Case studies: five high impact actions

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20 / 02 / 2012

Listed below are a number of case studies available to download which showcase good practice from within NHS organisations. These are based on the five high impact changes and they offer examples of how each of the high impact actions can be translated into practical steps that can lead to both a significant increase in the quality of care and a reduction in the organisation's expenditure on temporary staffing.  

The Leeds Teaching Hospitals NHS Trust: reducing medical agency spend

Read how The Leeds Teaching Hospitals NHS Trust introduced a central deployment service and made effective use of e-rostering to reduce their medical agency spend. 

Download the case study

Derby Teaching Hospitals NHS Foundation Trust: responding to the emergency workforce crisis in Derby

Find out how Derby introduced bespoke training to meet the needs of staff and the service, improving local recruitment, retention rates and expenditure.

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Taunton and Somerset NHS Foundation Trust: reducing agency staff costs

Taunton and Somerset NHS Foundation Trust implemented consistent processes for managing temporary staff and e-rostering. Combining the two provided complete visibility of the workforce which has enabled a reduction in workforce expenditure, particularly agency costs.

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Blackpool Teaching Hospitals Foundation Trust: involving doctors in implementing an online rostering system

Blackpool Teaching Hospitals NHS Foundation Trust made savings valued at £20,000 across a six-month pilot project to implement an online rostering system for junior doctors.

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Leicestershire Partnership NHS Trust: implementing e-rostering for all medical trainees

Leicestershire Partnership NHS Trust has improved the way its medical trainee on-call rosters are compiled and managed. It is now planning to end paper rotas for medical staff, which will save time for the medical staffing team and medical trainees.

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York Teaching Hospitals NHS Foundation Trust: minimising the cost of medical rotas management

York Teaching Hospitals NHS Foundation Trust made efficiency savings of £225,000 through introducing a rota coordination team to maintain rotas, freeing up clinical and management time for service delivery.

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Bradford District Care NHS Trust: working in partnership to dramatically reduce agency spend

Bradford District Care NHS Trust reduced its agency staff spending by 25 per cent over six months by joining forces with NHS Professionals (NHSP). This has been supported by a 13 per cent increase in bank (NHSP) versus agency fill rate to date.

Download the case study

Norfolk and Waveney Mental Health NHS Foundation Trust: collaborating across units to increase bank shift fill

In just one year, Norfolk and Waveney Mental Health NHS Foundation Trust has more than doubled its bank fill rates and reduced by 35 per cent the number of agency staff shifts through implementing a managed flexible worker solution.

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University Hospital of South Manchester NHS Foundation Trust: updating administration and offering pre-employment courses to meet staffing demand

University Hospital of South Manchester NHS Foundation Trust saved more than £2 million on temporary staffing in one year after streamlining its temporary workforce management system, and piloting a new scheme for unqualified trainees.

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Dorset County Hospital NHS Foundation Trust: using workforce intelligence to reduce agency spend

Dorset County Hospital NHS Foundation Trust has successfully implemented a programme to reduce temporary staffing costs, saving approximately £70,000 a month in 2011/2012 and with ongoing benefits.

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North Tees and Hartlepool NHS Foundation Trust: making effective use of bank and agency staff

North Tees and Hartlepool NHS Foundation Trust introduced a Bank Staff Management System (BSMS) to ensure that appropriately skilled and qualified temporary staff are allocated bank duties, to minimise clinical risks and control agency costs and spend.

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The Royal Berkshire NHS Foundation Trust: creating a managed service platform to reduce cost and improve governance standards

The Royal Berkshire NHS Foundation Trust has managed to channel its entire locum doctor requirement through the NHS Professionals (NHSP) managed service platform to reduce costs, improve governance standards and help achieve key objectives within 12 working days.

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United Lincolnshire Hospitals NHS Trust: implementing a locum booking, authorisation and monitoring system to control costs and increase shift fill

United Lincolnshire Hospitals NHS Trust commissioned a report to investigate the high spend on locum doctors. The trust introduced a pilot locum booking system aimed at reducing locum costs and improving management control issues.

Read the case study

Hertfordshire Partnership NHS Foundation Trust: implementing e-rostering to reduce agency spend

E-rostering has helped Hertfordshire Partnership NHS Foundation Trust to save more than £750,000 over three years and understand the total resources they have available at any one time. Now in the second phase of the project they are rolling it out across the trust.

Read the case study

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