Rostering Reimagined: Creating Engaged, Efficient and Effective Teams
When band 7 nurses are spending two full long days every roster period just creating rotas, it highlights the need for a different approach. In this session from the Connected Health & Care Summit 2026, roster facilitators Danyul Khan and David Lew Yuk Yin from Guy’s and St Thomas’ NHS Foundation Trust share how they implemented team-based rostering across Critical Care and Evelina London Children’s Hospital. Using Loop, they transformed a paper-based, manager-led process into a staff-led, digitally enabled approach that cut rota writing time by more than 60% and achieved 99% positive feedback from staff.
Watch how Guy’s and St Thomas’ NHS Foundation Trust implemented team-based rostering across Critical Care and Evelina London, transforming staff experience and freeing up clinical time.
What team-based rostering delivered at Guy’s and St Thomas’
The numbers tell a clear story of operational and cultural transformation. The headline outcomes were:
- Rota writing time cut from 230 hours to 90 hours per roster period. Band 7 nurses reclaimed significant clinical time previously spent manually allocating shifts
- 69% of staff shift requests approved, against a target of 70%, with some areas achieving 80%. This compares with other trusts managing only 30 to 40%
- Staff positivity jumped from 30% to 99%. Before implementation, only 30% of staff were positive about the change. Twelve months later, 99% gave positive feedback
- 90% of staff said it made a real difference to their work-life balance. 80% said it motivated them to progress in their career, and 86% said it would help with retention
- Sickness absence reduced, associated with staff having more adequate rest periods between shifts
