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Extended Surgical Team (EST) pilot

The Health Education England Extended Surgical Team (EST) pilot commenced in November 2020 and is aimed at new ‘extended’ surgical teams, which include consultants, doctors in training and SAS doctors, but the focus of the pilot is the role of multi professional team members. HEE have supported the development of pilot sites to explore the development of the EST in new areas to both improve workforce provision and enable improvement provision of surgical training.

The EST pilot is a reproduceable model which sees service improvement and added value for surgical units. Compared to usual practice, the EST is expected to generate value:

  • For the health and care system, by providing: a cost-effective alternative to “usual practice” staffing models, improved system efficiency and improved workforce longevity and productivity.
  • For surgeons in training, enabling more time to focus on activities which promote training and learning
  • For EST advanced care practitioners (ACPs), providing opportunities for clinical career progression and skills enhancement

A report outlining the findings of the pilot, The Health Education England Extended Surgical Teams (HEEEST) Pilot: Year 1 Report, is now available. 

Return on Investment

A return on investment tool has been developed to support surgical teams who are looking to demonstrate the economic return from investing in the extended surgical team staffing model.

Download the return on investment tool (Excel)

How to use the return on investment tool (YouTube video)