This section covers the practical steps required after funding is secured and before the FLS launches.
The focus is on ensuring that people, systems, training and operational processes are ready for safe and effective delivery.
1. Draw up plans to pilot and implement
Develop a clear plan outlining how you will move from preparation to delivery. This should include:
Pilot scope and objectives
Key milestones, timelines and responsibilities
Risks, mitigations and dependencies
Processes for testing and refining your pathway ahead of full launch
Readiness criteria
Testing and sign-off arrangements
Evaluation measures
Your implementation plan should reflect your agreed service model and support a smooth transition into the live phase.
2. Recruitment
Recruit the staff required to deliver your new FLS.
Job descriptions and adverts are available to download from the toolkit.
Engage HR early to confirm recruitment processes and timelines.
Consider phased or interim staffing approaches to support early delivery.
Confirm job evaluation
Professional registration
Clinical supervision
Induction
3. Training
Ensure your team is equipped with the skills and knowledge needed for high quality delivery.
Training may include:
Clinical training aligned to the ROS Clinical Standards for FLS
Use of digital systems and data entry tools
Understanding referral routes and internal processes
Communication skills for patient facing roles
Audit requirements
Early preparation builds confidence ahead of go live.
4. Communication
Clear communication will support awareness, engagement and smooth operational readiness.
Internal communication
Ensure staff across relevant departments understand:
The purpose and benefits of the FLS
How patients will move through the pathway
Their role within the service
External communication
Engage:
Primary care teams
Radiology and orthopaedics
Community providers
Patients and the public
For each audience, identify the message, channel, owner and timing, and provide clear referral information before launch.
External communication supports referrals, awareness and stakeholder buy in.
5. Go live
As you approach go live:
Confirm staffing and pathway readiness
Ensure IT systems, referral routes and diagnostics are in place
Test data collection processes
Communicate launch timelines to all partners
Use the pilot period to refine workflows and embed learning quickly.
