NHS Employers
362 Case Studies
A NHS Employers Case Study
Derby Teaching Hospitals NHS Foundation Trust, supported by NHS Employers, faced a severe emergency workforce crisis in Derby. Rising emergency admissions, reduced applications for emergency department posts, and heavy reliance on locum and SAS doctors left the trust unable to meet four-hour waiting time targets during winter 2012/13.
NHS Employers highlighted a holistic workforce redesign that included integrated workforce planning, clinical leadership, staff engagement, tailored training and rotations, new ACP roles, and more sustainable rotas. The results were strong: the four-hour target was met in every quarter of 2014/15, the trust recruited an additional 16.2 WTE middle grade doctors and 12 ACPs, sickness absence fell, and around £900,000 was saved by converting locum to substantive posts.