Case Study

Managed Staff Bank

Agency Vendor Management and Direct Engagement for Cardiff and Vale University Health Board.

A managed medical and dental staff bank helping improve fill rates, reduce agency reliance and give leaders better data for workforce decisions.

Cardiff and Vale University Health Board

Headline results

60%
agency spend reduction

96%
overall fill rate maintained

30%
Direct Engagement uplift

£1m
recurrent annual savings

1500+
clinicians registered

Transformed every aspect of our temporary medical staffing and staff bank operations.

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.

Deputy Director of People and Culture
Cardiff and Vale University Health Board

The history

Cardiff and Vale University Health Board is one of the largest organisations in Europe, employing approximately 14,500 staff across five hospital sites and various community facilities.

Litmus teams, trading as Medacs Healthcare, began working with CAVHB in 2013, appointed as an onsite Managed Service Provider for medical temporary staffing and subsequently AHPs.

In 2021, the contract was expanded to include the development of a new Managed Medical and Dental Staff Bank. In 2023, a Direct Engagement service was added to boost savings.

The need

When the pandemic hit, CAVHB struggled to meet rapidly surging clinical demand. Without a staff bank, there was no easy way for doctors to pick up extra hours, and the Health Board was forced to rely on higher-cost locums.

CAVHB needed a more flexible medical workforce, with substantive staff easily able to work extra hours and the ability to flex clinical cover to match demand.

The Health Board also needed more granular data insights to evidence staffing gaps and rate adherence levels across more than 50 directorates.

The solution

A managed medical and dental staff bank

The new bank was implemented quickly, supported by bilingual CAVHB-branded materials, clinician engagement, targeted recruitment campaigns and later a Direct Engagement service.

01

Bank launch

A new Medical and Dental Staff Bank was rapidly implemented, with CAVHB-branded materials in Welsh and English.

02

Clinician engagement

Support included Q&A sessions, virtual workshops, intranet updates, news feeds and “join the bank” payslip messaging.

03

Direct Engagement

The 2023 Direct Engagement service increased VAT-efficient throughput by 30%, creating over £500,000 in extra annual savings.

Benefits

Simple benefits across the organisation

For clinicians

  • App-based shift booking
  • Weekly payroll
  • 24/7 Staff Bank helpdesk
  • Support to broaden skills

For admin and finance

  • Streamlined administration
  • One centralised payroll file
  • Simplified accruals reporting
  • Prompt timesheet payments

For executive teams

  • 360 real-time dashboard
  • Granular data insights
  • Rate benchmarking reports
  • Proactive agency reduction
Resource utilisation

40% cross-specialty working

With clinicians intelligently matched based on their skills, 40% are now supported to cover two or more specialties, improving resource utilisation and workforce flexibility.

Bank membership is now over 1500 clinicians and growing by 15% annually.

Specialty coverage

60%One specialty
28%Two specialties
12%Three or more specialties

Partnership note: Due to a long-standing partnership in the provision of agency management services, the formal contracting entity for the Staff Bank at Cardiff and Vale University Health Board is Medacs Healthcare, a sister brand to Litmus that shares the same central services and governance within the MGG Health family of staffing brands.

Talk to Litmus

Could your staff bank deliver more value?

Speak to Litmus about improving temporary staffing control, reducing agency reliance and using better workforce data.

Contact us to find out more