Multiples and unscrupulous agencies, in short. They need to make a profit by any means possible which has meant that large corporations will look to cut costs and cutting locum rates is an easy way to do this. The drop in locum rates started way before the pharmacy cuts so that it’s because of cuts is simply not true. Agencies play their part by giving locums false information about what rates they can achieve and playing locums off each other. Some large and well-known agencies even go as far as threatening locums with blacklisting them if they try to negotiate rates.