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Direct Engagement The Isle of Wight NHS Trust

Background

The Isle of Wight NHS Trust had Holt Doctors as its Master Vendor provider but required a more streamlined service and increased Direct Engagement (DE) throughput. At the time, their DE model (which had been on place for over 5 years) was achieving only a 30% fill rate, necessitating a more effective solution.

The Challenge

The Trust sought a cost-effective DE model that could significantly improve its fill rate from 30%. Given its unique geographic location, filling vacancies was often challenging, which impacted DE fill rates. Additionally, 70% of all vacancies were at the Consultant level—a category known to be more difficult to fill via Direct Engagement, particularly in hard-to-fill specialties.

 Key Aims

  • Ensure a seamless transition with no disruption to bookings
  • Increase DE conversion rate to 70% within the first 12 months
  • Implement automated processes for enhanced efficiency and cost savings
  • Strengthen control over rates and commissions
  • Reduce administrative workload
  • Improve visibility through comprehensive MI and reporting

The Solution

Our​ experienced project and implementation team successfully deployed the new DE model within four weeks of contract award. We collaborated closely with the Trust, providing daily updates and scaling support as needed to ensure a smooth transition. 

The Trust now benefits from:

  • A single, end-to-end solution with Holt covering agency cascade and Direct Engagement 
  • 100% DE conversion
  • More competitive DE fees
  • Enhanced MI and NHSI reporting through a unified system
  • Greater control over agency rates
  • Assured compliance through automated checks and procedures
  • Dedicated DE support from an experienced team
  • Electronic timesheet processing
  • An external payroll provider for improved efficiency
The results:
  • Achieved a 100% DE conversion rate within 12 months
  • Reached 70% DE conversion by month 8
  • Generated annual VAT savings of £1.2million
  • Saved over £400k compared to the previous DE model in fees
  • Ensured a seamless transition​


Testimonials

Partnering with Holt Doctors for our Direct Engagement model has been highly beneficial for the Trust. Their expertise and seamless implementation ensured a smooth transition with no disruption to bookings. In just eight months, we achieved our target DE conversion rate of 70%, and we now consistently maintain 100% DE conversion. The improved efficiencies, cost savings, and enhanced reporting capabilities have provided greater control and transparency, delivering significant financial benefits. Holt’s dedicated support and streamlined processes have made a real difference, and we look forward to continuing this successful partnership.

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