HSC introduces new agency worker framework to strengthen workforce and cut costs

Northern Ireland’s Health and Social Care system (HSC) has announced the introduction of a new Framework to regulate the use of agency workers across multiple professional areas within the health service.

The initiative, developed in close collaboration with trade unions, is set to be implemented in phases starting on 2 June 2025.

The Framework is a cornerstone of a broader strategic effort to reduce dependency on agency staffing, tackle rising costs, and promote long-term workforce sustainability in the HSC.

It follows recent measures including the establishment of a similar Framework for nurses, midwives, and healthcare support workers, and a complete halt in agency staffing for social work roles.

The new Framework will cover a wide range of professions, including:

• Allied health professionals

• Social care support workers

• Administrative and clerical staff

• Professional and technical roles such as biomedical scientists, laboratory and pharmacy technicians

• Support services including porters and catering staff

• Specialists in IT, finance, and project management

Under the Framework, agency staff in these fields may only be sourced from a vetted list of approved suppliers who have met rigorous standards based on quality, cost, and social value. All suppliers included in the Framework have successfully tendered and agreed to provide services at pre-approved payment rates.

The move is designed to address the sharp escalation in costs attributed to “off-contract” agency use over the past decade—a practice that has not only strained public finances but also adversely affected the morale of permanent staff.

An HSC spokesperson noted the importance of this change, stating:

“This Framework is a vital step in delivering a reduction in agency staff costs incurred by the health service in Northern Ireland for a large group of professions.”

While recognising the contributions of agency workers, HSC leadership made clear that the priority remains building a stable, motivated, and well-resourced permanent workforce.

“HSC organisations recognise and appreciate the contribution agency workers make in delivering safe, effective, and compassionate care to our patients and service users,” the spokesperson added.

Health Minister Mike Nesbitt reaffirmed the government’s commitment to workforce reform and collaboration with unions.

“We deeply appreciate the commitment of our substantive workforce and we are determined to fill our vacancies, stabilise our teams, and work in partnership with trade unions to emphasise the benefits of working in the HSC,” he said.

The phased rollout of the Framework aims to ensure a smooth transition across services while securing long-term value for money and improving workforce conditions. It marks a significant milestone in Northern Ireland’s ongoing health service reform agenda.