Safe Staffing (NQB) Report for September 2018

Safe Staffing Reports / NQB 3 January 2019 Safe Staffing Reports / NQB Where we want to be: targets and benchmarks Target: Planned staffing levels are 100%, planned skill mix 70.4% RN:29.6% HCSW ratio Trends and Patterns The evidence collected for September 18 indicates that overall staffing levels have decreased from 91.7% to 86.7% compared to planned levels. The skill mix for September 18 increased to 62% for Registered Nurses and decreased to 38% for Health Care Support Workers (HCSWs). Root Cause analysis and insights Continued challenge with RN vacancy position and temporary fill to mitigate this. Actions and progress to date Very positive recruitment pipeline for September, October and November with EU Band 4 staff, Newly qualified Nurses and International Nurses commencing – approximately 100 new starters over these three months. Decisions underway regarding Internal Recruitment plans, change of Bank Provider and internal review of all ward staffing underway. Divisional oversight of staffing on a day to day basis ensuring shortfall is distributed between areas according to patient acuity. SAFE

Care Hours Per Patient Day Programme (CHPPD) 3 January 2019 Care Hours Per Patient Day Programme (CHPPD) Introduction In order to provide a consistent method by which to record and report the deployment of staff working on patient wards/units, the Care Hours Per Patient Day (CHPPD) methodology is applied. CHPPD totals the number of RN and HCSW hours provided to a particular ward, across a 24 hour period, and divides this total by the midnight bed occupancy figures for that same ward. CHPPD reporting delineates between RN and HCSW hours, thereby confirming skill mixes. Reports illustrate how many care hours each patient received either from an RN or HCSW within 24 hour periods over the course of a month. Trends and Patterns Data collated during Month 6 indicate that overall CHPPD is 4.5 hours for RNs and 2.8 for HCSWs for PHT. Over the previous 24 months, RN CHPPD has tracked marginally below the planned level, whilst for HCSWs, the planned level has been exceeded. SAFE