Robot-assisted surgery
metrics allows teams to evaluate performance and identify areas for improvement, provided there is a systematic approach to data review and implementation of findings. Structured feedback through data analysis can support learning and surgical accuracy. This information has helped inform case selection and scheduling decisions, while also providing objective feedback for team members in training. For example, when a training case is delayed due to set-up time, the system allows the team to isolate the issue and address it in simulation. Over time, we have seen this improve list management and support smoother theatre utilisation. Not only does the data support decision making for optimised scheduling, but the system has been designed with clinical uptime in mind. This has been an important contributor to maintaining CHFT’s efficient operating schedule. This system implements regular software updates which aim to enhance system functionality, including adjustments to mechanical operations and safety features. For example, over the past two years software updates have made improvements in robotic arm range, and increased rotation capabilities without incurring downtime. While these updates generally occur without significant disruption to service, proper planning and testing protocols are essential. It is important to plan flexibly all maintenance, and to connect engineers directly with the theatre teams to schedule servicing on non-operating days, ensuring minimal disruption.
Developing surgical team expertise through structured training A significant factor in developing our robotic surgery programme has been the emphasis on internal training and staff development. Our Trust implemented a structured “Train the Trainer” programme with three theatre nurses, allowing more sustainable in-house education for new surgical scrub nurses. We also have two trainers for the first assistant course, meaning that nearly all our practical training is now delivered internally. This cascaded training model extends
to our surgical team, where one colorectal consultant and one urology consultant serve as internal mentors. By adopting a structured training approach, we have supported two new colorectal surgeons in adopting robotic techniques, with three additional consultants and two registrars progressing through training. We have seen that this approach has not only enhanced resilience but has also proved
cost-effective, significantly reducing reliance on external training providers. With theatre teams increasingly comfortable with robotic tools, the atmosphere in operating theatres has evolved as well, with greater teamwork, efficiency and morale. The implementation process also benefited
from manufacturer support and structured educational pathways. This helped establish protocols for staff training and system integration, though we found that developing our own internal expertise was equally important for long-term success.
Supporting recruitment and retention While robotic-assisted surgery is not directly used in the high-volume, low-complexity lists that have driven much of the Trust’s backlog reduction, it has still played a role in expanding
capacity. One of the most important impacts has been on recruitment. Since launching the robotic surgery
programme, we have received greater interest in vacant consultant roles, with more applications per post across multiple specialties. We have noted several cases where the opportunity to train and operate in robotic surgery is a key differentiator and attraction to working at the Trust. The presence of a well-structured programme at CHFT signals the Trust’s commitment to innovation, safety, and workforce development, which in today’s competitive NHS landscape can make a notable difference. We have also observed staff retention
improvements. Trainees have been more engaged, our assistants are acquiring advanced skills, and our existing surgeons are gaining confidence in minimally invasive techniques that
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November 2025 I
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