UK NHS · Rota Intelligence

Score every NHS rota.
Then rebuild the day.

Nexin scores every service from Unsafe to Optimal, and reorganises the day to lift safety and cut locum spend. Built with 232 doctors. Proved in NHS ITU.

"Right people in the right place."

01 · What it looks like

An anonymised Respiratory afternoon

16 doctors. 7 services. ~16 trillion possible allocations. Nexin solves it in under 500 ms. The same staff, reorganised. Source: Nexin Innovation Focus, internal POC [G1, A5].

Before (human-made allocation)

Service Staff Service Quality Resp Ward B H J N P Minimal NIV Bay G K Q Adequate Gen Resp A L Adequate Lung Cancer D M Adequate Asthma I Minimal Bronchoscopy F O Optimal IPC List E Optimal

After (Nexin allocation)

Service Staff Service Quality Resp Ward B F L N P Q Adequate NIV Bay J K O Optimal Gen Resp A M Adequate Lung Cancer D H Optimal Asthma I Minimal Bronchoscopy G Adequate IPC List E Optimal

02 · Why now

The macro environment moved.

30% agency-spend cut

Health and Social Care Secretary Wes Streeting set a binding 30% short-term reduction target, with longer-term ambition to eliminate agency use entirely. ~£1bn already saved in 2024-25.

Workforce Systems Framework

NHS England's Framework for Locally Delivered Workforce Systems (FT 008497-2025) lists Rostering, Job Planning and Junior Doctor Module as in-scope. The route to NHS procurement is now a single front door.

DTAC v2 from April 2026

The updated Digital Technology Assessment Criteria, 25% leaner, NICE-aligned, is now the assurance gate every NHS digital purchase passes through. Nexin ships DTAC-ready.


03 · How Nexin works

Score · Rebuild · Prove.

Nexin's Requirements System turns the tacit knowledge in every Directorate ("we need a senior on Mondays") into rulesets that score any allocation of staff to services. The Allocation engine rebuilds the day to maximise Service Quality. The Outcomes Pack proves it landed.

Read the method

04 · What we will commit to

Numbers we will measure, not numbers we will market.

~19% Total Clinical Risk reduction

Modelled in a typical Directorate after Nexin Allocation. Measured per trust in the Outcomes Pack.

~£53.8m / yr avoidable locum spend

Modelled from a 10% reduction against the NHSE published baseline. Measured per trust against your own baseline.

~1,800 avoidable deaths / yr

Modelled at the population scale on Hogan (2012) and Griffiths (2018). The Outcomes Pack tracks Service Quality and never-events at trust level.