The best choice is the one that fits your season of life

Some clinicians thrive in permanent roles: team continuity, development pathways, and predictable routines. Others prefer locum and agency work: flexibility, variety, and control.

In 2026, many people do a blend, and that can be the sweet spot.

Permanent work: why it works

Pros

  • stability and predictable income

  • benefits (depending on role and employer)

  • development pathways and progression

  • team continuity and familiarity

Cons

  • less flexibility

  • can feel stuck if staffing pressures are high

  • harder to reset if the environment isn’t right

Locum and agency work: why it works

Pros

  • flexibility: you choose when and where you work

  • variety: different settings and experiences

  • often improved earning potential depending on shifts

  • control: you can step back when needed

Cons

  • you need to be organised (compliance, availability, timesheets)

  • income can vary month to month

  • you have to protect your work-life balance proactively

Real-world scenarios

  • You want more control around family life: agency work can give you flexibility without leaving healthcare altogether.

  • You’re burned out in one environment: locum work can help you reset while staying clinically active.

  • You want stability but better pay: a permanent move might suit, or a blended approach with extra shifts.

  • You’re exploring a speciality: agency work can broaden exposure quickly.

The blended route: increasingly common

Some clinicians keep a permanent role and use locum or agency shifts to:

  • top up income

  • maintain variety

  • control workload

  • avoid overcommitting

If you’re curious, start a conversation

A professional agency won’t force you into a decision. They’ll ask what you want, what you can realistically do, and advise accordingly.

Register with TXM and we’ll talk through your options:
Register Now

Internal links to add

FAQs

  • Can I go agency while keeping my permanent job? Often yes, subject to your contract and rest requirements.

  • Is agency work stable enough long-term? It can be, especially if you’re reliable and flexible, but it’s wise to plan for quieter periods.

  • Will agency work harm my CV? Not if it’s presented well. Many clinicians build strong, varied experience through locum work.