How could the efficiency of the NHS be improved through staffing arrangements?
John Adsett, head of personnel, Basildon and Thurrock General Hospitals Trust
• "If I knew the answer to this question, I would bottle it. I think people are looking for a package that suits them. I think the message is that you have to try to find a package of measures that appeals to your workforce to increase their general efficiency.
"You need to demonstrate that you can give them a flexible job, a job that is going to develop them. People don't always necessarily move for money. They often move for career development now."
Lew Swift, HR director, Aintree Hospitals NHS Trust
• "I think the majority of NHS staff do work efficiently but we could make their lives better by being more family friendly through more enlightened rostering arrangements.
"People who are happy with the way their work links in with their family arrangements are inevitably even more efficient. Staff need a comfort zone where they feel secure or they will suffer stress.
"If they have that comfort zone they can give the best care they can because they feel they are working with similarly committed colleagues and for employers that look after them.
"They are very concerned about training opportunities and a good work environment."
Karen Bell, president, Association of Healthcare HR Management
• "I think a skills mixture is very important - for example, with nursing care assistants and graduates. There is lots of good practice around the NHS where this has been possible but I think we could be more explicit about it.
"It has to be done in a way that it is not a threat, but we do have graduates coming into nursing.
"We also need to be radical about flexibility. Before you had this idea that you could only employ nurses who could work full-time but now it is possible to be flexible about part-time work. There is still a long way to go."
James Farrelly, personnel manager at West Lothian Healthcare NHS Trust
• "Where trusts have relied on agency staff there has been a higher cost in the long term because you pay the going rate and the agency also takes a cut.
"What we have done is establish our own bank, a pool of nurses who already work for