Safe Staffing Report – February 2019 Safe Staffing (NQB) Safe Staffing Report – February 2019 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 11 analysis indicates that overall staffing levels increased from 91.9% to 92.2% against plan. The RN/HCSW skill mix increased to 62.5% for Registered Nurses and decreased to 37.5% for HCSW. Influencing Factors Continued challenge with RN vacancy position and temporary fill to mitigate this. Actions in Response 95 international nurses have been recruited in 2018 and a cohort of 16 commenced this month. There are 40 more recruits planned to arrive in February and March. 100% pass rate from the last cohort (October 2018) to undertake the OSCE and achieve NMC registration. A recruitment plan has been agreed to address the nursing shortfall and additional staff are being recruited to meet the training requirements of the planned large cohorts. 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 10 indicate that overall CHPPD is 4.5 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. There has been an increase in midnight bed occupancy during January hence the drop in CHPPDD for both RN and HCSW despite maintaining percentage fill rates. Author: E Khor – Workforce Information Manager, Executive Lead Nicole Cornelius – Director of Workforce and Organisational Development