1. Workforce Performance Report July 2018
Tim Boylin
Director of Human Resources

2. Temporary Staffing Spend
Total temporary staffing spend increased by £784K to £3.72m, 18.69% of payroll, the second highest level in 2 years. This increase was seen across all directorates, Bank spend reached its highest ever level of £1.15m, 7.41% of payroll nearly double that of the same time last year excluding GPs. Agency Spend increased to £2.25m, its second highest level in 2 years 10.91% of payroll. The number of bank hours filled through the WFMS exceeded the number of agency hours for the first time since all agency has been included on the WFMS. The following areas contributed to the increase in temporary staffing spend, 300k, Inpatient units, 178k, Admin and Clerical, 170k registered nursing in community services, 128K medical and dental staffing.
This Month: 18.69%
£3.72m
Last Month: 15.03%
£2.94m
Last Year: 12.87%
£2.39m

3. Temporary Staffing Spend
Agency spend increased by £506K in June compared to May. £178k of this was in the Admin and Clerical Staffing group of which £100k was in corporate services, Medical and Dental Agency spend increased by £124k in the Adults directorate and Nursing spend increased by 400k of which £170k was across community teams of which £118k was in older peoples (83K in Continuing Healthcare Bucks for a short term funded project) and £57k in AMHTs . An Exec level review of all admin and clerical agency use is to take place with a plan to be put into place to reduce this significantly. NHSI Agency rule overrides have increased significantly, whilst some of this increase can be attributed to the HCA agency reduction plan, a significant proportion of this cannot be. 56% of temporary staffing shifts booked through the WFMS were to cover vacancies.

4. HCA Agency Spend Reduction
Since November 2018 the Trust has been working towards removing all HCA agency use across inpatient units from 14 May 2018.
The Trust has decided to engage registered Flexible Workers or agency workers where an HCA Flexible Worker could not be sourced. The number of agency hours worked has decreased by 10k from £29k in April to 19k June, however the agency spend has only decreased slightly by £33k from 783kin April to £749k in June due to the grade swop policy. Units have reported benefits from the increased skill mix and no detrimental effect to patient care has been seen as a result of stopping HCA agency use. The graphs below show the change in agency hours used and cost.
Agency spend in the Additional Clinical Services staffing group has fallen by £366k from £382k in April to £16k in June, however Registered Nursing agency spend has increased by £290k from £444K to £733K. Bank spend has increased by £198k from £518k in April to £716k in June. The majority of this increase is in non registered staffing use. Overall temporary staffing spend has increased across inpatient areas increased by £164K from £1,301K to £1,465K. The number of hours worked decreased from April to June by 4,350 from 58,422 to 54,071.
Recruitment of HCA Flexible Workers is continuing to reduce the number of grade swops and agency overrides. Floating bank workers are also being introduced for each site to support last minute requirements and prevent agency usage. A review is to take place as to the financial viability of continuing with the grade swop policy whilst further bank recruitment of HCA workers occurs.

5. Total Payroll Spend
The Trust overspent the payroll budget by £60k in May and is £104K overspend YTD
June YTD
Older Peoples: - £190k - £286k
Adults: + £102k + £85K
C&YP: + £188k + £353K
Corporate: - £41.3k - £49.5K

6. Vacancy
The Vacancy rate has increased to 13.9% in June from 12.0% in May. The increase was driven by an addition to budgeted FTE in all Directorates, most notably in the Adult Directorate and Research and Development service in Corporate Directorate.
Target: 9.0%
This Month: 13.9%
Last Month: 12.0%
Last Year: 11.9%

7. Sickness
Sickness has decreased over the last five months to stand at 3.79%. The general decrease has been experienced across all directorates. However, June has seen an increase in the Older Peoples Directorate in the Mental Health Inpatient and Urgent Care Services.
Target: 3.50%
This Month: 3.79%
Last Month: 3.86%
Last Year: 3.69%

8. Turnover
The Turnover figure has decreased to stand at 14.3%. The decrease has been driven by a long term decline over the last six months in the Older Peoples and Children and Young Peoples directorates.
Target: 12.0%
This Month: 14.3%
Last Month: 14.4%
Last Year: 14.8%

9. WRES

10. WRES