Mr. Bernard Gloster:

Predominantly, agency use comes in where there is absenteeism or sick leave. That is short notice agency. Agency is needed for that. I would typically describe our agency spend versus our budget at the moment as being three thirds: one third we need to keep because we need to keep using it; one third we need to convert and we would save about 20% of a headline cost in that; and one third we need to cut in terms of efficiencies because of rostering management and so on. There is also workforce choice. Some people want to work agency because they can pick and dictate their days and that suits family life and so on. It is a whole variety of reasons. It is a dependency that has grown and the difficulty I have with it is if the increase in agency was growing and the inability to recruit was reducing, this could be explained but both are growing and that is where a better control environment is required.