Extending the scope of roles

Doctor looking at ultrasounds

There are a number of opportunities to extend the roles of the non-medical professional workforce.

Allied health professionals (AHPs)

NHS England has a range of information about AHPS which provides a clear view of the transformative potential of the role, along with a framework to support local delivery plans. There is a video explaining how AHPs provide a more joined up experience that improves care for patients across primary, community and hospital services, and ensures services are sustainable over the next decade. Watch the video and find out more about allied health professionals on NHS England's dedicated pages.

Extending roles to be more efficient

Nottingham CityCare Partnership introduced a new model of integrated working called the ‘holistic worker’. Under the model, health and social care workers in the urgent care team are trained in each other's disciplines which enables them to respond more effectively to crisis calls. The approach has reduced the number of unnecessary admissions to hospitals or care homes. Find out more in our case study

Derbyshire Community Health Services NHS Trust has developed a responsive workforce team to meet fluctuations in service demand and reduced the need to use agency staff. Individuals with a range of skills and experience were recruited into Band 6 nursing roles and offered specific training. Find out what impact the responsive team had in our case study.

Freedom to Speak up Guardians

Implementation of the Freedom to Speak up Guardian role provides a further example of how roles can be extended. Often taken up by an existing member of the workforce, a case study from South Essex Partnership University NHS Foundation Trust explores some of the practical considerations organisations need to work through to make this appointment.

End-of-life care

The delivery of end-of-life care training is enabling trusts to extend skills and competence across the workforce and deliver more holistic services. Find out how investing in the professional development of staff delivering care for patients at the end of their lives has improved patient outcomes in our webpages dedicated to end-of-life care.


There is much that can be learned from the experiences of those who employ reservists and how they manage to continue to deliver services when staff members are deployed. You can find case studies, blogs and resources on our reservists web pages.

Peer-to-peer support

While patients remain at the heart of any decisions regarding role redesign, an indirect consequence of supporting staff can also lead to improvements in patient care. In this case study from East Midlands Ambulance Service NHS Trust, find out how the use of a peer-to-peer support programme improved the mental wellbeing of the workforce. 

For more examples of effective workforce practice in the ambulance services which help to improve morale, motivation, engagement, productivity and efficiency visit our ambulance workforce web section.

Reshaping the workforce

When examining the trends likely to impact on future workforce change, the Nuffield Trust report Reshaping the workforce to deliver the care patients need made reference to the increasing role that technology - particularly digital, has to play in this agenda. This case study from Basildon and Thurrock University Hospitals NHS Foundation Trust explains how they built an innovative digital service for maternity patients that offers support and advice for non-urgent queries every day from 7am to 9pm.


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