Direct Engagement

Use our dedicated service to facilitate seamless direct engagement of your temporary workforce

We make direct engagement convenient for you.

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Traditionally, temporary healthcare workers are sourced, engaged and paid by recruitment agencies. However, it is not the most cost efficient way to fill gaps in an NHS Trust’s rota.

We are able to provide you with a direct engagement model via our LMS which is designed to work with existing external supply arrangements you have in place.

Our Direct Engagement model is already working in 16 NHS Trusts, providing ongoing savings through VAT efficiencies.  One of our client Trusts has saved £4.7million over two years purely by using our Direct Engagement model.

Not all Direct Engagement models are the same. Savings vary.

Save up to 80% against other providers

98% average uptake with workers

100+ agencies working through our model

 If you already have DE in place switching is simple and can be done in a matter of weeks; of our DE clients, 11 trusts have successfully made the smooth transition from other DE providers.

Find out more about DE delivered savings


Streamlined processes for rapid response and efficient payroll

Using approved template contracts, workflows and checklists, ensures rapid deployment. Our payroll bureau or in-house team offers flexible payroll options.

Savings delivered almost immediately

Our rapid implementation process means you will see VAT-efficient savings in only 3 weeks. Save up to 20% VAT on locum spend.

Operational efficiencies

Let LMS reduce the impact on back-office operations by facilitating the contractual process and administering payroll files for you. Successfully process temporary worker requirements hassle-free with our support.

Full 24x7 support for you, candidates and agencies

Receive ongoing operational support from us for day-to-day queries via a dedicated DE Client Relationship Manager.

Dedicated implementation team

The team ensures a smooth transition for existing workers, whilst seamlessly managing the transition from an existing provider you have in place

Detailed MI to show savings

We help you access regular reporting to get clarity on fill rates and savings.


We have the experience, infrastructure and relationships within the market-place to ensure the best possible service is received.

We support numerous NHS Trusts

Our teams know how to rapidly implement a DE service to enable you to start saving as quickly as possible.

Compliant Model

Our DE model was developed and approved by one of the Top 4 accountancy firms.

Works with your existing contracts

The LMS facilitates the DE model irrespective of how you source candidates.

We help you save

We deliver some of the best savings available due to our very competitive fees.

We are here to help

You are appointed a dedicated Client Relationship Manager to ensure your service runs smoothly.

We deliver high satisfaction

We consistently receive high satisfaction feedback from Trust staff and candidates. You can fully count on us.


An ambitious Trust with high standards, SATH works hard to provide excellent service. However, growing hiring gaps compelled them to look for help. Through our DE model, the Trust operates a fully HMRC-compliant arrangement that pays the doctors directly and reduces operational risk


Read Case Study

shifts worked
Hours booked
Savings from automated breaks deduction
DE VAT savings since start of contact
conversion rates

Want to know how Agile can help you?

Contact our team today to discuss your requirements.

Head office

    • 4th Floor, 1 Belle Vue Square
    • Broughton Road
    • Skipton BD23 1FJ
    • 01756 860095
    • 8.00am to 9.00pm
Ways to contact us