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CLIENT STORIES · NHS

"It helps me do a better job"

1,500,000 employees

Recent research from Stream highlights how money worries at work can significantly impact wellbeing and performance, reducing cognitive capacity by up to 13 IQ points. For NHS staff, these challenges are particularly acute, given the demanding nature of their roles. Stream is helping to alleviate this burden, enabling staff to focus more fully on their vital work.

The situation

In the past, NHS staff filling bank shifts often had to wait up to six weeks to see those earnings, which proved discouraging, especially for those who rely on prompt pay for day-to-day expenses.

"Historically, it has been a little bit difficult encouraging them to do bank when the shift they worked, they wouldn't have got paid for for about six weeks."
Julie Burgess · Head of Nurse Surgery, Royal Surrey NHS Foundation Trust

The solution

One of the biggest drivers of this change has been the introduction of instant pay for shifts worked.

Now, this timely access to wages has been a significant support for the Trust's staff. It's a game-changer, especially for lower-paid staff members, giving them the financial flexibility they need. As Burgess passionately points out,

"It's the difference between buying new shoes or going on a school trip or actually putting food on the table."
Julie Burgess · Head of Nurse Surgery, Royal Surrey NHS Foundation Trust

The shift

The Trust has implemented changes that make it easier for internal team members to take on additional work, improving both employee satisfaction and shift coverage.

Julie Burgess highlights this shift, sharing that,

"You can go up to somebody and say, you know, we have a shift, are you able to fill it? And they're more inclined to fill it."
Julie Burgess · Head of Nurse Surgery, Royal Surrey NHS Foundation Trust

This willingness to help out on short notice has led to a substantial improvement in the Trust's internal shift-fill rate. By narrowing the gap between agency staff and NHS bank workers, the Trust has given agency workers a reason to consider taking on shifts directly with the Trust instead.

"You're decreasing that gap between an agency and bank, and you're giving agencies less of that ability to keep hold of their workers."
Julie Burgess · Head of Nurse Surgery, Royal Surrey NHS Foundation Trust

The impact

Recent research from Stream highlights how money worries at work can significantly impact wellbeing and performance, reducing cognitive capacity by up to 13 IQ points. For NHS staff, these challenges are particularly acute, given the demanding nature of their roles. Stream is helping to alleviate this burden, enabling staff to focus more fully on their vital work.

This improvement is more than just about convenience; it has made working additional shifts a viable option for many employees who might otherwise rely on external agencies for similar flexibility. In fact, some staff who previously worked through agencies have now returned to the Trust's internal staffing bank, allowing the Trust to cover shifts more reliably while providing crucial financial support to its team.

In their own words

The changes at Royal Surrey NHS Foundation Trust reflect a commitment not only to filling shifts but to supporting its workers in meaningful ways, ensuring they are both valued and empowered. It's a promising example of how small adjustments can make a big impact, benefiting both staff and the Trust as a whole.

"Thinking about debt and money worries, you've always got that in the back of your mind. I feel like Stream definitely helps me do a better job in work."
NHS staff member

Stream offers a money management toolkit that helps NHS staff with budgeting, spending, and reducing stress. By building savings pots and providing flexible access to earnings, staff have reported feeling more in control of their finances and less stressed.

"With Stream, I can build my pots to accomplish my goals, and it feels like I don't have to do much to do that."
NHS staff member
SPOTLIGHT

More NHS Support

Now accessible to over 800,000 NHS workers across more than half of NHS Trusts in the UK, Stream is making a tangible difference. Staff are more focused and engaged, with many reporting improved sleep and greater positivity towards their employer.

"Having Stream just takes some of that pressure away. I feel like I'm more present in work and can involve myself more."

The impact has been significant:

91%feel more positive towards the NHS as an employer
76%feel less stressed
80%feel more in control of their finances
22%sleep better at night
25,863are saving with Stream, many for the first time
"I highly recommend Stream to build all your dreams."
NHS staff member

For NHS staff, Stream is more than just a financial tool; it’s a lifeline that enables them to perform their critical roles with less stress and greater peace of mind.

Related client stories

Better patient care starts with better supported healthcare staff

The NHS is the UK's largest employer and one of the most committed to its people. Recognising that financial wellbeing directly impacts staff performance and patient care, NHS organisations across the UK have partnered with Stream to give healthcare workers real-time earnings visibility, flexible pay, savings tools, and personalised financial coaching. Stream is now trusted by 171,000+ members across 135+ NHS organisations and Health Boards.

Improved Shift Uptake with Stream

In recent years, they have seen a transformation in how they manage staffing and colleague support - thanks in part to initiatives led by Julie Burgess, Head of Nursing. Traditionally, filling last-minute shifts could be challenging, as agency staff often held the flexibility that NHS workers needed but didn’t always have.

Supporting employees through the cost of living crisis

Newcastle Hospitals NHS Foundation Trust is one of the busiest, largest and most successful teaching NHS foundation trusts in the country, with them overseeing around 6,000 patients every day. As a result of the new socio-economic landscape, brought about by the cost of living crisis, the Trust knew they needed to review their employee benefits offering. They recognised taking action to offer financial wellbeing support was paramount, with many of their shift workers struggling to navigate their finances during the monthly pay cycle. Stream delivered exactly what the Trust needed - a rounded financial wellbeing toolkit for their employees.

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