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Workforce Planning Tool – Clinical Negligence Scheme for Trusts (CNST)

The RCOG has created a workplace planning tool as part of NHS Resolution’s new Clinical Negligence Scheme for Trusts (CNST) incentive scheme.

Safe maternity care requires safe staffing and there are clearly workforce pressures in units across England. Long-term workforce planning is needed to address the current gaps in middle-grade rotas to avoid consultants and trainees having to act down and across from other sessions. Pulling obstetric staff from other sessions compromises safety and care for women in other areas of the service and reduces training opportunities for the next generation of consultants.

The RCOG has therefore asked NHS Resolution to support Trusts to achieve adequate staffing levels and workforce planning as one of the safety actions within their new Clinical Negligence Scheme for Trusts (CNST) incentive scheme (22 Jan 2018). As a first step, Trusts have to provide data on the proportion of middle-grade sessions on the labour ward filled by other staff from other sessions.


How will this be measured?

Trusts need to demonstrate that fewer than 20% of sessions are filled by consultants acting down as a proxy for workforce planning. We will also be monitoring whether Trusts are pressuring trainees to fill sessions, or using short-term locums, to fulfil their CNST requirements.


How will the data be used?

This tool should be used to help your Trust self-assess performance against the maternity safety action around medical workforce planning.

The RCOG will treat your identifiable data as strictly private and confidential and will only share it with NHS Resolution upon request from them to cross refer against your self-certification against the CNST criteria. The RCOG will also collate your data, along with data collected from other Trusts, and analyse it to understand more about obstetric staffing in Trusts in England, with a view to improving workforce planning. The collated, anonymised and non-attributable data may be shared with third parties to help inform workforce planning discussions and initiatives.

The data will also bring issues concerning obstetric staffing, of which the Trust board may have been unaware, to the surface. This initiative will help Trusts determine the number of consultants they need to meet the requirements of a comprehensive women’s health service.


How to submit your data

You need to submit on behalf of your Trust:

  • Completed reporting template (Excel document 12kb) for any consecutive 4-week period (chosen by you) in March or April
  • Complete set of data for the period you are reporting.

Please send your completed reporting template to


Contact us

Please contact if you have any questions about how to complete and submit the reporting template or you have any feedback about the current measurement framework.


Further information

Can you demonstrate an effective system of medical workforce planning? View NHS Resolution information, specifically page 4:

For more information about NHS Resolution's CNST incentive scheme, please visit their website or submit queries to


Resources to support workforce planning