According to the most recent data available, total expenditure on agency staff working in Department of Health funded services for the eleven months to the end of November 2025 was €748 million.
As per the HSE's 2026 National Service Plan there is a commitment to reducing these costs by €80 million next year. Proposed action intended to achieve these ends will be set out in the 2026 Productivity and Savings Taskforce Action Plan. Proposed actions include:
• Recruit/convert people working on an agency basis to permanent HSE employed staff.
• Implement effective control framework over agency costs throughout the HSE.
• Increase core capacity and reduce the need for agency through improved rostering to reduce the need for both agency and overtime.
• Establish internal HSE staff banks as an alternative to agency arrangements.
• Eliminate ‘off framework’ agency use.
These commitments align with similar proposals included in the WRC agreement of the 30/03/2025 between the HSE and the health services unions.