1. Safe Staffing Reports / NQB
12 May 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 January 18 indicates that overall staffing levels have increased from 99.9% to 102.1% compared to planned levels.
The skill mix for January decreased to 64.7% for Registered Nurses with a increase to 35.3% for Health Care Support Workers (HCSWs) in comparison to the month previous.
Root Cause analysis and insights
Increase in turnover and vacancy in some CSCs. Supported by the temporary workforce. Although shortfall in NHSP provision over Christmas period being investigated. Continue to have significant escalation areas open which is also increasing demand of staffing.
Actions and progress to date
Recruitment continues locally, nationally and internationally. Plan for International Recruitment bi-monthly in Approval given to recruit Band 4’s internationally as well.
SAFE

2. Care Hours Per Patient Day Programme
12 May 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 January 18 indicates that overall CHPPD is 4.9 hours for RNs. This is a small increase in comparison to the the previous month and 2.6 for HCSWs for PHT This was also a increase in comparison to previous month. 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