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- Theatre And Outpatient Service Doubles Rtt Performance
Theatre and Outpatient Service Doubles RTT Performance for Shrewsbury and Telford Hospital NHS Trust
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Patients cleared
0%
Improvement in RTT position
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Specialties (ENT & MaxFax)
0%
Of patients treated within 18 weeks
Medacs played an important role in the elective care improvements that led to our national recognition.
Their teams managed a high volume of additional activity very effectively and at pace, working closely with our teams to keep delivery aligned with our pathways, pressures and wider Trust priorities.
They met our high expectations in every aspect - mobilising quickly, communicating clearly, and engaging effectively. The Medacs approach is proactive and solutions-focused. A truly reliable partner..Deputy Chief Operating Officer
The Challenge
In June 2025, Shrewsbury and Telford Hospital NHS Trust (SaTH) faced significant elective care challenges. The ENT department was under considerable strain, with a large cohort of adult and paediatric patients awaiting outpatient appointments and surgical treatment.
The Trust was part of a group of “challenged” trusts with 18-week RTT performance below the 65% national target. Although the launch of a new Planned Care Hub for day surgery had led to some recent progress, SaTH needed to draft in insourcing support to manage demand, boost capacity, improve their 18-week performance and eliminate 52-week breaches.
Solutions
Medacs began by significantly increasing the Trust’s capacity for outpatient appointments, managing regular clinics across two specialties (ENT and MaxFax), typically treating over 200 patients per weekend, with large specialist nursing teams deployed to support specialist Medacs clinicians.
Surgical sessions were subsequently added, focused predominantly on paediatric patients, with experienced specialist consultant surgeons and anaesthetists supplied to work alongside Medacs theatre nurses and the Trust’s substantive teams.
Results
- Over 8500 patients cleared with hundreds of extra outpatient and surgical clinics.
- Within just 12 weeks, Medacs teams had seen or treated more than 2200 ENT patients and the Trust's 18-week ENT waiting list position had increased from 37% to 54%, equivalent to a 50% relative improvement.
- Within six months, the ENT 52-week waiting list had been completely cleared and this position has been maintained ever since
- In December 2025 the Trust was recognised as the most improved nationally for reducing waiting times for planned care and awarded £2 million through NHS England’s Elective Care Capital Incentive Scheme.
- By March 2026, the Trust's 18-week ENT waiting list position was 67%, ahead of national targets.
- The ICB is now looking at expanding insourcing support to cover community-based ENT clinics.
Our service improvement wouldn’t have been successful without Medacs.
They are a valued partner, helping us meet patient demand and reduce our waiting list. The operational team is responsive, professional and efficient, demonstrating flexibility and responding swiftly to requests.Centre Manager, NHS Shropshire, Telford & Wrekin ICB
Client
Shrewsbury and Telford Hospital NHS Trust
Service
Clinical Insourcing - Theatres, Outpatients & Community Clinics - ENT and MaxFax
Staffing Type
Consultant Surgeons, Anaesthetists, Specialist Nurses
Framework
NHS Shared Business Services
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