Workforce Performance Report February 2019 Tim Boylin Director of Human Resources

Temporary Staffing Spend Temporary Staffing spend reduced by 526K to £3.26m, in line with normal annual trends. Spend was 16.41% of payroll approximately the same level as last year with the amount of bank use increasing and agency decreasing. 57% of total temporary staffing spend was agency. Half of this spend reduction was across inpatient units with £100k in the Oxon Clinical pathway and £75k across corporate services (mainly estates). The use of Thornbury, a high cost off national framework agency remains a concern and a plan is being developed to address this. This Month: 16.41% £3.26m Last Month: 18.76% £3.78m Last Year: 16.39% £3.16m

Temporary Staffing Spend Agency Spend decreased in Oxford & SW Mental Health, Community and corporate directorates with bank spend remaining static in Specialised services but decreasing in all others. Total temporary staffing spend increased most significantly in Community and Oxfordshire &SW Mental Health Directorates. NHSI agency rule overrides continue to remain high.

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 number of temporary staffing shifts worked across inpatient units decreased by 135 between December and January with 6256 shifts being worked (on average 200 a day). NHSI Agency rule overrides remained similar however the number of agency grade swops reduced by 109 to 489. The number of Thornbury shifts used also reduced by 97 to 363. The number of unfilled shifts remained at 6%, 373 shifts. Recruitment of new bank HCA workers should recommence in April when the back log of existing new starters has been cleared through the Care Certificate, however PEACE provision remains a concern with over 100 workers having restrictions on when they can work as a result of having not completed their PEACE training.

HCA Agency Spend Reduction

Agency CIP Performance The graphs show Bank and Agency spend by staffing group against the CIP plan and last year. The trust is not growing the bank as fast as had been projected in the CIP plan, this is partly due to lack of training availability for new starters. In January the Trust is £560k under its CIP bank target and £835k above its CIP agency target. The main areas of focus are: Conclusion of the restructure of the Staffing Solutions team as an enabler Reduction in admin and clerical agency use Increase in availability of training to enable the bank to increase Increase in bank Flexible Workers to reduce nursing agency use, grade swops and overrides including review of progress and strategy Converting agency workers to bank Reduction in Thornbury use across inpatient units

Agency Staffing CIP Performance

Total Payroll Spend There Trust overspent payroll budget by £1m in January and is £4.8m overspent YTD. January YTD Oxon &SW MH: +£494k + £4,526k Bucks MH: + £254k + £711K Community: +£18k - £415k Specialised: +£163K +£976K Corporate: +129k - £964K

Total Payroll Spend

Agency Target 5.0% Agency Spend (%) By Directorate

Sickness Target 3.5% Sickness (%) By Directorate

Turnover Target 12.0% Turnover (%) By Directorate

Vacancy Target 9.0% Vacancy (%) By Directorate

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