Partnering with the Lead Employer Trust to complement a medical collaborative bank for Doctors in Training

1,250 active doctors in training across 73 specialities

Bookings via the bank up 30% year on year

The Challenge

The main driver for this project was to bring extra rigour and transparency in the area of compliance. However, other objectives included reducing the overall expenditure associated with medical temporary workforce, benefitting from workforce intelligence detailing hours worked by Doctors in Training (DiT), and being able to passport workers across the region to facilitate true collaboration. Liaison Workforce understood from the trusts that there were perceived barriers to joining a collaborative bank including:

  • Disruption to other workforce services which are in situ.
  • Harmonising pay rates between organisations.

The Solution

Liaison Workforce worked with the Lead Employer Trust (LET) for the North East and North Cumbria Integrated Care System in 2017 to develop Flexishift – a collaborative bank service for Doctors in Training.

Over the last four years, Liaison Workforce has developed the collaborative bank with the LET and other NHS organisations in the region, building it into a successful initiative across the system:

The Outcomes

December 2017

A six-month proof of concept pilot initiated with five trusts.

August 2018

TempRE App goes live – Doctors in Training add their CV and book shifts on the go.

September 2018

Two further NHS organisations join the medical collaborative bank.

April 2020

Five new COVID-19 speciality codes allow doctors to work across multiple departments.

July 2020

The first mental health organisation also joins the regional collaborative bank.

August 2020

Over 300 FY1s added.

Key Benefits


Increased operational standards through investment in education and
training led to maximised productivity and focus on staffing rather than administration.

Workforce planning

Greater use of rostering data and analysis to know who works

Patient outcomes

Increases in continuity and quality of care led to improved patient safety.


System-wide governance, facilitated by mii Experts providing payroll governance and flexible payroll options.


By introducing mii Collaborative Bank and re-designing flexible workforce management processes, the LET was able to drive efficiencies across the system and reinvest savings back into patient care.

Maximising regional bank resource

Prioritising mii Collaborative Bank workforce resulted in enhanced staff experience, increased retention rates, and continuity of staffing deployment leading to improved patient experience.

Outcomes at the time of publication:

Eight trusts are now part of Flexishift:

  • County Durham and Darlington NHS Trust
  • Gateshead Hospitals NHS Foundation Trust
  • Northumbria Healthcare NHS Foundation Trust
  • North Tees and Hartlepool NHS Foundation Trust
  • South Tees NHS Foundation Trust
  • North Cumbria Integrated Care NHS Foundation Trust
  • Newcastle upon Tyne Hospitals NHS Foundation Trust
  • Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust

mii Collaborative Bank supported NHS organisations through the Covid-19 pandemic, enabling them to cover vacant shifts and minimise their requirement for agency engagement.

mii Collaborative Bank workers cover 73 specialities, with 9 difficult specialities being filled by workers on the collaborative bank.

There are over 1,250 active Doctors in Training registered on the bank, up 66% year on year.

Bookings via the collaborative bank are up 30% year on year.

Over 300 FY1s have been added, with FY2s following in 2021.

Intelligence provided to inform the national picture on Covid-19.

We’ve been successful in securing regional collaboration, not only in terms of addressing and harmonising pay rates, but also in improving the patient safety side. With some fifty percent of the doctors rotating around the region, we’re now using a workforce that is aware of how we operate within the region and the systems at the individual hospital trust sites. The collaborative bank ensures that we have doctors and dentists working at the level, specialty and competence that they have been trained to do within the NHS.

Linsey Richards

Head of Human Resources, Lead Employer Trust, Health Education England North East.

Next Steps

FY2s will be added to the collaborative bank in August 2021, with other staffing areas also being considered for inclusion.

Get in Touch

To discuss temporary workforce management solutions for your NHS organisation, or system working and collaborative bank opportunities for your region.


Lead Employer Trust (LET) - North East and North Cumbria Integrated Care System


Improve compliance, utilise bank shifts, and passport workers across the region


mii Collaborative Bank mii Data Warehouse mii Apps mii Experts