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An innovative training and recruitment programme in surgery.

Sriharan Sivayoganathan1,2, William English3,2, Veeranna Shatkar1

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Barking, Havering and Redbridge University Hospitals NHS Trust developed an innovative surgical training program. This initiative successfully addressed staff shortages and achieved significant cost savings for the NHS.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Healthcare Management

Background:

  • Addressing critical staff shortages and escalating locum physician costs within the NHS.
  • Designing a novel 2-year structured educational program, the 'Academy of Surgery', for surgical doctors.
  • Integrating rotations through surgical and emergency care specialties with a funded Master of Science (MSc) degree.

Observation:

  • Recruitment of 27 doctors over two years (October 2018 and October 2019 cohorts).
  • Implementation of a highly supervised, 2-year program focused on preparing doctors for higher specialty training.
  • Establishment of regular competency assessments, annual reviews, formal teaching sessions, and welfare support.

Findings:

  • Complete staffing of surgical rotas, eliminating reliance on locum doctors.
  • Demonstrated substantial financial savings, with a net reduction of £1,187,000 in locum spending over two years (£3,856,000 in 2017 vs. £1,284,000 in 2020).

Implications:

  • The 'Academy of Surgery' model effectively resolves surgical staffing challenges and generates significant financial benefits for the NHS.
  • Potential for scalability and replication of this innovative training pathway in other NHS trusts to improve healthcare delivery and efficiency.