Agency nurses often worked more overtime hours and provided “less service for the money spent” than regular staff. “Health Services failed to adequately plan for its use of agency nursing, resulting in spending that continues at near record levels. Newfoundland and Labrador Health Services must be held accountable, and there must be consequences.”Registered Nurses’ Union President Yvette Coffey. These include: evaluating bids based on clear, predefined criteria before awarding contracts; using standardized agreements for agency nurses that clearly outline N.L. “Progress has already been made on previous direction for the health authority to limit spending and reduce its use of agency nurses.