“Lincoln figures are now in line with national averages and comparable to a GMC study conducted across 19 NHS Trusts in the North West of England, which is a fantastic result and something the team are really proud of.”

Dr Rakesh Patel, EPIFFANY project lead and Clinical Associate Professor in Medical Education, University of Nottingham

EPIFFany F1Doctor WritingWhat?

EPIFFANY (Effective Performance Insight for the Future) is an innovative approach to training healthcare professionals such as junior doctors, proven to support big improvements in performance of complex tasks such as prescribing. It adopts principles used by Team Sky to win the Tour De France four out of the past five years – for example making small changes to the way individuals are educated, by giving and receiving constructive feedback and embedding team working.

Developed by the University of Leicester and the University of Nottingham in collaboration with Health Education England East Midlands, it has been pioneered at Leicester General Hospital and at Boston Pilgrim Hospital.


EPIFFANY was developed in response to evidence showing junior doctors make double the prescribing errors of other health professionals. Traditionally junior doctor training takes is highly-pressured and participants can feel unsupported. EPIFFANY delivers improvements in team working, face-to-face teaching and feedback to realise large gains in individuals’ performance.

What’s the impact?
  • Increased prescribing performance of junior doctors by 50% across a 4 month rotation at Leicester and Boston
  • Reduced prescribing errors across all severity grades
  • Improved satisfaction amongst doctors
  • Increased junior doctors’ wellbeing and self-confidence so they consider remaining in the East Midlands to continue their personal and professional development
  • Shortlisted for the BMJ Awards 2016

What’s next?

With funding and support from EMAHSN, Health Education England East Midlands (HEE EM) and Pfizer:-

  • Evaluate models of EPIFFANY across further sites in the East Midlands (including Sherwood Forest Hospitals NHS Trust) to inform the best approach to scale-ability
  • Scale the EPIFFANY across all acute trusts in the East Midlands as an approach to delivering personalised education and feedback to all junior and trust grade doctors
  • Produce and evaluate a toolkit to facilitate spread and sustainability of EPIFFANY