This can be set to happen automatically a number of hours before the shift starts. This rate can be increased automatically as the shift start time approaches. The application contains high levels of security, in-line with accepted protocols. No capital costs or set-up costs are involved. It is time-consuming and frustrating for a nurse to register with multiple agencies in order to be available for temporary work.
Hospitals end up with little option other than to pay high agency rates and commission.
In February 2000 the Accounts Commission for Scotland found that 34 out of 36 Scottish NHS Trusts had no worthwhile information concerning the use of nurse banks and nursing agencies.