1. Safe Staffing Reports / NQB
18 April 2019
Safe Staffing Reports / NQB
Where we want to be: targets and benchmarks
Target: Planned staffing levels are 100%, planned skill mix 70.4% RN:29.6% HCSW ratio
Trends and Patterns
The evidence collected for November 17 indicates that overall staffing levels have increased from 106.4% to 106.8% compared to planned levels.
The skill mix for November increased to 65.1% Registered Nurses (RNs) with 34.9% for Health Care Support Workers (HCSWs).
Root Cause analysis and insights
Increase in turnover and vacancy in some CSCs. Supported by the temporary workforce. New starters commenced in October, monitoring impact on safety and quality. Concerns regarding vacancy levels in some CSCs still notably Medicine and MOPRS.
Actions and progress to date
Recruitment continues locally, nationally and internationally. Plan for International Recruitment bi-monthly in Consideration is being given to recruiting Band 4’s internationally as well.
SAFE

2. Care Hours Per Patient Day Programme
18 April 2019
Care Hours Per Patient Day Programme
Where we want to be: targets and benchmarks
Introduction
To provide a single consistent way of recording and reporting deployment of staff working on patient wards/units, NHS Improvement have developed, tested and adopted Care Hours per Patient Day (CHPPD). CHPPD is calculated to by adding the hours of Registered Nurses (RNs) and Health Care Support Workers (HCSWs) per ward and dividing by the Midnight bed occupancy figures for the ward. CHPPD reports split out RNs and HCSWs to ensure skill mix and care needs are met. The metric aims to illustrate how many hours each patient receives from either a RN or HCSW within any 24 period over the course of a month.
Trends and Patterns
The evidence collected for November 17 indicates that overall CHPPD is 5.2 hours for RNs. This is similarly reported in the previous month and 2.8 for HCSWs for PHT. HCSWs have continued to be above plan over the last 12 months and during that same period RNs have continued to be below the planned number of hours.
SAFE