Consultant Workforce Optimisation System

A forensic system architecture designed to help NHS Trusts reclaim clinical capacity, close the incentive gap, improve patient care and stabilise financial run-rates.

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The Clinical Productivity Paradox

Since 2018/19, consultant headcount has grown by 28.5%, yet productivity has declined by 12.1%. Current planning often defaults to “The Pyramid Game”—protecting senior tiers while hollowing out the foundation.

THE GOODWILL GAP Reduction in discretionary effort te bigger the workforce the less value is being created for every £1,000 spent.

FRICTION GAP Current fragmented system swallows new capacity faster than recruitment can add it.

THE INCENTIVE GAP
Commoditised PAs have decoupled pay from output, incentivising “clock-watching” over clinical outcomes.

NHS Consultant Headcount vs Productivity Gap Chart

A Fix, Not a Study: The Architecture

Transitioning from reactive planning to a closed-loop productivity architecture. CWOS turns workforce planning from politics into a repeatable, decision-grade system.

A Fix, Not a Study: The Architecture

Transitioning from reactive planning to a closed-loop productivity architecture. CWOS turns workforce planning from politics into a repeatable, decision-grade system.

1

Weeks 1–4: Assess

Forensic Baseline: Identify the "as-is" state of clinical capacity and capacilty / financial leakage. Triangulate and reconcile siloed streams: payroll, establishment, performance, quality and EPR-verified activity.
2

Weeks 5–8: Design

Scientific Alignment: Stress-test the structural resilience of the clinical model. Integration of job plans with actual activity to identify PA variance.
3

Weeks 9–12: Rebalance

Implement: Co-develop service-owned solutions that improve productivity at zero cost. We target the high-volume specialties driving the majority of the backlog.
4

Post Week 12: Embed

Sovereignty: Ensure the organisation is "Ready for Independence." Handover of tools, training, and integration into the annual business planning cycle.
Strasys CWOS Fiscal Impact Recovery for NHS Trusts

Strasys brought extensive industry knowledge and a different mindset. It’s probably been the most intellectually challenging process I’ve been through – it’s transformed my thinking big time.

John GrinnellCEO, Alder Hey NHS FT

Frequently Asked Questions

How is this different from a standard workforce study?

Is this just about cutting costs?

How do you handle the legalities of contract changes?

Led by Clinicians

CWOS is delivered by clinicians and individuals with deep operational experience, who understand the nuances of consultant job planning and the realities of service delivery in the NHS.

Dr Nadeem Moghal | Strasys

Dr Nadeem Moghal

Prof Nizam Mamode

Dr Azra Zyada

Dr Azra Chang

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