Blog by Flexzo

Benefits of Booking NHS Shifts Without an Agency

Published On: May 5, 2025

For many healthcare professionals, working flexibly is an important part of achieving a better work-life balance. Picking up NHS shifts when it suits your schedule can offer freedom, variety and great earnings.

But how you find those shifts matters. Traditionally, many workers have relied on agencies to find locum work. Increasingly though, more healthcare professionals are choosing to book shifts directly, without using an agency.

Booking NHS shifts without an agency comes with a wide range of benefits, from keeping more of your pay to gaining better control over your career.

Why Healthcare Workers Are Moving Away from Agencies

Hidden Fees and Pay Reductions

Agency work often sounds appealing because of advertised rates, but these figures rarely tell the full story.

After umbrella company fees, administrative deductions and sometimes even confusing tax arrangements, many healthcare professionals take home far less than expected.

Less Control Over Shifts

Agency workers are often at the mercy of what their consultant offers them. This means limited ability to plan your work around your life.

Repeated Compliance and Paperwork

Signing up with multiple agencies usually means repeating the same paperwork and compliance processes again and again, wasting time and delaying access to shifts.

Feeling Disconnected

When you work through an agency, it can be harder to build professional relationships with NHS Trusts. You may feel like a temporary visitor rather than a valued part of the team.

It is no surprise that more healthcare workers are now looking for a better, more direct way to find flexible NHS shifts.

Key Benefits of Booking Shifts Directly

1. Keep More of Your Pay

You are paid NHS-aligned rates directly by the Trust, with no agency margins cutting into your earnings. You also avoid umbrella company fees and extra deductions.

2. Full Pay Transparency

When you book shifts directly, you know exactly what you will be paid for each shift. There are no surprises or hidden deductions after you have completed your work.

3. Greater Flexibility and Control

You decide when you want to work, where you want to work and how much you want to take on. You are no longer dependent on waiting for someone to offer you a shift.

4. Easier Compliance Management

Platforms like Flexzo Ai simplify the compliance process. Instead of filling out endless paperwork for every new assignment, you complete your compliance checks once.

5. Stronger Professional Relationships

When you work directly with NHS Trusts, you build stronger connections with the teams you support.

6. Improved Work-Life Balance

With more control over your work pattern, it becomes easier to fit your career around your life, not the other way around.

7. Better Career Development Opportunities

Direct work helps you access a wider variety of shifts across different departments and specialties.

How Flexzo Ai Makes Booking Direct Shifts Easy

Flexzo Ai was built to give healthcare professionals an easier, more rewarding way to book NHS shifts directly.

  • Access to shifts across multiple NHS Trusts
  • Real-time visibility of available work
  • NHS pay rates without agency deductions
  • Enhancements for evenings, nights and weekends
  • Easy, centralised compliance tracking
  • Full control over your availability and preferred locations

Flexzo Ai uses smart matching technology to connect you to shifts that fit your skills and schedule.

What Types of Shifts Can You Find Without an Agency?

  • Ward-based nursing shifts (Band 5, Band 6)
  • A&E and critical care shifts
  • Theatre support roles (ODPs, anaesthetic nurses)
  • Mental health nursing shifts (RMNs, HCAs)
  • GP sessions and urgent care cover
  • Allied Health Professional shifts (physiotherapists, radiographers, occupational therapists)

Common Questions About Booking Directly

Not at all. In fact, platforms like Flexzo Ai give you more visibility over available shifts than many agencies, and you can book them directly without waiting for callbacks.

Yes. When working directly, you are paid NHS rates, including enhancements for evenings, nights, weekends and bank holidays.

Some Trusts include holiday pay in your hourly rate, while others accrue it separately. Flexzo Ai clearly explains how holiday pay works for each shift you book.

No. Once you have completed compliance on Flexzo Ai, you are shift-ready across all participating NHS Trusts without needing to repeat the process each time.

Get in Touch

If you are ready to leave behind agency frustrations and enjoy more control, better pay, and easier shift access, apply now with Flexzo Ai or get in touch with our team today.

Flexzo AI: A Collaborative Staff Bank

At Flexzo Ai, we have built a collaborative staff bank to help NHS Trusts and healthcare professionals work better together. Our founder, Jack Henderson, used his experience in clinical staffing and medical recruitment to design a platform that removes delays, cuts out unnecessary costs, and improves how flexible shifts are booked and paid.

By removing middlemen, automating shift matching and simplifying compliance, we help professionals get the shifts they want — and get paid fairly for every hour worked.

Learn more about how we work on our About page.