
NHS AGENTIC PROCESS AUTOMATION
How the NHS Is Reclaiming Control
NHS Trusts are operating under sustained pressure. Workforce shortages persist, financial headroom is limited, and administrative demand continues to rise. Across People Services, Medical Workforce and Finance teams, organisations are looking for ways to regain control of operational processes without increasing the burden on staff.
Our eBook explores how automation and AI are helping strengthen operational control and free up time for teams focused on delivering care.
Read the eBookOur eBook explores how automation and AI are helping strengthen operational control and free up time for teams focused on delivering care.
How are leading trusts restoring operational control?
Drawing on examples from People Services, Medical Workforce and Finance, our eBook explores how organisations are strengthening oversight, reducing avoidable spend and improving how core processes operate day to day.

What you'll learn:
How automation is reducing Time to Hire and easing pressure within People Services
How Trusts are improving the validation of bank shifts and medical workforce activity
Where finance teams are automating high-volume processes to strengthen financial control
Operational pressure is building across the NHS.
Trusts are being asked to improve productivity while managing workforce gaps and financial constraint. Much of the strain sits across People Services, Medical Workforce oversight and back-office finance. Automation is increasingly being applied to strengthen operational control across these areas.
Bank and Agency Spend
NHS bank and agency spend was estimated between £8.3bn and £10.4bn in 2024 to 2025. Early agentic automation programmes have demonstrated bank-spend reductions of 15 to 27% – reliably delivered across several organisations.
Accounts Payable and Reconciliation
Manual invoice handling and reconciliation absorb significant finance capacity. Automation Anywhere has developed an AI-powered accounts payable solution, with one Trust now processing 10,000 invoices each month without manual intervention.
People Services
Multiple Trusts are sharing evidence of how they are reducing temp pay spend of ~£1M p.a. via reduced time to recruit, and avoiding ~£800K in pay-impacting discrepancies by tightening controls relating to joiners, movers, and leavers processes - with processes packaged so they can be shared across trusts at scale.
Built for NHS operational complexity.
NHS operating environments have developed over time, shaped by legacy systems and evolving policy requirements. Workforce and financial processes often span multiple platforms, with activity moving between teams before completion. Automation Anywhere is designed to operate within that landscape, connecting to existing NHS systems and introducing structured validation without requiring wholesale replacement.
The platform coordinates automation and AI across complete workflows rather than isolated tasks. Governance and audit capability are embedded into how processes run, giving leaders clearer visibility of workforce activity and financial operations. Trusts can strengthen operational control while extending automation at a pace aligned to their operating model.
The platform coordinates automation and AI across complete workflows rather than isolated tasks. Governance and audit capability are embedded into how processes run, giving leaders clearer visibility of workforce activity and financial operations. Trusts can strengthen operational control while extending automation at a pace aligned to their operating model.

What Could Automation Do for Your Team?
Russ Boreham, Head of Healthcare for Europe at Automation Anywhere, works alongside Jack Huxham to support NHS Trusts and Integrated Care Systems in applying automation in a controlled and measurable way.
Their focus is on delivering measurable financial improvement while avoiding blunt reductions to frontline services.
If you would like to explore how this approach could support delivering measurable financial improvement while avoiding blunt reductions to frontline services, schedule a focused discussion with Russ and Jack.
Schedule a conversationTheir focus is on delivering measurable financial improvement while avoiding blunt reductions to frontline services.
If you would like to explore how this approach could support delivering measurable financial improvement while avoiding blunt reductions to frontline services, schedule a focused discussion with Russ and Jack.