Safe Staffing Report – November 2018 Safe Staffing (NQB) Safe Staffing Report – November 2018 Author: D Elliot – Deputy Chief Nurse

Safe Staffing Report Safe Staffing (NQB) Where we want to be: targets and benchmarks Target: Planned staffing levels are 100%, planned skill mix 70% RN:30% HCSW ratio Current Performance Month 8 analysis indicates that overall staffing levels increased from 88.6% to 91.1% against plan. The RN/HCSW skill mix increased to 63% for Registered Nurses and decreased to 37 % for HCSW. Influencing Factors Continued challenge with RN vacancy position and temporary fill to mitigate this. Actions in Response Very positive recruitment pipeline has seen for September, October and November with EU Band 4 staff, Newly qualified Nurses and International Nurses commencing – approximately 100 new starters over these three months. 45 New RN’s are due to start in the first quarter of next year. Bank Partners have commenced as new Bank Provider. Divisional oversight of staffing on a day to day basis ensuring shortfall is distributed between areas according to patient acuity continues Author: D Elliot – Deputy Chief Nurse

Care Hours Per Patient Day Programme (CHPPD) Safe Staffing (NQB) Care Hours Per Patient Day Programme (CHPPD) Care Hours per Patient Day In order to provide a consistent method by which to record and report the deployment of staff working on patient wards/units, the Care Hours Per Patient Day (CHPPD) methodology is applied. CHPPD totals the number of RN and HCSW hours provided to a particular ward, across a 24 hour period, and divides this total by the midnight bed occupancy figures for that same ward. CHPPD reporting delineates between RN and HCSW hours, thereby confirming skill mixes. Reports illustrate how many care hours each patient received either from an RN or HCSW within 24 hour periods over the course of a month. Current Analysis Data collated during Month 8 indicate that overall CHPPD is 4.7 hours for RNs and 2.8 for HCSWs for PHT. Over the previous 24 months, RN CHPPD has tracked marginally below the planned level, whilst for HCSWs, the planned level has been exceeded. Author: E Khor – Workforce Information Manager, Executive Lead Nicole Cornelius – Director of Workforce and Organisational Development