The history of streamlining

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Streamlining started in 2009 in London, and grew out of a complaint from a junior doctor that he was drowning in paperwork. From that initial complaint the HR directors in London developed a collaboration with NHS Employers and Skills for Health to work collectively in order to identify the key issues and action plan for tackling these issues. 

Their approach was to bring together specialists in HR recruitment, employment checks and statutory/mandatory training to compare their performance, share best practice, and create working groups to deliver 

As a result of this collaboration, London trusts have saved millions of pounds and improved efficiency in three key areas, these are:

  • junior doctors rotation/time to hire for all new appointments
  • employment checks
  • statutory and mandatory training.

The streamlining programme soon developed into a vital service to HR directors and trusts across London, and since January 2014 NHS Employers has engaged with HRD networks in order to share the benefits and lessons learned from London to motivate them to set up streamlining programmes in their regions.

Since January 2014 streamlining has moved rapidly and now has regional programmes in midlands and east, north west, north east and the newest region to join is south west.


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