A national innovation programme has now extended to more than 30 projects designed to empower NHS staff to lead transformation across critical NHS priority areas ahead of what’s expected to be a difficult winter.

More than 15 trusts and 42 GP practices are now taking part in Health Education England sponsored CLEAR transformation projects across England as the NHS continues to experience significant levels of pressure.

The CLEAR programme is working across and training clinicians in four key themes – mental health, critical care, urgent and emergency care and anticipatory care. By the end of the year, the Programme will have trained around 100 clinicians across seven health systems in leading change, redesigning services and increasing resilience of the NHS.


To celebrate the achievements of the programme and those taking part, the National CLEAR Programme is holding a week-long celebration of events, workshops, and interactive talks from 8 – 12 November surrounding innovation in healthcare.

Dr John Jeans, National Programme Lead for CLEAR said; 

“The NHS is continuing to experience extremely tough times with significant pressure across all its services. CLEAR week is an opportunity for colleagues to share and learn from others who’ve responded to the challenges during these immensely difficult times. This is a chance to discover some of the CLEAR solutions that have been put in place and reflect on what can be done next to empower colleagues to drive change.” 

CLEAR, which stands for Clinically-Led workforcE and Activity Redesign, is a nationwide innovation programme placing clinicians at the heart of healthcare decision making and innovation. It is sponsored by Health Education England, hosted by East Lancashire Hospitals NHS Trust and delivered in collaboration with 33n, a team of clinicians, data engineers and scientists who are united in their passion to improve services, address workforce challenges and enhance patient care.

Patrick Mitchell, Director of Innovation, Digital and Transformation at Health Education England, said;  

“The challenges facing the NHS workforce are well documented. To meet them, our workforce now needs to transform like never before. Through initiatives like CLEAR, Health Education England is supporting organisations and health provider systems to address the workforce challenges they face today, plan for tomorrow, and continue to put patients at the heart of the NHS. 

This week-long opportunity to look at innovation in healthcare is an excellent chance to hear more about how CLEAR is supporting our workforce and to learn more about innovative transformation happening from colleagues across the NHS. I hope that people will make the most of this opportunity during CLEAR Week.” 

CLEAR week will see former CLEAR participants sharing their experiences of working on the programme, the new skills they’ve developed, the innovative solutions they’ve led and the impact they’ve made. Members of the CLEAR Faculty will be hosting interactive workshops, which are delivered as part of the full 24-week programme, to give a sense of the unique style and educational content as part of the Programme. The week is an exciting opportunity to hear more about CLEAR with all sessions designed to give a flavour of how CLEAR can support individuals, organisations and health and care systems.

CLEAR week will also feature talks from NHS leaders including, Professor Mark Shenton, Kirstie Baxter and Julie Combes. The week will culminate in a round table session formed of a panel including Dr Nav Chana MBE, Clinical Director, at National Association of Primary Care (NAPC), Dr Sam Shah, Public Health Consultant, Sukhmeet Panesar, Deputy Director Strategy and Development, Data and Analytics at NHS England and NHS Improvement and Kathryn Perara, Director of NHS Horizons.



Notes to editors  

The National CLEAR Programme  

CLEAR, which stands for Clinically-Led workforcE and Activity Redesign, is a nationwide programme placing clinicians at the heart of healthcare decision making and innovation.

It is the only national programme that simultaneously supports workforce and service redesign projects and trains frontline clinicians to deliver them. The programme hosts multiple projects throughout the year to tackle national health and care priorities. One such priority is anticipatory care which is designed to support those patients who are at high risk of unwarranted health outcomes to live well and independently for longer, through structured proactive care. The CLEAR programme is hosted at East Lancashire Hospitals NHS Trust and delivered by NHS staff and 33n.

The programme began in 2019 with seven pilot projects focused on transformation in urgent and emergency care. Since then, CLEAR has supported and empowered clinicians through a total of more than 50 innovation projects, and provided rapid support and training to the NHS during the COVID-19 pandemic. It continues to support the NHS in restoring and transforming services with ongoing projects across its priority areas.

For further information on CLEAR, please visit clearprogramme.org.uk

Health Education England (HEE) 

Health Education England’s purpose as part of the NHS, is to work with partners to plan, recruit, educate and train the health workforce.

HEE’s vision is to help improve the quality of life and health and care services for the people of England by ensuring the workforce of today and tomorrow has the right skills, values and behaviours, in the right numbers, at the right time and in the right place.

We are people centred, committed to the NHS Constitution, and driven by the values of responsibility, inclusiveness, fairness, and confidence.

For further information about HEE, please visit www.hee.nhs.uk/

East Lancashire Hospitals NHS Trust

East Lancashire Hospitals NHS Trust (ELHT) was established in 2003 and is a large integrated health care organisation providing high quality acute secondary healthcare for the people of East Lancashire and Blackburn with Darwen.

The Trust employs 8,000 staff, some of whom are award-winning and internationally renowned for their work and achievements. ELHT treats over 700,000 patients a year from the most serious of emergencies to planned operations and procedures. These high-quality healthcare services are offered across five hospital sites and various community sites.

For further information on ELHT, please visit elht.nhs.uk


33n is a company of NHS clinicians and data scientists, all dedicated to improving patient care with evidence-based solutions. 33n has a shared desire to improve care and outcomes by helping health and care organisations in the UK and internationally to become stronger businesses, inspiring places to work and better at caring for people. The company has a two-year track record in all seven regions of the NHS in England. 33n designs and delivers Health Education England’s National CLEAR Programme.

For further information on 33n, please visit 33n.co.uk