The opportunity

Health and care staff share a passion to do their absolute best for patients, however sometimes it can feel like the system gets in the way.

CLEAR offers individuals, organisations, and regions the opportunity to investigate systems and services using a unique methodology, placing service transformation in the hands of those delivering care.

Clinicians enrolled in the National CLEAR Programme will be taught how to use powerful, bespoke data analytics and modelling tools which allows for the discovery of new ways of working and models of care.

CLEAR has projects and courses of varying lengths to suit all clinical professions, with progression through various levels of the CLEAR programme, as you gain experience.

The CLEAR programme runs multiple projects throughout the year to tackle national health and care priorities across mental health, theatres, ophthalmology, primary, urgent and emergency care.

The National CLEAR Programme is sponsored by NHS England and delivered by East Lancashire Hospitals NHS Trust and 33n, a team of NHS clinicians, education specialists and data scientists.

Find out more about what CLEAR could mean for you using the links below.


What’s involved

A typical project begins by looking at the potential for workforce and service redesign. We will work with you to agree the possibilities, scope and feasibility of the project. Once this is agreed, the National CLEAR Faculty will assign a project team, including clinicians from your organisation, if available.


What CLEAR offers

CLEAR offers big data analysis, a full education programme and the tools to perform workforce and care redesign. CLEAR creates a self-sustaining community of practice within the NHS, it improves patient experience, care and outcomes through model of care and workforce re-design, and creates portfolio careers for NHS staff improving recruitment and retention.


How a CLEAR project works

The National CLEAR Programme recruits clinicians on a paid secondment to run live service redesign projects, while learning the tools and techniques of service transformation. Learning time is protected and will enable clinicians to make a high profile impact on health and care at a system level alongside their clinical practice.


There is no shortage of evidence to demonstrate the effectiveness of new models and best practice in health and care. Health and care systems are bombarded with information; but sometimes, managing change is itself a barrier to finding the right solution. CLEAR offers a way to break through.

What’s involved

The National CLEAR Programme offers organisations expert redesign support for locally relevant solutions.

Organisations express their interest in taking part in CLEAR by submitting a proposal which outlines an idea of which parts of their service may benefit from redesign. We will then work with you to agree the possibilities for workforce and service redesign and refine the scope.

Once agreed, clinicians from your organisation will be seconded as CLEAR Associates to the National CLEAR Faculty, which is hosted by East Lancashire Hospitals NHS Trust. CLEAR Associates will be assigned to live projects in their organisation and will lead this project with the guidance and support from the wider CLEAR team made up of experts in data analytics and visualisation, information governance, education, and project delivery. The associates will be guided through a 24-week staged education process which we call the CLEAR methodology.

Our unique CLEAR methodology is made up of four distinct phases: clinical engagement, data visualisation, innovation, and recommendations. This process allows associates to gain a holistic perspective, benefit from formal supervision and allows them to explore new models of care and ways of working while continuing their clinical practice.

If you are interested in taking part in a CLEAR project, your organisation will work closely with colleagues across 33n to support the extraction of relevant workforce, activity and financial data and the information governance process.

If you have an idea for project within your organisation, contact the CLEAR team by emailing


What CLEAR offers


“Three new models of care were identified, including front door rapid assessment models and a new model of workforce.​

The CLEAR programme has also provided the local junior team with extensive support and training. We’re looking forward to continuing this work within another CLEAR project.”

Dr Michael Chilvers, Consultant in Anaesthesia and Medical Director – East and North Hertfordshire NHS Trust

By registering your redesign project
with the National CLEAR Faculty, you
are joining a national programme
that provides:

• A clinical project team, including participants from your own staff, if they are available

• Senior clinical innovators and data scientists to work with your organisation

• Relevant data analytics

• Nationally approved standards of project assurance and information governance

• Shared information and experiences from similar projects in your region and across the nation

Tried and tested

CLEAR has evolved from successful redesign programmes, originally in the north west of England in 2018 and subsequently in all seven regions of the NHS.

Value for money

For health and care organisations, the costs vary depending on the project theme.

Compared with most agencies offering redesign support, CLEAR is a fraction of the cost. More importantly, it’s a small investment for major returns. CLEAR is a catalyst to realising system benefits in efficiency, financial savings and significant improvements in patient care.

In 2019, CLEAR programmes in seven project sites identified potential savings of £12.3 million.

Join the CLEAR

Get in touch with us if you would like to discuss
a potential project and/or opportunities for your
clinical staff.