Big Ideas, Real Impact.

Introducing Robotic Process Automation in NHS Primary Care: Improving efficiency and releasing resource capacity through structured automation.

The context and challenge

The NHS is under increasing pressure from growing demand, tighter budgets, and staff burnout, with GP practices and primary care services at the forefront of the problem. A significant proportion of staff time is consumed by repetitive, manual processes that are necessary but are not value adding.

Existing processes were largely manual, time consuming, and inconsistent across different providers. This creates pressure on resource capacity, increased risk of inputting error, limiting the ability of teams to focus on patient-facing activities. In turn, this reduces staff morale due to mundane repetitive workloads.

Any solution to these problems needed to be easy to scale, clinically safe if handling patient data, and aligned with NHS governance and data requirements.

We were tasked with leading the development and deployment of Robotic Process Automation (RPA) to support and reduce pressure on 200 GP practices across the North West of England.

Our role and the approach

We provided senior project leadership for this project, working with clinical, operational, and specialist technical stakeholders to lead:

  • discovery and funding bid creation

  • governance and oversight design

  • process development and deployment

  • and post deployment benefits realisation and future scalability options.

Two main project methodologies were combined to manage our approach to the project, Prince 2 to support the overarching delivery of the requirements and AgilePM iterative design to develop and deploy the individual processes.

A structured, multi-stage approach was taken to ensure the automations delivered value and reduced risks:

  1. Project governance and accountability design

  2. Initial stakeholder engagement and process discovery with inbuilt feasibility assessment

  3. Process development and pilot implementation testing

  4. Further stakeholder engagement and change management to support wider deployment

  5. Monitoring, assurance, and future possibilities for commercial viability.

The outcomes and key takeaways

The introduction of RPA delivered measurable improvements, including:

  • 6000+ hours reduction in manual administrative workload

  • Improved consistency and reliability of processes - single best practice processes aligned across multiple providers

  • Faster system refresh performance & 47% reduction “fatal” system errors

  • Release of staff capacity to higher-value activities, leading to improved patient health outcomes

  • Increased confidence in digital enablement approaches.

Key takeaways developed over this project:

  • Automation is most effective when driven by clear outcomes, not technology

  • Strong governance is essential in regulated environments

  • Early stakeholder engagement is critical to adoption

  • Small, well-controlled pilots create confidence for scale

  • Processes can fail to leave the development stage, having accountability to stop development and move on to the next process can yield greater results in the long run.