ESR data has been used to reflect the staffing by specialty however the way specialties have been defined is by "Area of Work". This is not a mandatory ESR field and often staff in a specialty come under differing areas of work eg administration.

Internally we use cost centers. When we compare our departmental staff to your breakdown of our staff they are significantly different - eg T&O in the model hospital reports 70.8 FTE, we actually have just over 123 FTE. Therefore an inaccurate view of a specialty which we therefore cannot benchmark against other trusts.

This is an area with highest potential productivity opportunities and clinical staff need to look at best practices in other trusts to improve pathways and productivity. Sharing this as soon as possible would be helpful to engage doctors and staff in the current Model Hospital analysis we are doing.

Currently the data on staff cost per WAU only includes employed staff this does not reflect the true cost which can include large amounts of agency spend. This means that areas that are fully established and use little agency look less efficient than under established areas with a large agency bill. This is perverse and is driving some very odd/dangerous ideas in our trust as to where savings can be made.

Does WTE pertain to 1 person that could be doing 10PAs or 14 or does it pertain to 10 PAs total work. To see if a service is efficient we need to compare output per PA not output per person listed on ESR

Allow users to select which sub-specialties should fall under over-arching specialty i.e. in paediatrics often different sub-specialties are managed by different Divisions and it is not clear how much of the opportunity lies in each sub-specialty

Please could you include staff turnover within all Clinical Service Lines?

As a Model Hospital user I would like to be able to download data for a single metric across all clinical service lines, for example to be able to view Cost per WAU for all specialties at once rather than extracting from each specialty individually.

Would it be possible to split obstetrics and gynaecology into separate lines as these are different services and it would be helpful to see data differentiated

For our data there are a number of overlaps in the cost and opportunities shown for each service line.

As an example with Gen Surg there is the national specialty of General Surgery but also F/G HRG's. These F/G HRG's also then also reported in the lines for other services where this activity is reported in refernce costs (in our case gastro, gen med, elderly etc..)

We also see the costs and opportunity for 503 (Gynaecological Oncology) in both the Obs and Gynae service line and the Cancer Services data.

Length of stay and other data for elective hip/knee, A&E waiting times and other metrics are still only available for 15/16 data in several cases. Several of these could be updated monthly.

It would be helpful to be able to see information on litigation costs and claims under each clinical specialty

As an analyst I would like to be able to view a single chart which demonstrates my overall cost per WAU split by specialty

As a Carter Lead I am interested in how ESR data can be better utilised to add value in clinical specialties. Often staff are assigned under general surgery and general medicine rather than their specific specialty, this can make it difficult to get an accurate picture of productivity at a specialty level.