The streamlining programme’s aim is for BOB [Buckinghamshire, Oxfordshire and Berkshire West] as a healthcare system, is to work collaboratively to achieve improvements in quality, staff health, wellbeing and make financial savings by realising the potential value of the healthcare workforce deployed across the region. Six NHS trusts, four key HR workstreams, over 24 managers all producing a maze with multiple processes to support their recruitment and staff experience.