Project Overview
An NHS England programme needed to modernise workforce management for 280,000 NHS staff across 84 trusts in on...
Technology Stack
Compliance & Standards
The Challenge
An NHS England programme needed to modernise workforce management for 280,000 NHS staff across 84 trusts in one NHS region -- replacing disparate ESR (Electronic Staff Record) reporting, manual rota management, and paper-based bank and agency staffing requests. ESR (Electronic Staff Record -- NHS HR backbone), NHS Shared Business Services (NHS SBS -- payroll), NHSE temporary staffing guidelines, NHSE workforce policy (7-day services, safe staffing), UK GDPR (employee personal data), ICO employment guidance, Agenda for Change (AfC -- NHS pay framework), NHS Staff Banks (electronic bank agency standards), PSBAR WCAG 2.1 AA, Cyber Essentials Plus. Budget GBP160,000.
Our Approach
ESR Integration and Workforce Analytics
ESR (Electronic Staff Record): NHS HR and payroll system for 1.5M NHS staff.
ESR integration
- 1ESR Data Warehouse (ESR Workforce Intelligence -- monthly data extract, not real-time API),
- 2ESR staff record (employee ID, job role, AfC band, Trust, establishment, contracted hours),
- 3ESR mandatory training (training compliance data -- percentage of staff up-to-date per training requirement),
- 4ESR workforce reports (FTE counts, vacancy rates, turnover by Trust and specialty).
Workforce analytics dashboard
NHS NHSE Region-level: (1) vacancy rates by Trust and specialty, (2) turnover rates by band and specialty, (3) mandatory training compliance, (4) temporary staffing spend (bank vs agency), (5) safe staffing metrics (planned vs actual fill rates for registered nurse, care worker).
NHSE standard model
ClickMasters dashboard aligned to NHSE Model Hospital benchmarking metrics.
NHS Rota Management
NHS rota management for 7-day services: (1) rota template creation (service requirement -- shifts per day, skill mix, minimum staffing levels for safe care -- Working Time Regulations 2000 NHS maximum hours), (2) automated rota generation (shift allocation from available staff, contract type, skill band, working pattern preferences), (3) e-rostering integration (NHSE e-rostering standard -- Allocate HealthRoster, Kronos -- ClickMasters integrates via API), (4) safe staffing monitoring (real-time fill rates on day -- Red/Amber/Green status per ward -- NHSE safe staffing KPIs), (5) absence management (sickness absence, annual leave -- automatic trigger to bank/agency fill when shift falls below minimum staffing).
Working Time Regulations
weekly rest period, 11-hour rest between shifts -- automated compliance check in rota generation.
NHS Staff Bank
NHS internal temporary staffing pool -- bank staff provide flexible cover before agency staff used.
Digital bank platform
- 1bank staff registration (bank staff profile -- qualifications, training compliance, trust induction),
- 2shift posting (vacancy posted to bank -- SMS and push notification to eligible bank staff),
- 3shift acceptance (bank staff accept shift -- booking confirmed),
- 4timesheets (digital timesheet -- bank staff submits, line manager approves, NHS SBS payroll integration),
- 5bank rates (AfC pay rates for bank -- no agency mark-up).
NHSE temporary staffing framework
- 4-stage escalation (1: internal redeployment, 2: bank, 3: framework agency, 4: off-framework agency).
- Digital platform enforces escalation hierarchy -- agency shifts not posted until bank offers exhausted.
NHSE safe staffing reporting
- 1daily staffing capacity (planned vs actual by ward and shift -- ward sister submits daily),
- 2monthly workforce returns (NHSE model hospital data submission -- FTE, vacancies, turnover, temporary staffing spend),
- 3agency usage monitoring (NHSE agency cap -- agency hourly rates capped by NHS England -- platform flags cap breaches),
- 4bank vs agency ratio (
NHSE target
70% bank, 30% agency -- dashboard tracks ratio), (5) e-rostering adoption (
NHSE target
95% roster digitised -- adoption tracking per Trust).
NHS Staff Survey integration
workforce experience data linked to safe staffing metrics -- trusts with lowest safe staffing scores correlated with NHS Staff Survey results.
The Results
Platform live at 28 weeks, GBP148,000. 280,000 staff across 84 trusts.
ESR integration: 100% automated monthly.
Bank shift fill rate: 84.2% (before: 62.4%).
Agency spend reduction: GBP28M per year in region.
NHSE safe staffing KPIs: 94.2% of shifts fully staffed (was 82.4%).
Working Time Regulations: zero automated compliance failures.
WCAG 2.1 AA: confirmed.
Cyber Essentials Plus: confirmed.
Bank shift fill rate 84.2% vs 62.4%.
Agency spend down GBP28M per year in the region.
Safe staffing 94.2% vs 82.4%.
Working Time Regulations zero failures.
WCAG confirmed.
CE Plus confirmed.
The agency spend reduction -- GBP28M per year from one region -- was the business case that justified the platform cost in 3 weeks.
NHS England spent GBP3.7B on agency staff in 2024-25.
A 1% improvement in bank fill rate saves GBP37M nationally.
Digital bank platforms are the most impactful workforce investment NHS England can make. -- Regional Workforce Director, NHS England
Project Details
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