Midlands and East

Streamlining - Midlands and East

The streamlining programmes in Midlands and east are split into three sub regions:

Streamlining West Midlands

  • Executive sponsor – Karen Martin, chief workforce and information officer, University Hospitals Coventry & Warwickshire NHS Trust.
  • Programme director:  Nicola Callaghan.
  • Key partners: Health Education, West Midlands.
  • 28 trusts signed up to streamlining West Midlands.
  • Launched July 2014.

Streamlining East Midlands 

  • Executive sponsor – Alan Duffell, director of human resources and OD, Leicestershire Partnership NHS Trust.
  • Programme director:  Nicola Callaghan.
  • Key partners: Health Education, East Midlands.
  • 16 trusts signed up to streamlining East Midlands.
  • Launched October 2014.

Streamlining East of England

  • Executive sponsor – Ian Crich, director of workforce & organisational development, Peterborough & Stamford Hospitals NHS Foundation Trust.
  • Programme manager – Rachel Newbolt. 
  • Key partners:  Health Education, East of England.
  • 28 trusts signed up to streamlining East of England.
  • Launched January 2015.

The three regions have four streamlining focus areas, they are:

  • recruitment
  • statutory and mandatory training
  • occupational health
  • medical staffing.

Key progress to date

  • Reducing administration time for medical staffing teams and improving communication between NHS Trusts and the deanery through implementation of electronic staff records (ESR) and Intrepid interface.
  • Reducing the training and induction for new starters by transferring and accepting core skills training framework records for statutory/mandatory training. Download and read the case study.
  • Reducing the time for health clearance by moving to an electronic process using ESR which allows recruitment teams to view occupational health clearances directly. Download and read the case study.
  • Reducing the time to hire period by introducing factual references increasing the reference completion rate, reducing the administrative burden on line managers. Download and read the case study.
  • Reducing the variation in type and number of occupational health processes through the introduction of regional algorithms resulting in reduction of immunisations and vaccinations being repeated unnecessarily. 
  • Reducing the need for trainees to be subject to repetitive pre- employment processes, checks and training through the introduction of a lead employer model for all West Midlands’ GP trainees providing more time to deliver direct patient care. 
  • Reducing the expenditure on medical locums in East Midlands through the delivery of a regional recruitment pilot in 2015 resulting in 19 appointments delivering savings in the region of £950K in agency expenditure.
  • Reducing the differential in statutory/mandatory training periods through the introduction of a regional standard of refresher periods leading to a significant reduction in staff time spent on training, allowing them more time to spend on delivering patient care, and a reduction in training delivery costs by reducing the amount of training that is required.

Next steps

The focus for year two and three for Midlands and east streamlining programmes is on benefits realisation, and maximising delivery of their key objectives. 

The three regional programmes are also now exploring where pan regional collaboration will deliver the maximum benefits and have already started collaborating on developing a pan regional benefits calculator through their programme offices and bringing together statutory and mandatory workstream chairs to work on pan regional projects, such as the development of Midlands and east e-learning hub with input from regional external partners at Health Education England.




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