Workforce Performance Report March 2019 Tim Boylin Director of Human Resources

Temporary Staffing Spend Temporary Staffing spend increased by 281K to £3.54m, in line with normal annual trends. Spend was 17.00% of payroll approximately the same cost and a slightly higher % than last year with the amount of bank use increased by £268k whilst agency remained about the same. 52% of total temporary staffing spend was agency a 5% reduction on the previous month. This increase was mainly due to an increase in inpatient bank use, although the OOH GP service spend £100k less offset by an increase in Continuing Healthcare. This Month: 17.00% £3.54m Last Month: 16.41% £3.26m Last Year: 18.19% £3.49m

Temporary Staffing Spend Agency Spend did not alter significantly across the directorates with bank spend increasing significantly in Oxon, Bucks and Specialised services. NHSI agency rule overrides are now being reported against the new directorates and remain at a concerning level.

HCA Agency Spend Reduction On 14 May 2019 the Trust stopped using Agency HCA workers across inpatient units. Where a HCA Flexible Worker cannot be sourced Registered Nurses are used. A review of this policy and all inpatient temporary staffing use took place in February. This review showed that 10 of the 33 inpatient units resulted in 76% of all non registered nursing agency grade swops. It was decided that the policy was successful in reducing agency spend and should continue however there should be detailed work to support the 10 units. (see CIP plan slide) NHSI Agency rule overrides increased to 1152 from 868, however when taking into account 5 weeks were included in the period rather than the normal 4 the actual increase was lower at 921 shifts. Agency grade swops returned back to levels seen in January – 578. The number of Thornbury shifts used also increased to similar levels as used in January – 431 shifts. The number of unfilled shifts remained similar. Recruitment of new bank HCA workers will 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 80 workers having restrictions on when they can work as a result of having not completed their PEACE training.

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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