NHS • CARE HOMES • CLINICAL STAFFING • DOMICILIARY

The only platform built for the full complexity of UK healthcare workforce management.

NHS Agenda for Change, NHS Pensions, DBS & CQC compliance, agency IR35/AWR, lone worker visit pay, on-call enhancements and 24/7 clinical rostering — all in one system. Payrovia Payroll + Flex.

NHS Agenda for Change + Pensions DBS, CQC & mandatory training gate IR35 / AWR for agency & locum Lone worker visit pay + GPS

Book healthcare demo → View full UK NHS deep dive with calculator →

THE REAL PROBLEM IN UK HEALTHCARE

Generic payroll and rostering tools were never designed for Agenda for Change spine points, NHS pension sections, CQC gate enforcement and the most fragile staffing model in the country.

Agenda for Change is brutally complex

9 bands, multiple spine points, unsocial hours, on-call, standby, high-cost area supplements, annual pay awards that must be backdated correctly across every contract type. Most systems treat it as an afterthought.

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The workforce is a permanent mix of substantive, bank, agency and locum

IR35 determinations, AWR 12-week parity, visa sponsorship tracking. One missed DBS or mandatory training and a shift cannot legally run.

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Community and domiciliary work is visit-based, not shift-based

12 visits a day across 40 miles. Travel time, mileage and lone worker welfare checks are not optional. Most systems force everything into hourly timesheets.

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Compliance evidence must be audit-ready in minutes, not weeks

CQC, NHS BSA, internal audit and client inspections. If your rostering and pay data live in different systems, you are always behind.

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THE PAYROVIA SUITE FOR UK HEALTHCARE

Payroll that understands every NHS rule + a workforce platform built for clinical shifts and visits = the only system that sees the full picture.

PAYROVIA PAYROLL

UK Healthcare Payroll Engine

Full NHS Agenda for Change with every spine point, enhancement and backdating rule since 2018
NHS Pension Scheme modelling (1995/2008/2015) + correct annual returns
IR35 determination engine + automatic Key Information Documents
AWR 12-week parity tracking across multiple hirers
Visit-based pay with automatic travel time and mileage

PAYROVIA FLEX

Clinical & Care Operations Layer

24/7 clinical rostering with skill mix and NMC revalidation enforcement
DBS, mandatory training and CQC gate enforcement at clock-in or visit start
Lone worker GPS, welfare timers and panic button incident creation
Instant fill for night shifts and community visits via urgent broadcast
Overseas sponsorship cost tracking and visa expiry alerts

TOGETHER

One Version of Clinical Truth

Every verified shift or visit feeds straight into correct AfC pay and pension
Real-time paybill forecasting for finance committees and CQC evidence
Agency and bank invoices reconciled automatically against actual worked time
Full compliance audit trail ready in minutes

FULL UK DEEP DIVE WITH INTERACTIVE CALCULATOR

The richest healthcare-specific experience lives on our dedicated UK page.

The /uk/healthcare.html page includes the complete clinical capabilities grid, four organisation-type case studies, two detailed real UK outcomes, a full set of NHS-specific FAQ answers, and a live interactive cost model that lets you explore agency premium vs projected savings with real UK healthcare benchmarks.

Open the full UK healthcare deep dive & calculator →

Includes Agenda for Change, IR35/AWR, lone worker visit pay and CQC evidence details.

ILLUSTRATIVE OUTCOMES (SEE FULL PAGE FOR DETAILS)

“We were spending £2.9m a year on agency nurses with almost no visibility of true cost once enhancements and pension were added (illustrative example — see full UK deep dive for complete case).”

— Director of Workforce, NHS Foundation Trust (see full case on UK deep dive)

FOR NHS TRUSTS, CARE GROUPS AND HEALTHCARE STAFFING AGENCIES

Let’s talk about how your organisation actually staffs and pays people.

We’ll build a model of your current agency spend, compliance exposure and rota friction using real UK healthcare rules.

Book a healthcare strategy call →

Or start with the full interactive model on the dedicated UK page.