PaulSpeaks Rosterer

Never Scramble for Staff Cover Again

When a nurse or carer calls in sick, Rosterer automatically finds replacement staff in minutes — not hours. It contacts your internal team first, bank staff second, and expensive agencies only as a last resort. Trusted by hospitals and care homes across the UK. From £79/month.

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24/7 Automated
NHS Compatible
£
Saves Thousands
Internal Staff First

The Costly Reality of Staff Sickness in Healthcare

Every hospital and care home manager knows this scenario. It happens every week, sometimes every day. And it costs your organisation a fortune.

“A nurse calls in sick at 6am. Your ward manager spends the next 2 hours making frantic phone calls. Nobody answers — it is 6am on a Tuesday. By 8am, the shift starts understaffed. By 9am, you are on the phone to an agency, agreeing to pay £800 or more for a nurse who does not know the ward, the patients, or the procedures. This happens 3 to 5 times a week. That is £2,400 to £4,000 per week in agency costs alone.”

£2.4B
Spent on NHS agency staff annually
2-3 Hours
Average time to find cover manually
£800+
Typical cost of one agency nurse shift
35%
Of sick calls happen before 7am

How Rosterer Works — Shift Filled in Minutes

1

Staff Member Calls In Sick

A nurse, carer, or support worker reports they cannot attend their shift. The ward manager logs the absence in Rosterer with one click.

2

SMS Sent to Internal Staff

Rosterer instantly sends SMS messages to all qualified internal staff who are off-shift and available. They receive a text asking if they can cover.

3

Staff Confirm via Text

Available staff reply YES by text. The first to confirm gets the shift. No phone calls, no voicemails, no waiting. It takes seconds.

4

Shift Filled, Crisis Averted

The shift is covered by someone who already knows the ward and the patients. If no internal staff are free, Rosterer automatically escalates to bank and then agency staff.

Powerful Features for Healthcare Workforce Management

Rosterer is purpose-built for hospitals, care homes, and healthcare facilities. Every feature is designed to reduce agency spend and keep your wards safely staffed.

📡

Automated Sick Call Cascade

The moment an absence is logged, Rosterer triggers an automated SMS cascade. Messages are sent simultaneously to all eligible staff, not one at a time. This dramatically reduces the time to find cover compared to manual phone calls.

📱

SMS-Based Staff Availability

Staff receive a simple text message on their personal mobile phone. No app to install, no login to remember. They reply YES or NO. The system works with any mobile phone, making adoption effortless for staff of all ages and technical abilities.

Internal Staff First Policy

Rosterer always contacts your own staff before external options. Internal staff already know the ward, the patients, and the procedures. They cost a fraction of agency staff. This internal-first approach can save your facility thousands per week.

Agency Escalation with Approval

Agency staff are contacted only when internal and bank staff are unavailable. Before any agency is contacted, a designated manager must authorise the spend. This prevents unauthorised agency bookings and keeps costs under control.

📊

Real-Time Dashboard

See the status of every shift, every absence, and every replacement in real time. The management dashboard shows which shifts are covered, which are pending, and where escalation is needed. Perfect for matrons, directors of nursing, and operations managers.

🔔

Instant Notifications

Ward managers, matrons, and facility directors receive instant notifications at every stage of the replacement process. Know the moment a sick call comes in, when cover is confirmed, and if escalation is required. No surprises.

📋

Shift Coverage History

Full audit trail of every absence, every SMS sent, every response received, and every shift filled. Generate reports showing agency spend reduction, average time to fill, and staff reliability. Essential data for CQC inspections and board reports.

🏛

Multi-Facility Support

Manage multiple hospitals, care homes, wards, and departments from a single account. Each facility has its own staff roster, shift patterns, and escalation rules. Ideal for NHS trusts, care home groups, and healthcare chains with multiple locations.

Simple, Transparent Pricing

One system, three commitment levels. All plans include every feature. SMS costs included.

All plans include a free 24-hour trial — no credit card required

Monthly

Maximum flexibility, cancel anytime

£99/month
Billed monthly, no contract
  • All features included
  • Unlimited sick call cascades
  • SMS costs included
  • Real-time dashboard
  • Multi-facility support
  • Email support
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Most Popular

Quarterly

Save 10% with quarterly billing

£89/month
Billed at £267 every 3 months — save £30
  • All features included
  • Unlimited sick call cascades
  • SMS costs included
  • Real-time dashboard
  • Multi-facility support
  • Priority email support
Start Free Trial

Annual

Best value — save 20%

£79/month
Billed at £948 per year — save £240
  • All features included
  • Unlimited sick call cascades
  • SMS costs included
  • Real-time dashboard
  • Multi-facility support
  • Priority phone & email support
Start Free Trial

Enterprise & NHS Trust Pricing — Managing multiple hospitals or a large care home group? We offer custom pricing with dedicated onboarding, account management, and SLA guarantees. Contact us at hello@paulspeaks.com or call +44 118 230 7182.

Who Uses PaulSpeaks Rosterer?

Any healthcare facility that deals with staff sickness and shift coverage can benefit from automated replacement. These are the organisations that use Rosterer every day.

Care Home Managers

Care homes operate around the clock with tight staffing ratios. When a carer calls in sick at 5am, you cannot leave residents without support. Rosterer contacts your team instantly and fills the gap before the morning handover, keeping your home CQC compliant and your residents safe.

Hospital Ward Managers

Ward managers spend hours every week on the phone trying to fill shifts. Rosterer automates this process entirely. Whether it is a medical ward, surgical unit, or emergency department, the system finds qualified replacement nurses and healthcare assistants in minutes.

NHS Trusts

NHS trusts spend millions on agency staff every year. Rosterer helps trusts reduce agency dependency by filling shifts with internal staff first. The multi-facility dashboard gives directors of nursing oversight across entire hospital groups.

Private Healthcare Clinics

Private hospitals and clinics cannot afford understaffed wards. Patient satisfaction and clinical outcomes depend on having the right staff in place. Rosterer ensures your clinic is always properly staffed, protecting both patient care and your reputation.

Staffing & Recruitment Agencies

Healthcare staffing agencies can use Rosterer to manage their bank staff pool more efficiently. When a client hospital needs cover, the system contacts available agency workers by SMS and fills the request faster than manual coordination.

Nursing & Residential Homes

Nursing homes with registered nurses face the highest costs when staff call in sick. An agency RGN can cost over £1,000 per shift. Rosterer helps nursing homes exhaust cheaper internal options before resorting to expensive agency cover.

Rosterer vs. The Old Way

See how automated staff replacement compares to the manual methods most hospitals and care homes still rely on today.

FeatureRostererManual Phone CallsAgency-FirstSpreadsheet
Time to fill a shift15-30 minutes2-3 hours1-2 hours2-4 hours
Average cost per coverInternal rate£800+ agency£800+ agencyInternal rate (slow)
Works at 5am on SundayYes, 24/7 automatedNo one answersDepends on agencyNo - needs a manager
Contacts all staff at onceYes, simultaneous SMSNo, one by oneNoNo
Audit trail for CQCFull digital recordNonePartialManual spreadsheet
Internal staff priorityAlways firstDepends on managerNever - agency profitsDepends on manager

How Rosterer Compares to Other Solutions

There are enterprise rostering systems on the market, but they are complex, expensive, and take months to deploy. Rosterer is different. It does one thing brilliantly: finds replacement staff fast when someone calls in sick.

vs. Patchwork Health

Patchwork Health is NHS-focused but charges enterprise-level pricing that puts it out of reach for smaller trusts and care homes. Rosterer delivers the same core sick-call coverage functionality from just £79 per month, with no lengthy procurement process or IT integration required.

vs. Allocate (RLDatix)

Allocate is a comprehensive workforce management suite used by large NHS trusts. It requires significant IT infrastructure, training, and budget. Rosterer focuses specifically on the sick-call replacement problem and can be running within an hour, not months.

vs. RotaMaster

RotaMaster provides healthcare rostering but is primarily a scheduling tool. Rosterer is specifically designed for the crisis moment when staff call in sick. It complements existing rotas rather than replacing them, filling the gap that scheduling tools leave open.

vs. Deputy & Rotageek

Deputy and Rotageek are general-purpose shift management tools built for retail and hospitality. They are not designed for healthcare staffing cascades, agency escalation with management approval, or the specific compliance requirements of hospitals and care homes.

Why choose Rosterer? Simpler setup (under 1 hour), lower cost (from £79/month), no IT department needed, SMS-based so every staff member can use it, and laser-focused on the one problem that costs healthcare facilities the most money: finding cover when someone calls in sick.

Trusted by Healthcare Facilities Across the UK

Before Rosterer, I was spending every other morning on the phone from 5:30am trying to find cover for the day shift. Now the system handles it automatically. Last month we used zero agency staff for the first time in three years. The savings have been incredible, easily ten times what the subscription costs.

Margaret Collins
Registered Manager, Oakfield Care Home
Birmingham, West Midlands

We trialled Rosterer on one ward and the results were so good we rolled it out across the entire hospital within a month. Our agency spend dropped by over forty percent in the first quarter. The nurses love it too because they get first refusal on extra shifts before agency staff are brought in.

David Okonkwo
Director of Nursing, St. Andrew's General Hospital
Leeds, West Yorkshire

What I like most is the simplicity. My carers are not all tech-savvy but everyone can reply to a text message. The whole system just works. When someone calls in sick at the weekend, I used to dread my phone ringing. Now Rosterer sorts it out before I have even finished my morning coffee.

Claire Hennessy
Deputy Manager, Rosewood Nursing Home
Bristol, Somerset

Frequently Asked Questions About PaulSpeaks Rosterer

How does PaulSpeaks Rosterer work when a staff member calls in sick?

When a staff member reports sick, the shift manager logs the absence in Rosterer. The system immediately sends SMS messages to all qualified internal staff who are off-shift and available to cover. Staff reply by text to confirm their availability. The first to confirm is assigned the shift. If no internal staff can cover, Rosterer automatically contacts bank staff. Only as a last resort, and with management authorisation, does the system reach out to agency staff. The entire process takes minutes rather than the 2 to 3 hours typically spent making manual phone calls.

How much does PaulSpeaks Rosterer cost?

Rosterer starts from £79 per month on the annual plan, billed at £948 per year. The quarterly plan is £89 per month, billed at £267 every three months. The monthly plan is £99 per month with no contract. All plans include every feature, unlimited sick call cascades, and SMS costs. Enterprise pricing is available for large NHS trusts and multi-site organisations. Every plan begins with a free 24-hour trial so you can test the system with no commitment.

Is PaulSpeaks Rosterer compatible with NHS systems?

Yes. Rosterer is designed to work alongside existing NHS rostering and HR systems. Because it operates via SMS, there is no complex IT integration required. Staff receive text messages on their personal mobile phones and reply to confirm availability. This makes deployment fast and straightforward, even in NHS trusts with strict IT governance. Rosterer complements, rather than replaces, existing e-rostering systems like Allocate or HealthRoster.

How quickly can Rosterer find replacement staff?

In most cases, Rosterer finds replacement staff within 15 to 30 minutes. SMS messages are sent simultaneously to all eligible internal staff. Responses typically come back within minutes, especially when staff know that the first to reply gets the shift. If internal staff cannot cover, the system escalates to bank staff and then agency staff automatically. Compare this to the traditional approach where a ward manager spends 2 to 3 hours making individual phone calls, often starting at 5 or 6 in the morning.

Does Rosterer always contact internal staff before agencies?

Yes, this is a fundamental principle of the system. Rosterer always contacts your own internal staff first because they already know the ward, the patients, and the procedures. Internal staff are also significantly cheaper than agency staff. Bank staff are contacted second. Agency staff are contacted only as an absolute last resort and require explicit management authorisation before they can be engaged. This internal-first policy is what saves hospitals and care homes thousands of pounds per incident.

What happens if nobody is available to cover the shift?

If no internal staff or bank staff are available after the SMS cascade, Rosterer escalates to agency staffing. The system sends a notification to the designated manager, who can approve the agency request with a single click. A full audit trail is maintained at every step, documenting that all cheaper options were exhausted before agency cover was authorised. This documentation is valuable for CQC inspections and internal audits.

How does the 24-hour free trial work?

When you first visit rosterer.paulspeaks.com, a 24-hour free trial starts automatically. During the trial period, you have full access to every feature, including the automated sick call cascade, SMS notifications, the management dashboard, and multi-facility support. No credit card is required to start the trial. After 24 hours, you will be asked to choose a subscription plan to continue using the system.

Are SMS costs included in the subscription?

Yes. SMS costs are included in every subscription plan. There are no additional per-message charges regardless of how many SMS messages the system sends. Whether you process 10 sick calls or 100 in a month, your subscription price remains the same. This predictable pricing makes budgeting simple for healthcare organisations.

Can Rosterer manage multiple facilities, wards, or departments?

Yes. Rosterer supports multi-facility management from a single account. You can add multiple hospitals, care homes, wards, floors, or departments. Each facility has its own staff roster, shift patterns, and escalation rules. The management dashboard provides a consolidated overview across all locations, making Rosterer ideal for NHS trusts, care home groups, and healthcare organisations with multiple sites.

How long does it take to set up Rosterer?

Most organisations are fully operational within one hour. You create your organisation, add facilities and departments, upload your staff list with mobile numbers and roles, and define your shift patterns. There is no hardware to install and no IT department involvement is required. Staff receive an introductory SMS explaining how the system works. From that point, every sick call is handled automatically by Rosterer.

Serving Healthcare Facilities Across the United Kingdom

PaulSpeaks Rosterer is used by hospitals, care homes, and nursing homes in every region of the UK. Because the system works via SMS and a web dashboard, there is no geographical limitation.

London & South East

London NHS Trusts, Surrey, Kent, Sussex, Hampshire, Berkshire, Essex, Hertfordshire

Midlands

Birmingham, Coventry, Leicester, Nottingham, Derby, Stoke-on-Trent, Wolverhampton, Worcester

North West

Manchester, Liverpool, Bolton, Wigan, Warrington, Chester, Blackpool, Preston, Lancaster

North East & Yorkshire

Leeds, Sheffield, Bradford, Newcastle, Sunderland, York, Hull, Middlesbrough, Doncaster

South West

Bristol, Bath, Exeter, Plymouth, Gloucester, Swindon, Bournemouth, Taunton, Truro

Scotland, Wales & Northern Ireland

Edinburgh, Glasgow, Aberdeen, Cardiff, Swansea, Newport, Belfast, Derry, Dundee

Whether you manage a single care home in Devon or a network of hospitals across an NHS trust, Rosterer adapts to your organisation. The system is also available to healthcare facilities internationally, with SMS delivery supported in over 200 countries. Contact us to discuss deployment for facilities outside the UK.

Start Your Free 24-Hour Trial Today

Stop losing thousands to agency staff. Stop spending your mornings making frantic phone calls. Let Rosterer handle sick call cover automatically, so you can focus on what matters most: patient care.

No credit card required. Full access to all features. Set up in under an hour.

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UK Phone
+44 118 230 7182
US Phone
+1 (848) 361-4553
Email
hello@paulspeaks.com