Workforce Performance Report September 2019 Tim Boylin Director of Human Resources

Temporary Staffing Spend Temporary staffing spend increased this month by £531 k to £3.6m, 17.11% of payroll. Agency spend increased slightly by £79k to 8.28% of payroll, the second lowest since April 2017 (lowest was July 2018). Inpatient units represented 36% of all agency spend. Agency spend remains above the NHSI ceiling, however the gap is the smallest seen in the last 24 months at 7%. Bank spend represented the majority of the total temporary staffing increase. Spend was up £451k to £1.86m, with most of the increase (434k) from inpatient units. Temporary staffing spend remains down against last year (£387k / 10% drop).

Temporary Staffing Spend Agency spend increased slightly within Oxfordshire & SW MH (£44k) and Community Services (£43k). Bank spend increased across all directorates except Corporate. Oxfordshire (+£199k) and Specialised (+£140k) had the highest increases vs last month, with Ashurst (OX), Watling and Learning Disabilities Management (Specialised) the biggest contributors. NHSI agency rule overrides remain high in August. Within Oxfordshire SW MH, Highfield continues to have the extra packages of care while Ashurst had increased annual leave and sickness resulting in their highest overrides compared to the previous 12 months (121 this month vs monthly avg of 50). Community Hospitals also experienced increased sick leave along with annual leave.

Improving Quality, Reducing Agency The Improving quality; reducing agency - Temporary Staffing group is currently focusing on reducing the use of high cost off framework agency workers. After a 5 month downward trend, the number of Thornbury shifts has increased, though this is a result of the extra packages of care in Highfield. The avg cost per hour for an agency worker is at its lowest since May 2018 at £33.28, and the % of temporary staffing hours worked through bank were at their highest in 12 months at 69%. NHSI Agency rule overrides, increased by 243 to 1167. There were 528 grade swops, there is a plan to increase the number of workers who are booked in advance to work on a site and subsequently deployed to specific units in an attempt to reduce the number of grade swops, most of which occur in the last 48 hours.

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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