i did temp work for derby pct and emas ambulance service at different times quite a few years ago admitedly but in both roles i was posting the fleet cars to either wages or perks as some posts attracted a company car.
also many nursing staff went purely bank so they could pick and choose their hours etc. it was a scam basically they got paid more than a regular scale with less responsibility and more flexibility. the nhs could save a fortune by recruiting a pool of surplus staff to cover absence and do away with bank altogether but its a cosy monopoly run by ex nhs nurses and hr/union staff.
i did a cost analysis based on the trusts average bank usage and they could have saved a fortune but hr and the unions kicked off about it. 3 weeks later they decided they didnt need temp post i was filling although the woman i was standing in for was still on maternity leave and they advertised it again 2 weeks later.
i am afraid a lot of the nhs’s woes are self inflicted.