In the context of historical overspends, the Genie proved we could transform our establishments and invest in a sustainable workforce within the current budget envelope and kick-start a three-year saving plan. We demonstrated a robust process, defended our care levels and gained buy-in from Execs, NEDs and corporate colleagues.

Deputy Director of NursingAcute NHS Foundation Trust

I had always viewed establishment review as a ‘tick-box’ exercise, with little opportunity to make changes that would really impact on care levels and quality. However, the process we have undertaken really helped to bring evidence to my professional judgement, and as a result we have increased staffing numbers at night on my ward, improved our patient and staff outcomes and reduced our costs –with the support of both clinical and non-clinical staff

MatronAcute NHS Foundation Trust

Establishment Genie was indispensable in planning and budgeting for our multi-site bed reconfiguration. We used the Genie to show how we can safely save over £1m as we redesign our medical and surgical workforce whilst adding supporting roles to improve flow, increasing Band 7 supervisory time and integrating the Band 4 role

Assistant Director of NursingAcute NHS Foundation

As the incoming Chief Nurse, I used the Genie to take stock of planned ratios, skillmix and CHPPD across acute and community sites, triangulate with SNCT, assess risk and prioritise where to focus first – in three days

Director of NursingNHS Foundation Trust

The Genie workshop was inspirational and has made me want to stay beyond retirement. It really gave us all a sense of leading the District Nursing Principles from the ground floor up and the exciting times that could be ahead of us

District Nursing Team LeaderHealth Board, NHS Wales

We have found the Establishment Genie work incredibly valuable, and now have a basis from which we can work towards developing the team and finding a better way forward

District Nursing Team LeaderNHS Community Trust

We used Establishment Genie to evaluate how to safely and effectively use our Band 4 workforce, quantify what this meant for skillmix and ratios, and inform the balance between Registered Nurse and Band 4 care

Director of NursingNHS Foundation Trust

Without Establishment Genie we would not have had the successful integration we did. The team were always flexible in their working and willing to go above and beyond. They have continued to support us in our work with staffing models and establishments providing a transformational program of work across nursing in the organisation

Director of NursingNHS Foundation Trust

The systematic and engaging approach supported the work of the All Wales District Nursing Workforce and Workload Group, but also identified service improvement and performance management issues. I would class the work as evolutionary, revolutionary and exemplary

Divisional NurseHealth Board, NHS Wales

The Establishment Genie team achieved a great deal in a short timeframe, working with staff on developing a service description that would achieve the many outcomes required by the CCG for transformation. You were able to take the vision and really work with the team to achieve some tangible outcomes, including delivery of a service description and a comprehensive improvement plan; developing and supporting care pathway co-redesign for EOL, Continence and Diabetes

Assistant Director of NursingCCG

The Establishment Genie team delivered a comprehensive strategy document that set out a clear vision for the future along with detailed plans for implementation and re-drawn patient pathways. To achieve this, they worked with teams on the ground to forge the vision for new ways of working. There were a number of difficult discussions with teams that were not open to change. The Genie team won hearts and minds and collaboratively created a plan that was signed off by the nursing team, the CCG, GP’s and approved for implementation by the Executive Business and Strategy Group in Autumn 2018. It is currently being delivered to time with tangible, measurable results. Thank you

Senior Programme ManagerNHS Foundation Trust