Workforce Performance Report September 2018 Tim Boylin Director of Human Resources

Temporary Staffing Spend Agency spend fell by £659k in September, its lowest since September 2017. 266K of this is due to previous over accrual of agency use in Continuing Healthcare, resulting in a true reduction of £393K. Bank spend increased again, by £101k, to £1.7m, its highest ever matching agency spend for the first time. Overall, Total temporary staffing spend decreased by £558K to £3.434m, 16.95% of payroll, its lowest since January 2018 taking into account the over accrual of CHC. Bank spend is now 8.4% of total pay, £1.7m, which is a 708K, 71% increase in 12 months. The continual increased demand for temporary staffing is being absorbed by additional bank use with agency use remaining reasonably constant. A monthly bank increase of £708K equates to £8.5m per annum. By using bank rather than agency £1.7m of agency fees have been saved per annum. In addition to this VAT has been saved on all staffing groups with the exception of nursing. This Month: 16.95% £3.43m Last Month: 18.78% £3.99m Last Year: 13.94% £2.68m

Temporary Staffing Spend Agency Spend decreased in all operational areas across all staffing groups however increased in Estates and Facilities. The increase in NHSI overrides appears to have stabilised. The Trust continues to spend significantly in excess of the NHSI ceiling however the gap is not widening.

HCA Agency Spend Reduction On 14 May the Trust stopped using Agency HCA workers across inpatient units. Where a HCA Flexible Worker cannot be sourced Registered Nurses are used. The graphs below show that the initiative has not resulted in an increase in the number of unfilled shifts. Agency use has continued to fall whilst bank use has risen. Agency Grade swops account for approximately 5% of overall temporary staffing use, approximately 10 shifts a day across 38 inpatient units. The number of grade swops have slowly decreased over the past 2 months. Work continues to grow the HCA Flexible Worker bank with 20 new starters commencing in November. A further 36 workers are on a waiting list to complete their Care Certificate training before they can start but no places are available until January. Over 60 workers are awaiting interview. From January 2018 the Staffing Solutions team will interview all Flexible Workers rather than operational Managers.

Vacancy The vacancy rate increased slightly to stand at 13.2% September in from a peak of 13.9% in August. The Adult and Children and Young People Directorates have driven the increase with the other two directorates showing a reduction. Target: 9.0% This Month: 13.2% Last Month: 12.3% Last Year: 11.3%

Sickness Sickness has decreased slightly to 3.54% in September from 3.72% last month. The change was driven by a drop in long-term sickness in August. Target: 3.50% This Month: 3.54% Last Month: 3.72% Last Year: 3.76%

Turnover Turnover has continued its slow reduction over the last 5 months to stand at 13.8% in September. The reduction was experienced across all the Directorates. Target: 12.0% This Month: 13.8% Last Month: 14.3% Last Year: 15.0%

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