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 December 17 indicates that overall staffing levels have decreased from 106.8% to 100.1% compared to planned levels. The skill mix for December increased to 66% Registered Nurses (RNs) with 34% for Health Care Support Workers (HCSWs). With regards to average fill rate for Registered Nurses, had seen nearly a 5% reduction in – month. Root Cause analysis and insights Increase in turnover and vacancy in some CSCs. Supported by the temporary workforce. Although shortfall in NHSP provision over Christmas period being investigated. Continue to have significant escalation areas open which is also increasing demand of staffing. Actions and progress to date Recruitment continues locally, nationally and internationally. Plan for International Recruitment bi-monthly in 2018. Approval given to recruit Band 4’s internationally as well. SAFE

Care Hours Per Patient Day Programme 3 January 2019 Care Hours Per Patient Day Programme Where we want to be: targets and benchmarks Introduction To provide a single consistent way of recording and reporting deployment of staff working on patient wards/units, NHS Improvement have developed, tested and adopted Care Hours per Patient Day (CHPPD). CHPPD is calculated to by adding the hours of Registered Nurses (RNs) and Health Care Support Workers (HCSWs) per ward and dividing by the Midnight bed occupancy figures for the ward. CHPPD reports split out RNs and HCSWs to ensure skill mix and care needs are met. The metric aims to illustrate how many hours each patient receives from either a RN or HCSW within any 24 period over the course of a month. Trends and Patterns The evidence collected for December 17 indicates that overall CHPPD is 4.8 hours for RNs. This is a decrease in comparison to the the previous month and 2.5 for HCSWs for PHT This was also a decrease in comparison to previous month. HCSWs have continued to be above plan over the last 12 months and during that same period RNs have continued to be below the planned number of hours. SAFE