Safe Staffing (NQB) Report for April 2018

Safe Staffing Reports / NQB 18 April 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 April 18 indicates that overall staffing levels have increased from 101.2%to 101.6% compared to planned levels. The skill mix for April 18 decreased to 62.4% for Registered Nurses and 37.6% for Health Care Support Workers (HCSWs). Root Cause analysis and insights Continued high RN vacancies, supported by the temporary workforce which leave position of less RNs than planned on the wards. Actions and progress to date Focussed meetings with Chief Nurse and Deputy Director of Nursing with Medicine and MOPRS to review bespoke actions to improve recruitment. Successful rotation planned between AMU and ED which has attracted a number of recruits. Working through recruitment process. SAFE

Care Hours Per Patient Day Programme (CHPPD) 18 April 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 April 18 indicates that overall CHPPD is 4.9 hours for RNs, this is an increase in comparison to the the previous month and 2.9 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