"The Adult and Community Care Committee kept hearing about poor service caused by staffing problems," County Councillor Diana Smith explained. "So it set up a task group to look at Recruitment and Retention. Proper statistics were hard to come by. We eventually got figures for the reported high vacancy rates in 'front line' teams, from 18% among the essential Home Based Care staff to 31% of highly-skilled Occupational Therapists. We heard of one team of Occupational Therapists entirely consisting of stand-ins. Looked at in purely economic terms, terms the Conservative Executive understands, we found under-staffing led to a big bill for agency staff, over 40% of Surrey's total. The costs in human terms are don't get counted, but they include de facto rationing of care for the people who need it, lack of continuity of care, and stress for staff. Sickness rates are higher among Adults and Community Care staff than in any other Surrey service."