Purpose
Shift swap requests can be submitted and approved in NHS At Work. Medics will request to swap shifts with other medics via NHS At Work (See the ‘Requesting and Accepting Shift Swaps’ guide for more information). Once both medics have agreed to the swap in principle, the request will be automatically sent to the roster manager for final approval. This guide covers the roster manager approval process.
Approving or Declining Shift Swap Requests
1. Navigate to ‘Manage Requests’ from the left menu, and then ‘Shift Swaps’.
2. Click the ellipsis on the appropriate line and then ‘Approve/Decline’ to review the request details.
Top Tip! If the shift swap is between two medics of different grades, a warning appears above the request form.
3. Click ‘Approve’ or ‘Decline’ as appropriate.
4. If approved, a ‘Shift Swap Approved’ message will appear, followed by an automatic email notification sent to both medics.
5. The roster will then reflect the swapped shifts, and each will display a double dark arrow icon .
Top Tip! Clicking the ‘arrows’ icon will provide audit details of the shift swap.
Top Tip! The shift ellipsis will disappear until the swap is approved or declined.
Version 1.0 - Approved 21/11/2025