CPD & E-LEARNING
John Boileau, programme manager for innovation at the NHS Institute for Innovation & Improvement, discusses the ROI scheme that allows NHS graduates to quantify their value. David Taylor is a trainee who has saved the NHS £120,000 a year.
T
he NHS Institute admits that demon- strating the benefits of its graduate
scheme hasn’t been a key strength in the past, but now the return on investment (ROI) programme is allowing trainees to showcase their skills.
NHE met John Boileau, programme man- ager, and David Taylor, an NHS trainee, at the NHS Institute’s Manchester office to discuss how this new scheme validates the investment into trainees, as well as docu- menting their progress and impact. Boileau said: “Every graduate scheme needs to prove why it exists. We point to our awards and reputation; we’ve had chief executives that have come from the scheme – in that way we know it’s successful.
“Everyone knows graduate schemes are a CASE STUDY – David Taylor
Central and Eastern Cheshire PCT put hand surgery services out to tender for anyone to deliv- er, 25% under the national tariff. It had to be delivered within the boundaries of Central and East- ern Cheshire.
David Taylor, working with the Wrightington, Wigan and Leigh NHS Foundation Trust, bid for the service – and won.
Although the management team provided support, it was some- thing that had never been at-
tempted before, meaning there was no formal template to follow.
54 | national health executive Nov/Dec 11
Since David was working on an off-site service, he was afforded
Wrightington’s consultant orthopaedic surgeon Professor Raj Murali, who leads the hand surgery at Wilmslow Health Centre following the successful bid led by David Taylor.
a level of autonomy that allowed him to flourish. He said: “I could make mistakes and learn from them, which was really good for me as a graduate trainee.”
He also had to research hand surgery commissioning, as well as learning about the financial and legal aspects of delivering services. Other lessons included dealing with professional politics, risk and experiencing
different
parts of the NHS. He continued: “I sat down with
good thing but in the current climate that isn’t really enough to demonstrate success.” Producing ROI over the fragmented land- scape of the NHS presents a huge challenge for the NHS Institute, one which can now be mitigated by using anonymised data.
Recording progression
Boileau explained: “We’ve never looked at retention rates or progression before be- cause it’s so difficult. Other companies are all on one payroll system, one organisation, so if people leave it’s very easy to see that they’ve left.
“David’s employed by the NHS Institute graduate scheme, but as soon as he goes to another NHS organisation, unless David’s very proactive in telling us what he’s up to,
it’s very difficult to monitor, for data pro- tection reasons. Having the national self- record system allowed us to anonymise the report; that’s the first time we’ve been able to do that.
“We wanted to put in place some mecha- nism where trainees could demonstrate what they could do, whilst on the scheme,
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