Safe Staffing (NQB) Report for March 2018

Safe Staffing Reports / NQB 23 February 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 March 18 indicates that overall staffing levels have decreased from 103.5% to 101.2% compared to planned levels. The skill mix for March 18 decreased to 63.0% for Registered Nurses with a increase to 37% for Health Care Support Workers (HCSWs) in comparison to the month previous. Root Cause analysis and insights Increase in turnover and vacancy in some CSCs. Supported by the temporary workforce. Continued action taken to recruit and retain permanent workforce. Continue to have demand for several escalation areas to 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. Recruitment event in Milan undertaken successfully for Band 4 recruits. SAFE

Care Hours Per Patient Day Programme (CHPPD) 23 February 2019 Care Hours Per Patient Day Programme (CHPPD) 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 March 18 indicates that overall CHPPD is 4.6 hours for RNs, this is a similarly reported in comparison to the the previous month and 2.7 for HCSWs for PHT. 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