Project Aims

This project brings together clinicians from specialties including Ophthalmology, Ear Nose and Throat (ENT) and Oral and Maxillofacial Surgery to explore where the service could benefit from increasing the collaborative working across Trusts, in order to improve quality, safety, sustainability or resilience.


  • By re-designing the provision of services across all organisations we can ensure that everyone has equal access to the same quality service with efficient use of healthcare staff and reduced reliance on temporary staff

Key achievements

  • ENT clinicians from all the Working Together partner Trusts were involved in developing a regional solution for out of hours ENT. The approach they agreed was an extension of the out of hours rota hub model (Barnsley, Chesterfield & Sheffield; Doncaster & Bassetlaw & Rotherham). The changes agreed also allow a dedicated ENT surgical rota for children and guidance for ENT emergencies has been streamlined and standardised across the Trusts

Progress on current projects – March 2017

  • Clinicians from ophthalmology have been using data collection on out-of-hours activity and workforce, which suggests that we could re-design the service in a different way and provide a better more equitable, high quality service with more efficient use of the workforce. They are specifically looking at standardising and streamlining access to emergency treatment at night, and alternative workforce models
  • The OMFS clinicians are exploring ways of further collaborative working to improve the elective and emergency service, including looking at workforce models and trauma pathway redesign
  • The ENT clinicians are looking at how to recruit a workforce that will deliver sustainable high quality services over the next few years

Project Team

  • Simon Morritt, Chief Executive Sponsor (Chesterfield Royal Hospital NHS Foundation Trust)
  • Sewa Singh, Medical Director Sponsor (Doncaster and Bassetlaw NHS Foundation Trust)
  • Julie Shaw, Project Manager