The NHS, as an institution, is one of the largest employers in the UK, if not the World, with responsibility for a large budget totalling billions of pounds. Most nurses in the United Kingdom are either working for or have worked for the NHS in the past 5 years.
Employer/Employee relations within the NHS are generally neutral with many nurses considering themselves to be underpaid for the work that they do. This pushes nurses towards Nursing Agencies to top up their salaries, forcing Trusts to pay higher salaries to cover absence and sickness.
Nurses do have choice when it comes to doing extra hours:-
Join the local Trusts Nurse Bank This is convenient to most nurses as they are more in control of the work that they can get. However nurse banks generally offer low rates of pay and dont have the required infrastructure to be effective in the placement of nurses. Nurses tend to be a number on a Data base.
Join a Nursing Agency this gives nurses the opportunity to experience different working environments and at the same time benefiting from much higher rates of pay. Some agencies will pay for one 10 hour shift the same as nurse banks pay for a 20...