Definition of a sister company - A company which is owned by the same parent company or has the same director/s (ownership) as another company.

Transcription

1 Dear Sir/Madam Thank you for your Freedom of Information request concerning medical locum agency data. The Trust can provide the following information: 1. The amount spent by the trust on Agency medical locums for the period of April 2013 Current April 2012 April 2013 (financial year) April 2011 April 2012 (financial year) Please see attachment spend by service type-(note we have the information recorded by the calendar year) 2. A breakdown of this spend by each supplier (agency) Please see attachment- Framework & Agency spend 3. Please can you Specify which framework your Trust signed up to for the provision of medical locums (GPS/HTE/LPP or other (please name) for the above timeframe - years , , Current Please see attachment- Framework & Agency spend (note we currently can not now access the data for ) 4. Please can you break down the agency as : GPS/Buying Solutions Framework supplier and Off Framework supplier or if you currently use any other framework, please can you list these e.g. HTE or LPP and Off Framework supplier, please specify the date the Trust moved over to the named framework Please see attachment- Framework & Agency spend (note we currently can not now access the data for ) 5. Please can you identify any Sister agencies if the supplier was an Off Framework agency and Name the Framework arm the sister agency was affiliated with? Definition of a sister company - A company which is owned by the same parent company or has the same director/s (ownership) as another company.

2 (Labmed) A24 Group (Ambition recruitment Services); GDN (National Locums); Maxxima 6. Please can you explain the reason why Off Framework or Sister Agencies were used? Specialist Nurse Requirement that could not be provided by framework agencies at the time 7. Please can the Trust detail how the introduction of the Sister agency was made, if your Trust predominantly uses/d the GPS/BS/HTE/LPP Framework? The agency was set up on our system and a waiver was approved as the requirement was urgent (see above answer). 8. Please can you detail any corporate entertainment/hospitality or gifts provided by the Medical Locum Agency to medical staffing or departmental decision maker/s or management team (procurement/finance) who are responsible for the selection of agencies/locums. See gift-register for the Trust (as register is kept for entire Trust not just for gifts from medical locum agencies) Does the Trust monitor the volume of work going through a particular agency to ensure that the locum booking decision maker/procurement team/finance dept hasn t been influenced by such activities? No 9. Please can you list the agencies providing such corporate entertainment /hospitality or gifts, assuming there is a log/register? See gift-register for the Trust (as register is kept for entire Trust not just for gifts from medical locum agencies) 10. Does the Trust monitor the agencies on their PSL are providing a VfM service and not taking the placements to their Off Framework arm or Sister Companies? If so how is this reviewed and monitored? Yes we do via regular meetings, making sure agencies adhere to the framework SLA and obtaining spend info from our accounts dept to ensure adherence to framework rates 11. Please can you detail how you select your Agency Suppliers? The Trust use all agencies which are listed on the LPP framework a) Is this influenced by previous relationship with the supplier (including the addition of agencies who might be newly formed/off framework), or is there a fair selection process in place? No, the selection of agency suppliers are not influenced by previous relationships. There are over 60 agencies that we currently have on our Tier 2 mailing list, which are all on the LPP Framework. All the shifts are ed

3 to all the agencies at the same time, therefore all shifts are distributed to agencies fairly. We no longer use off framework agencies b) Does the trust have a guideline for procurement and selection of suppliers? Yes we use the GPS and LPP framework wherever possible. c) If a supplier is on the GPS/HTE/LPP framework, how can they make a case for them to be added to the suppliers list to start servicing your Trust? Once an agency is added on to the LPP framework they will be automatically added to the mailing list, once a request to do so is made to the medical locum booking coordinator in writing. d) What is the Trusts complaint or appeals procedure should a Supplier feel that they are not being given a fair chance to represent their agency to supply locums? The Trust are under a framework with the LPP for the supply of agency locums as such we are compliant with the LPP OJEU procedure and if an agency has a complaint they should approach the LPP. e) How does your Trust exclude bias and favouritism towards a certain supplier, given that naturally the locum booker/decision makers tend to prefer working with people they 'like' and 'get on with' or a particular organisation and reluctant to try new suppliers, who might be more cost effective or efficient, have a more robust compliance level than the current supplier/s? Once shifts have been sent out to all LPP Framework agencies, all agencies have the opportunity to submit a CV for a doctor for the particular shift that has been sent out. The CV s are then vetted by the locum booking coordinator to make sure all requirements have been met i.e. pre-employment checks, references, occupational health clearance etc. Once the CV has been approved by the locum booking coordinator, they will then send the CV to the Consultants for final approval. Therefore the trust is not able to be bias and does not show favouritism to any particular agencies, the bookings are all based on the quality of the doctor which is sent through and the best rate that is offered. The final decision comes from the Consultants, who are unaware of which agency the doctor is coming through. f) Does your Trust review the quality of locum/s that are 'booked' against the candidates who were submitted by other suppliers but were rejected to ensure that the best candidate was offered the post, rather than selected because the candidate was from a particular agency or person? If there are several CV s that come through from several different agencies, which the locum booking coordinator believes are all suitable candidates for the shift, then they will all be sent forward to the Consultant for approval. Candidates are always selected by the quality of standard they offer and is not based on which agency they come from.

4 g) Does your Trust monitor or have a policy to ensure all CVs within a certain timeframe of a locum requirement being sent out to agencies are passed on to the decision maker and a fair selection process is in place rather than a policy of forwarding the 'favourite' agencies CVs once the candidate specification is met and screened for? There are no favourite agencies. All CV s which are received within the time frame required are reviewed fairly What Quality Assurance Measures does your Trust have in place to review the above two scenarios f & g? None h) Does your Trust review candidate files that were selected against the Trusts minimums standards for employing a doctor? How often does your Trust conduct internal audits on these candidate files to ensure compliance is as per contract (GPS/LPP or HTE)? As we use the LPP framework the selection standards have been agreed by the LPP before the OJEU noticed was issued and as such they are compliant with current standards. The LPP conducts audits and we attend quarterly meeting with the LPP to discuss any issues with agency staff or agency doctors. Our HR dept holds candidate files. However the booking locum coordinator ensures that when a locum is booked we hold on file confirmation of the following: CV, EHMS Status, CRB / DBS, References, ID / Right to work documentation and professional reg certificate. i) If an agency has a history of submitting files with poor compliance checks and deviating from best practice or the standards set out by the various frameworks what action/s does the Trust take against the agency? The locum booking coordinator will inform the LPP, who would then contact and liaise with the agency further. The booking coordinator would not book the locum in this instance. Is this consistent and are all suppliers treated the same irrespective of market dominance or size? We currently have an SLA with Medacs and therefore they are our Tier 1 supplier. This means that they have a supplier protected response time. After this time, the shifts are then sent out at the same time to all other LPP agencies. f) If the Trust has an internal audit/qa process in place for compliance checks of candidates placed at the Trust, Please list your internal audit data for suppliers of medical locums since April Current

5 An audit has not been completed in terms of locums placed however because of the pre-engagement process we hold on file confirmation of the following: CV, EHMS Status, CRB / DBS, References, ID / Right to work documentation and professional reg certificate. 12. How often does your Trust review it's PSL to ensure other Agencies (On the Trusts chosen Medical Locum Framework) have an opportunity to become a supplier? All agencies which are on the LPP Framework are able to supply the trust. 13. Please can you supply the name of:- The Procurement lead at your Trust- Timothy Head- head of procurement / Jo Farrar, Director of Finance and Procurement The person responsible for booking medical locums at your Trust, if this is done at departmental level, please can you supply the name/s per department/speciality and their address Miranda Vasiliou- Medical Locum Coordinator- Miranda.Vasiliou@homerton.nhs.uk If you have any queries about this response please contact the information governance manager at foi@homerton.nhs.uk, in the first instance. If, following that, you still have any concerns, you may contact the Information Commissioner either by letter, FOI/EIR Complaints resolution, Wycliffe House, Water Lane, Wilmslow, Cheshire SM9 5AF, or by to take them further. Copyright Statement The material provided is subject to the HUHFT s copyright unless otherwise indicated. Unless expressly indicated on the material to the contrary, it may be reproduced free of charge in any format or medium, provided it is reproduced accurately and not used in a misleading manner. Where any of the copyright items are being re-published or copied to others, you must identify the source of the material and acknowledge the copyright status. Permission to reproduce material does not extend to any material accessed through the Publication Scheme that is the copyright of third parties. You must obtain authorisation to reproduce such material from the copyright holders concerned. Yours sincerely James Cook Information Governance Administrator Matthew Hall Information Governance Manager (Deputy Caldicott Guardian)

6 Temporary locum doctor spend (Jan-10 to Dec-10) Cost Centre Total A & E-MEDICAL 602,948 ANAESTHETISTS 442,061 ANTE NATAL CLINIC 683 COMMUNITY, REHAB, ELDERLY MEDI 123,706 DGUM - MEDICAL 59,144 EMPLOYEE HEALTH MANAGEMENT SER 25,449 I.T.U. 24,867 ITU CONSULTANTS 224,947 MEDICINE MEDICAL STAFF 610,452 MICROBIOLOGY 38,987 NEONATAL UNIT 572 NICU / SCBU MEDICAL 228,186 OBS & GYNAE MEDICAL STAFF 251,749 ORAL & MAXILLO FACIAL 157,814 PAEDIATRICS 424 PAEDIATRICS MEDICAL 214,292 RADIOLOGY 14,217 STROKE DEVELOPMENT FUNDING 1,079 SURGERY-MEDICAL 153,497 TRAUMA & ORTHO.MED. STAFF 382,312 UROLOGY MED STAFF 6,825 Grand Total 3,564,213

7 Temporary locum doctor spend (Jan-11 to Dec- 11) Cost Centre Total A & E-MEDICAL 588,484 ANAESTHETISTS 195,908 ASSOC. DIR - ADULT THERAPIES 11,136 COMMUNITY SEXUAL HEALTH 9,494 COMMUNITY, REHAB, ELDERLY MEDICAL STAFF 44,161 DGUM - MEDICAL 14,669 EMPLOYEE HEALTH MANAGEMENT SERVICE 20,837 ENT MED STAFF 49,632 GENERAL SURG. DAY SURGERY 1,042 ITU CONSULTANTS 15,555 MEDICINE MEDICAL STAFF 344,237 MICROBIOLOGY 68,326 NICU / SCBU MEDICAL 188,655 OBS & GYNAE MEDICAL STAFF 115,792 ORAL & MAXILLO FACIAL 32,217 PAEDIATRICS MEDICAL 199,071 PATHOLOGY 3,531 PODIATRY 8,894 PRIMARY CARE PSYCHOLOGY 11,940 RADIOLOGY 129,076 SURGERY-MEDICAL 110,189 TRAUMA & ORTHO.MED. STAFF 183,887 UROLOGY MED STAFF 10,342 Grand Total 2,357,078

8 Temporary locum doctor spend (Jan-12 to Dec-12) Specialty Total A & E-MEDICAL 474,325 ACUTE CARE UNIT (MAU/CCU) 1,634 ANAESTHETISTS 111,449 ASSOC. DIR - ADULT THERAPIES - 1,536 COMMUNITY, REHAB, ELDERLY MEDICAL STAFF 24,273 COMM'Y PAEDIATRIC MEDICAL 6,385 DGUM - MEDICAL 21,138 EMPLOYEE HEALTH MANAGEMENT SERVICE 9,833 ENT MED STAFF 40,016 HAEMATOLOGY 61,477 ITU CONSULTANTS 27,595 MEDICINE MEDICAL STAFF 450,434 MICROBIOLOGY 19,878 NICU / SCBU MEDICAL 93,287 OBS & GYNAE MEDICAL STAFF 63,246 ORAL & MAXILLO FACIAL 17,023 PAEDIATRICS MEDICAL 233,907 PODIATRY 4,542 PRIMARY CARE PSYCHOLOGY 3,014 RADIOLOGY 48,617 SUPPLEMENTARY INVESTMENTS IMRS DIRECTORATE 9,345 SURGERY-MEDICAL 111,269 TRAUMA & ORTHO.MED. STAFF 364,851 Grand Total 2,196,003

9 Temporary locum doctor spend (Jan-13 to Sep-13) Specialty Total A & E-MEDICAL 328,725 ACUTE CARE UNIT ACUTE GYNAECOLOGY 733 ANAESTHETISTS 195,027 COMM'Y PAEDIATRIC MEDICAL - 3,234 CSDO DIVISIONAL MANAGEMENT - DGUM - MEDICAL 34,937 ENT MED STAFF 20,760 HAEMATOLOGY 6,208 ITU CONSULTANTS 5,125 MEDICINE MEDICAL STAFF 504,632 NICU / SCBU MEDICAL 66,083 OBS & GYNAE MEDICAL STAFF 76,780 ORAL & MAXILLO FACIAL 8,618 PAEDIATRICS - PAEDIATRICS MEDICAL 132,769 PODIATRY 2,336 PUCC PRIMARY CARE SERVICE - RADIOLOGY 517 SURGERY-MEDICAL 83,634 TRAUMA & ORTHO.MED. STAFF 201,647 Grand Total 1,664,592

10 GPS FRAMEWORKS LPP FRAMEWORKS Agency Name CM/AST/08/4966 AHPs and HSS staff CM/ANS/08/4961 Agency nursing (London) CM/AMN/08/4820 Medical locums excl. locum GPs CM/AAC/09/5124 Non-medical, nonclinical RM692 Non Pemanent Staff RM928 Estates Professional Services RM1502 ConsultancyOne GPM London regional AHPs and HSS staff UCLH084 London regional agency nursing GP London regional medical locums incl. locum GPs CAPITAL STAFFING yes TEAM24 LTD HCL YES YES YES Yes Yes CROMWELL MEDICAL STAFFING LTD Yes RANDSTAD EMPLOYMENT BUREAU LTD CARE PROVIDERS Yes YOUR WORLD RECRUITMENT LTD VENN GROUP Yes MEDACS HEALTHCARE SERVICES PLC Yes Yes Yes Yes Yes SUGARMAN MEDICAL LTD PULSE yes YES REED MORGAN LAW RECRUITMENT CONSULTANCY LTD Yes HEALTHCARE PROFESSIONAL SERVICES LTD PLACEMENT GROUP PLC (THE) Yes Yes BADENOCH & CLARK LTD Yes ALLIED HEALTHCARE GROUP LTD Yes FIRSTPOINT HEALTHCARE yes IT WORKS RECRUITMENT LTD MAX 20 LTD MAXXIMA LTD YES HOLT DOCTORS LTD MICHAEL PAGE INTERNATIONAL RECRUITMENT LTD Yes INTERACT PIERS MEADOWS RECRUITMENT YES DRC LOCUMS PAEDIATRIC NURSING LINK LTD YES

11 A24 GROUP yes yes MSI GROUP LIMITED yes yes NURSING 2000 UK yes PLAN B HEALTHCARE PLC A&E AGENCY Yes Yes ALLEN LANE LTD PJ LOCUMS yes R AND S MEDICAL RECRUITMENT LTD yes DOCTORS ON CALL TOTAL ASSIST RECRUITMENT LTD Yes MEDILINK CONSULTING LTD Yes MEDECHO LTD SERVING THE NATION LOCUMS LTD RANDSTAD CARE YES Yes CAPITAL CARE SERVICES UK LTD YES Yes STANDARD NURSING AGENCY YES RMR RECRUITMENT LTD MYLOCUM LTD Yes Yes ATHONA LTD Yes PROMEDICAL PERSONNEL LTD yes

12 Framework / non Framework Supplier/ Customer Name 2012/13 Agency Invoice Payments Agency - Admin and Clerical Agency - Healthcare Asst Agency - Nursing Agency - Other Agency Staff Agency - PTB Staff Locum Doctors Grand Total Framework A&E AGENCY 20,027 20,027 A24 GROUP 292 6,295 24,152 30,738 AGENDA RECRUITMENT LTD 1,950 1,950 ALLEN LANE LTD 10,259 10,259 ALLIED HEALTHCARE GROUP LTD 8,620 53,302 61,922 ATHONA LTD 3,577 3,577 ATLANTIS 37,294 37,294 ATLANTIS MEDICAL LTD 53,050 4,926 57,976 BADENOCH & CLARK LTD 86, ,245 CAPITAL CARE SERVICES UK LTD 558 1,042 4,883 6,483 CAPITAL STAFFING 26 1,131, ,132,722 CARE PROVIDERS 9, , , ,869 CLINICAL EMPLOYMENT SERVICES LTD 5,088 5,088 CROMWELL MEDICAL STAFFING LTD 6, , ,064 DOCTORS ON CALL 12,906 12,906 DRC LOCUMS 1,150 37,589 38,739

13 EVERGOOD ASSOCIATES LTD 3,538 3,538 FIRST MEDICAL STAFFING SOLUTIONS 40,464 40,464 FIRSTPOINT HEALTHCARE 3,106 47,996 51,101 FRESH RECRUITMENT 1, , ,397 HAYS LTD 18, ,402 HCL 24, ,383 19, , ,659 HEALTHCARE PROFESSIONAL SERVICES LTD 117, ,110 HOLT DOCTORS LTD 38,190 38,190 INTERACT ,449 40,943 INTERMEDICAL (UK) LTD 1,875 1,875 IT WORKS RECRUITMENT LTD 39, , ,938 LABMED 28,464 3,426 10,905 42,795 LOCUM PLACEMENT GROUP 2,090 2,090 MAX 20 LTD 50,858 50,858 MAXXIMA LTD 33,090 4,628 8,009 45,727 MEDACS HEALTHCARE SERVICES PLC 9,228 12, , ,606 MEDECHO LTD 6,908 6,908 MEDILINK CONSULTING LTD 9,940 9,940 MERCO RECRUITMENT LTD 3,864 3,864 MICHAEL PAGE INTERNATIONAL RECRUITMENT LTD 53, ,279

14 MONTAGU EVANS MORGAN HUNT UK LTD 23,215 23,215 MORGAN LAW RECRUITMENT CONSULTANCY LTD 177,423 7,445 3, ,557 MSI GROUP LIMITED 4,121 41,923 1,456 47,500 MYLOCUM LTD 4,788 4,788 NATIONAL LOCUMS NATIONWIDE LOCUM SERVICES NURSING 2000 UK 22,162 22,162 PAEDIATRIC NURSING LINK LTD 1,016 32,373 33,389 PATHOLOGY GROUP (THE) 75,696 75,696 PIERS MEADOWS RECRUITMENT 5,099 30,128 2,506 37,733 PJ LOCUMS 12,737 2,406 15,143 PLACEMENT GROUP PLC (THE) 26,279 3,489-1,331 53,687 1,026 83,149 PLAN B HEALTHCARE PLC 18, ,199 PRACTICUS 3,740 1,950 5,690 PROMEDICAL PERSONNEL LTD 1,390 1,390 PULSE 146,384 9,870 36,810 4,464 9,452 23, ,091 R AND S MEDICAL RECRUITMENT LTD 1,397 7,345 8,742 RANDSTAD CARE 4,565 3,398 7,964 RANDSTAD EMPLOYMENT BUREAU LTD 570,707 1, ,994

15 REED 95,977 5,036 86,034 18, ,890 RICHMOND MEDICAL AGENCY LTD 19,893 19,893 RIG LOCUMS ,080 18,872 RIG MEDICAL RECRUITMENT LTD 13,335 6,825 20,160 RMR RECRUITMENT LTD 5,502 5,502 SERVING THE NATION LOCUMS LTD 6,826 6,826 STANDARD NURSING AGENCY 229 5,368 5,597 SUGARMAN MEDICAL LTD 91,146 10,518 36,480 17,754 41, ,219 SURGI-CALL 44,950 44,950 TEAM24 LTD 1, ,696 1, ,547 TLC-THE LOCUM CONSULTANCY LTD 4,245 4,245 TOTAL ASSIST RECRUITMENT LTD 9,833 9,833 VENN GROUP 249,746 2,173 23, ,260 YOUR WORLD RECRUITMENT LTD 304,893 83,840 35,543 3,533 21,783 1, ,847 Framework Total 2,188, ,276 4,165,591 34, , ,701 7,723,197 Non Framework AG PRICE FLORIST BERND LEYGRAF BIKUR CHOLIM DSATMAR 38,680 38,680 BRENDA CLOWES CASHFRIDAY 21,450 21,450

16 CONSCIOUS PROJECT LTD 11,000 11,000 CY EXECUTIVE RESOURCING LTD 80,600 7,992 88,592 DELPHI CONSULTANCY 25,600 25,600 FINE GREEN ASSOCIATES 19,188 19,188 FIT FOR WORK (UK) 2,726 2,899 5,625 FRONTLINE MEDICAL STAFFING 91,500 23,957 4,126 15, ,477 GLOBE LOCUMS LIMITED 7,256 68,446 75,702 GOLDSMITH PERSONNEL 3,780 6,610 1,173 11,563 HALLAM MEDICAL 11,039 2,587 5,992 19,617 ID GROUP LTD ,321 25,146 IMPELLAM GROUP IMPRESS RECRUITMENT SERVICES LTD IRINA JOHNSTON 1,029 1,029 JCJ LOCUMS LTD JUST RECRUIT GROUP LTD LIAM TRIGGS 10,010 10,010 LOCUM PRACTICE (THE) 9,063 9,063 LONDON CARE PLC 23,606 23,606 MARIE CURIE CANCER CARE 35,000 35,000 MEDIC INTERPRETERS 4,865 4,865

17 MEDICAL GAS SERVICES 1,697 1,697 MEDICAL RESOURCING LTD 35,442 5,969 5, ,023 62,261 MONTAGU NURSES 1,034 1,034 MSI CONTRACT RECRUITMENT LTD 5,941 5,941 NC HEALTHCARE LTD NIPENTHI LTD 1,935 1,935 NRS GLOBAL LTD 60,626 60,626 PERSONNEL & CARE BANK 1,647 1,647 TECHNICAL RECRUITMENT COMPANY (THE) 7,722 7,722 TEMPLARS MEDICAL Non Framework Total 329,723 29, ,669 7, ,052 28, ,987 Grand Total 2,518, ,203 4,359,260 42, ,058 1,011,981 8,430,184

18 COLOUR CODE FRAMEWORK AGENCIES (LPP (LONDON PROCUREMENT PROCUREMENT), GPS (GOVERNMENT PROCUREMENT SERVICE) NON-FRAMEWORK AGENCY NHS/LOCAL HEALTH AUTHORITY CONTRACT AGENCY TOTAL SPEND LPP GPS CROMWELL MEDICAL STAFFING LTD Total 702, X CAPITAL STAFFING Total 499, X CARE PROVIDERS Total 480, X MORGAN LAW RECRUITMENT CONSULTANCY LTD Total 469, X RANDSTAD EMPLOYMENT BUREAU LTD Total 325, X TEAM24 LTD Total 321, X VENN GROUP Total 287, X FRESH RECRUITMENT Total 209, X ID MEDICAL GROUP LTD Total 195, X X HCL Total 194, X PULSE Total 143, X BARTS HEALTH NHS TRUST Total 142, MEDACS HEALTHCARE SERVICES PLC Total 134, X YOUR WORLD RECRUITMENT LTD Total 126, X X GLOBE LOCUMS LIMITED Total 121, REED Total 115, X X MOORFIELDS EYE HOSPITAL NHS FOUNDATION TRUST Total 108, QUEEN MARY UNIVERSITY OF LONDON Total 90,740.84

19 SUGARMAN MEDICAL LTD Total 86, X INTERACT Total 83, X ATLANTIS MEDICAL LTD Total 82, X DRC LOCUMS Total 78, X MSI CONTRACT RECRUITMENT LTD Total 72, X LABMED Total 69, X PATHOLOGY GROUP (THE) 69, x x FRONTLINE MEDICAL STAFFING Total 67, X A&E AGENCY Total 64, X ALLIED HEALTHCARE GROUP LTD 60, X X WEST HERTFORDSHIRE HOSPITALS NHS TRUST Total 60, MEDILINK CONSULTING LTD Total 50, X MICHAEL PAGE INTERNATIONAL RECRUITMENT LTD Total 49, X RIG LOCUMS Total 44, X LAXGROVE LTD Total 42, MAXXIMA LTD Total 41, X RIG MEDICAL RECRUITMENT LTD Total 39, X FINE GREEN ASSOCIATES Total 39, X PLACEMENT GROUP (THE) Total 39, X CAPITAL CARE SERVICES UK LTD Total 38, X HEALTHCARE PROFESSIONAL SERVICES LTD Total 33, X GUYS & ST THOMAS NHS FOUNDATION TRUST Total 29, UNIVERSITY COLLEGE LONDON 29, MEDICAL RESOURCING LTD Total 27, NORTH EAST LONDON NHS FOUNDATION TRUST Total 27, SUSAN ASH (MRS) Total 27, SHOREDITCH TRUST Total 26, HAYS LTD Total 26, X TOTAL ASSIST RECRUITMENT LTD Total 25, X

20 BADENOCH & CLARK LTD Total 24, X RICHMOND MEDICAL AGENCY LTD Total 23, X DAY WEBSTER LTD Total 21, ROYAL NATIONAL ORTHOPAEDIC HOSPITAL NHS TRUST Total 20, LAWSON PRACTICE Total 19, TLC-THE LOCUM CONSULTANCY LTD Total 18, X VIP NURSING LTD Total 18, ANGEL HUMAN RESOURCES PLC Total 18, x CITY & HACKNEY MIND Total 17, LIAM TRIGGS Total 15, CONTINENTAL TRAVELNURSE LTD Total 15, PROMEDICAL PERSONNEL LTD Total 14, X ATHONA LTD Total 13, X X UNIVERSITY COLLEGE LONDON NHS FOUNDATION TRUST Total 12, DOCTORS ON CALL Total 12, x x GEMS BUSINESS CONSULTANCY LTD 12, STATHAM GROVE SURGERY Total 12, EVERGOOD ASSOCIATES LTD Total 11, X X HALLAM MEDICAL Total 11, MARK CHINERY Total 9, PAEDIATRIC NURSING LINK LTD Total 8, X X PLAN B HEALTHCARE PLC Total 8, X MEDSOL HEALTHCARE Total 8, X PINNACLE HEALTH CARE LTD Total 8, MEDICSPRO LTD Total 7, x JCJ LOCUMS LTD Total 7, CMD INVESTMENTS LTD Total 7, MYLOCUM LTD Total 6, X X SERVING THE NATION LOCUMS LTD Total 6, X X

21 PJ LOCUMS Total 6, X X SPRINGFIELD GP-LED HEALTH CENTRE Total 6, DR-LOCUMS Total 5, X SANCTUARY PERSONNEL LTD Total 5, X BIKUR CHOLIM DSATMAR Total 4, CY EXECUTIVE RESOURCING LTD Total 4, NURSING 2000 UK Total 3, X X IT WORKS RECRUITMENT LTD Total 3, X X MAX 20 LTD Total 3, X X INHEALTH LTD Total 3, IRINA JOHNSTON Total 2, MEDILINK SERVICES UK LTD 2, X EAST LONDON NHS FOUNDATION TRUST Total 2, LONDON BOROUGH OF NEWHAM Total 2, PINNACLE PODIATRY Total 1, MEDIC INTERPRETERS Total 1, X ALLIED RECRUITMENT SERVICES LTD Total 1, PROMED MEDICAL SERVICES Total 1, ATLANTIS Total 1, NRS GLOBAL LTD Total 1, X PNL TOOLS LTD Total 1, PIERS MEADOWS RECRUITMENT Total 1, X X A24 GROUP Total 1, X RM MEDICS LTD Total 1, HOLT DOCTORS LTD Total 1, X X LOCUM PLACEMENT GROUP Total X STANDARD NURSING AGENCY Total x LOCUMS4MEDICAL Total COYLE PERSONNEL PLC Total X

22 HEARTLANDS BUSINESS GIFTS & WORKWEAR BLUECROSS LOCUMS LTD Total x LUBAVITCH CHILDRENS CENTRE Total LOCUM PRACTICE (THE) Total X PROACT MEDICAL LTD Total PIONEER RECRUITMENT LTD Total X VODAFONE MOBILE PHONES Total X LOCUMCHECK Total X LOCUMLINX LTD Total X MONTAGU NURSES Total BARTS HEALTH TRUST <95,466.56> BATES OFFICE SUPPLIES