1. ‘The Carter Recommendations - 2016’
How can ESR Support and
Enable Delivery?

2. Trusts must get a tighter grip of their coding to the ESR database and use the data in their daily management of staff.
Lord Carter of Coles
“Operational productivity and performance in English NHS acute hospitals: Unwarranted variations”
February 2016

3. Introduction
As the national workforce solution for the NHS the Electronic Staff Record can play a critical role for Organisations when implementing Carters recommendations. This presentation focuses on the key recommendations made where ESR can be an ‘enabler’, by providing related workforce information or functionality.
Operation Productivity and performance in English NHS acute hospitals: Unwarranted Variations

4. Carters Recommendations
Carter Recommendations
Carters Recommendations 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Recommendations that align to ESR functionality

5. “Reduction in high rates of bullying and harassment” (E)
Recommendation 1
NHS Improvement should develop a national people strategy and implementation plan by October 2016 that sets a timetable for simplifying system structures, raising people management capacity, building greater engagement and creates an engaged and inclusive environment for all colleagues by significantly improving leadership capability from “ward to board”, so that transformational change can be planned more effectively, managed and sustained in all trusts.
Delivered by
Enabled by ESR
“Regular performance reviews ensuring a culture of continuous improvement is developed” (B)
“Gain a better understanding of the reasons for high levels of staff attrition” (C)
“Improving sickness absence, which will require… improved collection of data” (D)
“Reduction in high rates of bullying and harassment” (E)
Self Service (incl. Appraisals)
Absence HR
Employee Relations
BI Reporting

6. “Analysis and application of consultant job plans” (B)
Recommendation 2
NHS Improvement should develop and implement measures for analysing worker deployment during 2016, including metrics such as Care Hours Per Patient Day (CHPPD) and consultant job planning analysis, so that the right teams are in the right place at the right time collaborating to deliver high quality, efficient patient care.
Delivered by
“Analysis and application of consultant job plans” (B)
“Developing medical staff banks to manage vacancies in shortage specialties across a geographical region” (D)
Self Service (incl. Appraisals) HR
BI Reporting
Enabled by ESR

7. Including Learning Management
Recommendation 7
Trusts should rationalise their corporate and administration functions to ensure their costs do not exceed 7% of their income by April 2018 and 6% of their income by 2020 (or have plans in place for shared service consolidation with, or outsourcing to, other providers by January 2017) so that resources are used in a cost effective manner
Delivered by
Enabled by ESR
“Testing their existing services against shared service solutions and where comparison highlights savings of 5% or more, these savings should be delivered”
Shared Services in ESR
Including Learning Management

8. Recommendation 9
All trusts should have the key digital information systems in place, fully integrated and utilised by October 2018, and NHS Improvement should ensure this happens through the use of ‘meaningful use’ standards and incentives
Delivered by
Enabled by ESR
“Trusts having in place by October 2018, fully integrated and utilised e-rostering systems” (A) HR
ESR Interface
OLM

9. Recommendation 12
NHS Improvement should develop the Model Hospital and the underlying metrics, to identify what good looks like, so that there is one source of data, benchmarks and good practice.
Delivered by
Enabled by ESR
“Trust boards ensuring that the Electronic Staff Record (ESR) is reconciled to the financial ledger on a weekly basis, with a minimum reconciliation of 95% from October 2016”
Establishment Control
Data Quality
Payroll and HR (Bank Staff)
GL Interface
BI Reporting (Absence and ER Data)

10. Absence Recommendation 13 BI Reporting Data Quality
NHS Improvement should, in partnership with CQC and NHS England, by July 2016, develop an integrated performance framework to ensure there is one set of metrics and approach to reporting, so that the focus of the NHS is on improvement and the reporting burden is reduced to allow trusts to focus on quality and efficiency.
Delivered by
Enabled by ESR
“Implementing a one in/two out approach to data requirements, demonstrating a reduction in reporting burdens by April 2017” (B)
“Trusts working to improve, cleanse and validate their data submissions to ensure data is robust enough for benchmarking” (C)
Absence
BI Reporting
Data Quality

11. “Ensuring each Consultant has an up to date accurate job plan” (E)
Recommendation 14
All acute trusts should make preparations to implement the recommendations of this report by the dates indicated, so that productivity and efficiency improvement plans for each year until 2020/21 can be expeditiously achieved.
Delivered by
Enabled by ESR
“Ensuring that the Management information they will be required to submit…is robust and reliable” (B)
“Ensuring each Consultant has an up to date accurate job plan” (E)
Self Service (incl. Appraisals) HR
Employee Relations
BI Reporting

12. “Adopting basic structural improvements… consistency of roles”
Recommendation 14 (continued)
“HR directors introducing the nine management practices that strengthen organisational resilience, effectiveness and productivity” (E):
“A process for appraising both task and behavioural performance for every individual in the trust… linking this to positive and negative consequences including reward, development, career progression”
“Adopting basic structural improvements… consistency of roles”
“Leadership strategy… including recruitment, engagement, development, talent management and succession planning”
“Adopted the model hospital dashboards… that provide a balanced view of patient, people and financial performance”
Self Service (Incl. Appraisals)
OLM
BI Reporting

13. HR Self Service Absence Functionality
The HR module contains all the core employee information, including personal details (name, address, emergency contacts, equal opportunities  data, competencies, registrations and memberships, qualifications etc.) and “Assignment” information (grade, post, contracted hours, place of work, salary etc.). HR
ESRs self service capabilities can enable any staff member to access the system through a simple browser-based interface. This enables Managers and Employees to update information directly, which can improve data quality.
Employees and Managers can participate in development reviews.
Employees and Line Managers can receive important notifications including appraisal and professional registration expiry reminders.
Self Service
ESR allows staff absence to be recorded, monitored and managed, while all the associated payments and entitlements are processed automatically.
Can assist with meaningful comparisons between different NHS organisations, thereby promoting research into successful methods of reducing preventable absence.
Absence reporting includes estimate costs and Bradford factor to highlight frequent short periods of sickness absence.
Absence

14. Employee Relations ESR Interfaces Data Quality Functionality
Can record information relating to employee relations including grievances and bullying.
It has full reporting capability providing the ability to report on all of the employee relations types including an analysis on Equality and Diversity in relation to ER cases. This can help to identify trends or areas of concern for the organisation.
Employee Relations
The General Ledger (GL) Interface contains the financial costings for each pay period. A standard format output (Source) file produced in ESR after the payroll process has completed, is passed to the NHS Interface Hub and converted into a GL Interface (Target) file specifically designed for the Ledger system choice of the NHS Organisation.
The Standard Generic Outbound Retrofit Interface from ESR is used in a variety of 3rd Party solutions such as T&A and e-rostering systems and provides data items such as employee Names and addresses.
ESR Interfaces
ESR Central Team provide numerous useful tools to assist Organisations improve their local Data Quality within ESR. This includes a BI Data Quality Dashboard which provides Organisation with intelligence around a number of data quality tests, and aims to enable organisations to validate a range of data with the flexibility to choose the timing and coverage of the queries.
This includes a BI Reporting Occupation Code and Job Role Verifier tool which should be used in conjunction with guidance from HSCIC to define the appropriate occupation code, job role and pay band combinations.
Data Quality

15. Establishment Control
Functionality
Learning Management enables comprehensive control over all the activities associated with the learning and development of NHS staff.
Incorporates National competence frameworks including the Knowledge and Skills Framework (KSF), National Occupational Standards (NOS), National Workforce Competencies (NWC), Core Skills Training Framework (CSTF) and an agreed set of Statutory and Mandatory competence labels (MAND) to support monitoring of compliance levels against statutory and mandatory training.
Learning Management
Establishment Control is the costing held against the workforce in ESR and when utilised can provide valuable information for organisations who are proactively managing their workforce requirements and associated bill.
Full utilisation of Establishment Control mechanisms within ESR can drastically reduce time Organisations spend reconciling their Financial Ledger with the ESR Workforce System.
Establishment Control
ESR Business Intelligence (ESRBI) enhances the current range of standard reporting available within ESR. It provides additional reporting capability with significant functionality in the area of presentation of reports and dashboards to professional core users and managers.
The ESR BI solution is accessible to ESR users via a number of existing URPs including Self Service, enabling users to run reports and dashboards based on the information available to them via their URP access. 
BI Reporting

16. BI Reporting Click image or title to see a screenshot of the dashboard
Management Overview Dashboard
Appraisal Reviews Dashboard
Dashboard
Absence
Data Quality Dashboard
Medical and Dental Dashboard
Click image or title to see a screenshot of the dashboard
Next

17. Absence Dashboard
Go Back

18. Management Overview Dashboard
Go Back

19. Appraisal Reviews Dashboard
Go Back

20. Data Quality Dashboard
Go Back

21. Medical and Dental Dashboard
Go Back

22. Supporting Functionality Overview
Recommendations 1 2 7 9 12 13 14
HR Administration 
Self Service
BI Reporting
Absence Administration
Employee Relations
Interfaces
Establishment Control
Data Quality
Learning Management

23. Supporting functionality – Further Info
Interfaces
Self Service
Learning Mgt
Reporting
Other
Establishment Control
Employee Relations
Absence Administration
Data Quality HR
Professional Registration – GMC and NMC
e-Recruitment
Disclosure & Barring Service
Junior Doctors Interface
Appraisals & PMP
NMC Revalidation
Business Intelligence
Disco

24. Further Information
Go to the ESR Website for more information about what ESR can do for your organisation
For further information and guidance related to functionality please visit KBase and Infopoint

25. Thank you
Follow for all your ESR updates