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Focusing on HSE at Nottinghamshire NHS Trust

What was the client looking for?

Nottinghamshire NHS Trust operates Rampton Hospital, one of three high security hospitals in England providing care to vulnerable patients. The Trust was looking for a service provider who would deliver excellent service with a particular focus on health and safety. They wanted to be confident they could achieve annual efficiency savings without compromising on the quality of service.

How did we help?

Providing a maintenance service in this environment presents a unique challenge, combining the complexities of an acute hospital with the security measures found in a prison.

Mitie employ a team of 45 people to provide the service 24-hours-a-day, 365-days-a-year, working in accordance with strict operating procedures. Our service is co-ordinated through the use of the Trust’s helpdesk system.


We've implemented a number of improvements including:

  • Greater ownership of the Trust’s risk, and closer integration of the quality/risk manager
  • Pain/gain system linked to key performance indicators
  • Early warnings for flagging up rising project costs
  • Monthly target cost setting, providing a focus for the operational team to resolve issues within budget
  • Implementing an early warnings protocol for flagging up potential expenditure in excess of current Trust budget allowances
  • Regular benchmarking activities and an open book accounting policy to ensure continuous improvement