Clinical Insourcing Services

Clinical Insourcing providers manage the delivery of extra clinical services (e.g. surgery, diagnostic and outpatient sessions) using spare NHS facilities, typically outside normal working hours. The purpose is to boost service outputs in line with national waiting list targets.

Medacs provides framework-approved clinical insourcing services to help NHS trusts and health boards increase elective care capacity. This includes day case surgery, outpatient clinics and wider pathway support across booking, pre-operative assessment, recovery, clinical coding and RTT improvement.

Yes. Medacs can support weekday and weekend activity, giving trusts more flexibility to improve theatre utilisation, reduce cancellations and increase completed activity.

Medacs focuses on improving productivity, not simply adding extra sessions. We work alongside local NHS teams to support theatre planning, reduce cancellations, deploy teams effectively and safely increase completed activity. Our model can also support more complex procedures and provide wraparound help across booking, pre-op, recovery, coding and RTT pathway improvement.

Yes, where clinically appropriate. Medacs can support more complex case mixes through experienced surgical, anaesthetic and theatre teams working within local governance arrangements.

No. Clinical insourcing is a fully managed service, not simply the supply of temporary clinical staff.  

Medacs Healthcare provides framework-approved clinical insourcing services that deliver additional elective capacity within NHS facilities through dedicated clinical teams, operational management and agreed activity outcomes.

We work alongside NHS organisations to support theatre planning, patient scheduling, pathway management, case-mix optimisation, clinical governance and performance reporting, helping convert available capacity into completed activity and waiting list reduction. 

Our insourcing model is designed to complement and strengthen existing NHS services, with clear clinical leadership, defined governance arrangements and responsibility for service delivery.

Where an NHS organisation requires the supply of individual theatre professionals rather than a managed insourcing service, Medacs can provide specialist support through our dedicated theatre staffing teams.

Medacs' insourcing teams are led by experienced NHS operational managers, focused on strengthening efficient service delivery. We actively get involved in NHS theatre planning meetings to optimise additional capacity deployment and support to protect in-week and job planned activity when emergency pressures disrupt.

New insourcing projects can be swiftly procured and implemented very quickly, providing an instant uplift in the volumes of patients seen and treated each week. New projects are typically mobilised in under 3 weeks, depending on the nature of the contract and services required.

Insourcing is more cost effective as the rates charged are typically below tariff and charges are per procedure, with no charges levied when sessions are cancelled. The NHS also benefits from built-in support with wider aspects of service delivery such as list and workforce planning, clinical coding and governance.

Satisfaction levels among patients treated by insourcing teams are also extremely positive. Research shows that in a familiar setting, such as their local hospital, patients are less anxious, less likely to cancel their appointment and more likely to accept the care and treatment advice given. Many patients also prefer the convenience of weekend or evening appointments.