Derby Teaching Hospitals NHS Foundation Trust – Future Proofing Derby’s Emergency Department Workforce


Derby’s Emergency Department (ED) has redesigned their workforce model, identifying innovative solutions to the recruitment crisis, engaging and raising morale of the clinical team, and improving patient care. Solutions by staff for staff have grown talent, provided attractive career pathways and sustained the workforce for the future.

The Trust ensures doctors are offered the required education, training and support that may not be offered in traditional education. Tailor made rotations give doctors opportunities to obtain additional skills in the relevant specialities. For example, speciality / associate specialist (SAS) doctors gain experience in airway management through a three month theatre placement. Individuals on these rotations are assigned a named consultant mentor and have protected teaching time.

Advanced clinical practitioners (ACPs) roles have been enhanced bringing together medical, nursing and therapy staff to work more effectively and improve team communication. Derby’s ED now has 12 ACPs and a training programme developed in partnership with the University of Derby.

This ED redesign is a remarkable success, producing a higher proportion of senior doctors and advanced practitioners treating patients. Derby hospitals have reduced the number of breaches of the four-hour target during night shifts and have achieved the target every quarter in 2014/2015. This sustainable workforce has caused an influx of emergency medicine doctors into the region and captured the interests of other acute trusts.

About the author

NHS Professionals administrator

NHS Professionals manages the temporary staffing needs of around 66 NHS Trusts across England. An integral part of the NHS, it aims to reduce Trusts’ spending on flexible workers without compromising quality, by providing greater transparency of demand and supplying bank staff at the best possible rate. Its bank of more than 40,000 flexible workers comprises general and specialist nurses, doctors, midwives, admin/clerical , allied health professionals, healthcare scientists, support services among other healthcare professionals.

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