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The true cost of recruitment

Christine Fitzgerald, Matron, The Hillingdon Hospitals NHS Foundation Trust

Christine's case study was completed in September 2015 and reflects 2015 prices

In the past two years, Hillingdon Hospitals’ NHS Foundation Trust has experienced a shortage of band 5 nurses. The Trust has had to rely heavily on bank and agency staff in order to meet the needs of patients.

In response, Christine Fitzgerald, Matron for Medicine at the Hillingdon Hospital, pioneered a project to compare the cost of local recruitment initiatives with her own personal experience of overseas recruitment. Both strategies were aimed at improving recruitment processes and reducing agency spend.

Christine took a whole systems approach and included in her economic assessment the importance of buddying schemes for new recruits, the provision of accommodation and how language skills have an impact on patient care.

You can email Christine at

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