Utilisation

Medacs Healthcare helps NHS trusts and health boards to optimise staff banks, reduce agency reliance and gain greater control over temporary staffing operations.
 
Whether you are looking to strengthen staff banks or develop new regional bank models, we provide the expertise and operational support needed to help you meet national workforce targets.
 
Our proven delivery model integrates staff bank and agency management, creating a joined-up approach to temporary staffing that maximises bank utilisation, streamlines processes and safely reduces overall temporary workforce costs.
 
Working as an extension of your team, our workforce specialists help you unlock the full potential of your staff banks, embedding best-practice processes and strengthening control over rates, agency use and spend.
 
Our NHS-first approach puts your organisation front and centre. We promote and build on your brand and employee value proposition, using them to grow a loyal and engaged bank workforce that reflects your values.

A Trusted NHS Staff Bank Provider With the Expertise to Deliver Results

Running an effective staff bank requires more than technology alone.

It needs a dedicated team with the expertise to safely manage demand and scrutinise every booking, alongside focused recruitment and proactive engagement to keep bank workers active and available.

As an experienced NHS staff bank provider, Medacs Healthcare works on the ground with trusts and health boards to:

  • Increase staff bank fill 
  • Reduce agency spend
  • Embed bank-first strategies
  • Strengthen rate control
  • Understand and manage what is driving demand 
  • Improve workforce reporting and visibility
  • Meet national workforce and financial CIP targets

Our teams understand the balance between controlling temporary staffing and maintaining effective services.

Working shoulder to shoulder with department and service leads, we embed sustainable improvements that strengthen operational resilience without compromising the safe delivery of patient care.

Why Medacs Healthcare is a Trusted Managed Service Provider 

Our staff bank and agency management services are built around the realities of NHS workforce pressures. With embedded onsite teams, a proven record of reducing agency reliance and a genuine NHS-first approach, our partners know we can strengthen staff banks and bring temporary staffing costs under control.
Professional meeting scene, symbolising Medacs Healthcare’s consultative approach to staffing and vendor services.

Master Vendor Services - Agency Supply Chain Management

While many NHS organisations now choose to integrate bank and agency operations, standalone agency management remains a valuable option for those that prefer to retain separate workforce models.

For more than three decades, Medacs Healthcare has delivered master vendor services to a broad range of NHS partners, managing supplier relationships and taking responsibility for all agency bookings, fulfilment and invoicing.
 
Our approach helps NHS organisations manage agency demand more effectively, maintain greater control over spend and reduce the complexity of dealing with multiple suppliers.
 
Vendor-neutral models can also be provided where these are better aligned to organisational requirements.
Smiling consultant with clipboard, symbolising Medacs Healthcare’s strategic workforce planning and support.

Reducing Agency Reliance Through Targeted Permanent and Bank Recruitment

Reducing reliance on temporary staffing requires more than effective bank and agency management. It also depends on attracting and retaining the people needed to fill substantive vacancies and strengthen your internal workforce.

Medacs Healthcare has a proven track record of recruiting into hard-to-fill roles and supporting NHS organisations to reduce long-standing vacancy levels. From individual priority vacancies to large-scale permanent recruitment programmes, our specialist teams connect organisations with high-quality candidates across a wide range of clinical and non-clinical disciplines.

We can also act as a dedicated Recruitment Process Outsourcing (RPO) partner, providing an end-to-end recruitment and onboarding service. Drawing on established talent networks, supply chain partners and streamlined recruitment processes, we help reduce recruitment costs, shorten time-to-hire and improve candidate experience.

Testimonials

What Our Customers Say

Feedback from NHS workforce leaders who have partnered with Medacs Healthcare 

Transformed every aspect of our temporary medical staffing and staff bank operations, from booking and administration right through to payroll and reporting. With their onsite support and systems, we’re now maximising our available workforce and have the granular data insights we need to make evidence-based decisions on rates and long-term recruitment strategies.

Cardiff and Vale University Health Board

Deputy Director of People and Culture

We now have a sustainable recruitment model and the right processes in place to ensure we continue to recruit the support workers we need to consistently deliver care in all our regional locations

CIC

CEO

Medacs have provided a high quality, consistent nursing workforce and the contract has allowed us to reduce our reliance on last minute shift demand therefore improving levels of patient care and stability on our wards. Medacs were able to increase their candidate pipeline from zero to fill 100% of the guaranteed volume demand over a 6 month period through targeted recruitment and facilitated increased training levels for staff. I have found Medacs to be responsive and creative in supporting our ongoing staffing needs and feedback from ward managers has been very positive.

Gloucestershire Health and Care NHS Foundation Trust

Deputy Director of Quality and Workforce Transformation

Medacs Healthcare has supported the Trust to transform our approach to temporary staffing. A key priority for the Trust is safeguarding quality standards and the safe delivery of patient care. Our partnership has allowed us to maintain our focus on quality and safety whilst reducing costs and achieving a consistently high fill rate

Harrogate and District NHS Foundation Trust

HR Business Partner

Upgrading to a Managed Service has almost doubled our nursing fill and delivered impressive cost savings in less than 12 months. Medacs Healthcare’s onsite team are like a seamless extension of our own teams and have really improved the communication between different divisions, giving us the rota control we needed and a much more accurate understanding of our true nursing staffing needs.

Lancashire Teaching Hospitals NHS Foundation Trust

Workforce Education and Strategy Director

Rate reductions have resulted in significant savings over the past 12 months, 38% higher than planned, a really good achievement

Lancashire Teaching Hospitals NHS Foundation Trust

Assistant Finance Director

Medacs has really helped us to improve our staffing operations, consistently providing insight and enabling our delivery of savings, excellent fill rates and 100% DE efficiency on these fill rates year on year. They have provided insight and expertise to support us in our transition to manage our supplementary staffing operations moving forward, for which we are extremely grateful. 

NHS Highland

Workforce Director


Medacs OOH team is so responsive and helpful. They always listen, respond and work hard to solve any staffing issues that arise. I have been impressed by their professionalism and their commitment to try and respond to any challenges they are presented with. No matter what your issue is they always make you feel supported and I have no hesitation in recommending the service they provide.

Oxford Health NHS Foundation Trust

Senior Clinical Lead

We trust Medacs Healthcare implicitly to efficiently oversee our temporary staffing operations, over the past few years they have reliably maintained fill and consistently delivered savings.

Swansea Bay University Health Board

Assistant Director - Workforce & OD

 

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FAQs - Frequently Asked Questions

FAQs on NHS Staff Bank and Agency Management

Bringing staff bank and agency management together creates a single, joined-up temporary workforce strategy. This helps ensure bank workers are prioritised before agency use, improves visibility of workforce demand, strengthens control over rates and supplier usage, and reduces unnecessary temporary staffing costs.
In a master vendor model, one lead supplier manages agency staffing and typically has the first opportunity to fill vacancies using its own workforce before releasing bookings to a wider supply chain if needed.

In a neutral vendor model, the provider does not prioritise its own agency supply. Instead, vacancies are released across an approved network of agency suppliers at the same time, helping to create greater competition on quality, availability and price.
 
The best approach depends on your workforce priorities. A master vendor model can be effective where organisations want a streamlined route to agency supply through a single lead provider. A neutral vendor model is often preferred where maintaining existing supplier relationships, increasing competition and driving agency cost reduction are key objectives. Our teams can support both approaches and integrate with staff bank management as part of a wider temporary workforce strategy.
Increasing staff bank utilisation requires a combination of bank-only recruitment, workforce engagement, effective booking processes and ongoing operational management. Medacs Healthcare works with trusts and health boards to grow active bank worker numbers, improve bank fill rates, re-engage inactive workers and encourage a bank-first approach across services.
Medacs Healthcare takes an NHS-first approach to staff bank management, promoting your organisation's staff bank as an extension of your workforce rather than as a Medacs-branded service. We focus on strengthening your employer brand, employee value proposition and staff bank offer to attract, engage and retain workers who want to support your organisation. Based on your requirements, services can be delivered under your branding, helping to build recognition, trust and loyalty within your workforce.
 
Our teams deliver targeted recruitment campaigns, workforce engagement initiatives and proactive communication to increase awareness of bank opportunities, encourage repeat bookings and re-engage inactive workers. Working closely with workforce, HR and operational leaders, we help create a bank-first culture that supports higher bank utilisation, reduces dependence on agency staffing and strengthens workforce flexibility.
 
This approach helps NHS trusts and health boards grow sustainable staff bank participation while maintaining ownership of their workforce identity and employee experience.
 
 

Medacs supports NHS organisations to find the right balance between bank and agency staffing, ensuring  opportunities to fill shifts through the staff bank are prioritised. Our teams focus on increasing staff bank utilisation, strengthening booking controls and introducing greater scrutiny over all temporary staffing requests. We also work closely with service leads to understand and address what is driving agency demand.

Alongside operational management, we embed more effective workforce planning processes, stronger governance and improved visibility of demand, fill rates, rates and spend. We also deliver targeted bank recruitment and engagement campaigns to grow workforce supply, increase active bank participation and reduce the need for agency cover.

The result is a more sustainable temporary workforce model that improves control over staffing costs, reduces unnecessary agency use and supports the safe delivery of services and patient care.

Our approach is people-led, recognising that it takes more than technology to run an effective staff bank.

We combine hands-on operational delivery with strategic workforce planning, agency management and recruitment expertise. Our teams are typically embedded onsite, as an extension of NHS teams, providing direct, practical support for workforce leaders and operational teams at service level, where workforce pressures are felt most.