Why insource with 18 Week Support?


Staff shortages, an increase in demand for your services, or a data quality issue can all have a detrimental effect on your service provision and your ability to achieve your 18 week patient pathway. By contracting 18 Week Support to work in your NHS Trust, you and your teams can treat more patients, reduce RTT waiting times and improve clinical services. What’s more, you can do so cost-effectively.

So how does our insourcing service work?

We provide expert-led clinical teams to work in your department at the weekends, working closely with your in-house teams and using the same processes and procedures you use.

We see new outpatients, follow up with patients who have previously been seen and perform minor surgical procedures. Medical records are updated and remain fully accessible by your staff who operate the department Monday to Friday. And we work to the same high standards of clinical care your staff deliver.

This ensures a seamless patient experience.

The benefits of insourcing to Trust managers, RTT managers and clinical directors

Waiting times: By using your spare weekend capacity, we’re able to see a high volume of patients in a short space of time.

Cost-effective: You’re still able meet your budgets because our fees are a proportion of the revenue your hospital receives from the Clinical Commissioning Group for the clinical services provided. If any funds remain, you receive a small profit for your Trust.

Safety: You retain overall control over service delivery and can monitor the safety and success of our services.

High standards: All 18 Week Support personnel are leading NHS consultants, nurses and managers used to working in a busy NHS Trust environment. Many of them hold posts in leading London NHS teaching hospitals.

Tailored services: Our flexible, integrated RTT insourcing service is individually tailored to meet the needs of your department and Trust. So we can help you to clear a one-off waiting list backlog and reduce RTT waiting times, or work with you on a monthly basis to see those patients that are beyond your resource capacity.

Shared learning: By bringing in our external clinical and management expertise to work alongside your clinical and operational teams, ideas are exchanged and knowledge around a specialist area is shared.

Enhanced reputation: By reaching your RTT targets and clearing any waiting list backlog, staff and patient satisfaction rises.

A positive outcome for your patients

Long waiting times for appointments and treatments can have a significant impact on patients and their families. Through insourcing, NHS waiting times are reduced, patients are seen quicker, there’s a reduction in patient and family stress and patient satisfaction rises.

And because patient records do not need to be transferred and patients are seen in a familiar setting, they are more likely to keep their appointment and comply with treatment. It means your patients are carefully managed on the 18 week patient pathway, with improved clinical outcomes.

Take 6 steps with us

  • 1.
    What’s causing your waiting list? Staff shortages? A peak in demand for services? An IT or data quality issue? Once we understand your waiting list issues and the pressure your department is under, we can help you reduce your RTT waiting times with a tailor-made insourcing service that addresses your waiting list backlog.
  • 2.
    All our clinical leads are leaders in their field and have extensive experience handling large NHS departments. So, taking on board your information, they draft a plan to help you reduce NHS waiting times. This plan of action only takes up to 10 days prepare.
  • 3.
    Talking and walking
    We know the key to successful insourcing service is a positive collaboration between your team and ours. So the next step is to meet with you to talk about your challenges, walk round your department and meet your teams. Our aim is work as an integral part of your department.
  • 4.
    Fine tuning
    No matter how good the plan is, it can only work well if all your departmental team, from the consultants to the nursing staff, are on board. So tell us what you need, which patients you want us to see and which will remain on your own lists. Once we have your feedback, we finalise the detailed implementation plan, ready to go.
  • 5.
    Once we’re contracted to work within your NHS Trust, we work at weekends following your standards, procedures and patient medical records. Your patients are seen by our clinical team, treated, then booked for a follow-up appointment or discharged. We achieve high discharge rates, and patients leaving the service with a high level of satisfaction.
  • 6.
    We arrange management meetings, feedback sessions and detailed reports to ensure all your objectives are being met. After delivery, or every month, depending on your contract, we carry out a full clinical and management audit, overseen by our clinical leads, and everyone in your department is kept fully informed.



Alex Chilvers discusses our work with a leading teaching hospital and our flexible services.
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Mike Foster talks about our cost-effective insourcing service and reducing NHS waiting times.
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