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Thomas Richards, the director, owns a house worth £1.3 million in Seal, in Sevenoaks, Kent.Medacs, another firm, which claims to place more locum doctors in the NHS than any other organisation, has posted profits of £37 million since 2009, paying one of its directors £492,000 in 2013.Critics say the problem has been caused by underinvestment in training, a lack of any effective cap on the rates that agencies charge and a failure to recruit enough staff.NHS reports last month revealed an £822 million deficit across the health service, blamed entirely on spiralling agency spending.• Surge in cancelled NHS operations • NHS spending: how temporary staff keep the health service going The firm is majority-owned by Kevin Coyle, who lives in a £3 million, seven-bed room property in Hertfordshire.

The businessmen running the agencies are earning up to £950,000 a year and living expensive lifestyles in properties worth millions of pounds, prompting warnings last night that the NHS needed “to get a grip”.The trusts blame their reliance on temporary staff on a lack of qualified nurses.Many have tried to employ more nurses in the wake of the Mid Staffs scandal, but struggled to find permanent workers, causing the agency bill to spiral.Capita’s UK health-care arm had underlying operating profits of £21.8 million in 2013, up 38pc from 2010.A Capita subsidiary, Team 24, which provides doctors and nursing staff, reported profits of £4.7 million in 2013 on turnover of £42.2 million.

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