Transcript Staffing Levels December 2014 - Hinchingbrooke Health Care NHS

Staffing Levels December 2014
Days
Ward
Nights
Required
Hours
RN
Actual
Hours
Apple
Cherry Tree
Reablement
1487.0
1485.5
743.0
1367.0
1430.3
1036.0
91.9
96.3
139.4
1301.5
1301.5
1487.5
1497.8
1963.3
1389.5
115.1
150.8
93.4
713.0
1069.5
713.0
1023.5
1035.0
1081.0
143.5
96.8
151.6
713.0
713.0
713.0
1138.5
1733.7
700.5
159.7
243.2
98.2
Birch
Juniper
ATSU
1001.5
1853.0
1487.0
710.0
1768.0
1555.0
70.9
95.4
104.6
582.0
742.0
1114.0
484.5
1032.0
1379.0
83.2
139.1
123.8
713.0
1069.5
1069.5
552.0
1088.5
1000.5
77.4
101.8
93.5
460.0
713.0
1069.5
368.0
999.5
1253.0
80.0
140.2
117.2
Critical Care
2139.0
2009.0
93.9
356.5
270.3
75.8
1773.3
1809.3
102.0
356.5
310.5
87.1
AAU
Short Stay Unit
Walnut Ward
1512.0
1486.0
1670.5
1273.0
1631.5
1763.5
84.2
109.8
105.6
744.0
1115.5
1116.0
1013.0
1159.0
974.3
136.2
103.9
87.3
1069.0
1069.5
1069.5
1058.0
1043.5
1055.5
99.0
97.6
98.7
356.5
1069.5
1069.5
356.5
1215.0
1020.5
100.0
113.6
95.4
Delivery Unit
Lilac Ward
9982.0
7486.5
9964.5
7504.0
99.8
100.2
2495.5
4991.0
2909.5
4864.5
116.6
97.5
9982.0
4991.0
9982.0
4991.0
100.0
100.0
2495.5
4991.0
2599.0
4991.0
104.1
100.0
Trust Totals
32333.0
32011.8
99.0
17347.0
18936.7
109.2
25301.8
25719.8
101.7
14720.0
16685.7
113.4
Required
% Filled
Hours
HCA
Actual
Hours
Required
% Filled
Hours
RN
Actual
Hours
Required
% Filled
Hours
HCA
Actual
Hours
% Filled
RAG Rating
Green – staffing level of 100% or above
Amber – staffing level between 99.9% - 95.0%
Red – staffing level below 95%
Narrative:
Staffing Levels December 2014
Nursing and Midwifery staffing levels are reviewed three times a day at 9.30, 13.00 and 15.30 during bed capacity meetings. Out of hours and weekends
staffing levels are monitored and managed by the Site Management Team and the Senior Nurse on Duty. Escalation occurs as per policy via GM and
Director on Call depending on RAG status.
When RN’s are unavailable to reduce risk and ensure safe and effective patient care the compliment of establishment of HCA’s is increased as more
readily accessible. Critical Care staffing are redeployed as appropriate to acute inpatient areas when volumes and acuity of patients in Critical Care allows.
Staff shortages are reported as red flag events via the Incident Reporting System safeguard. This is reported and managed through the Trust Internal
Governance process.
Issues pertaining to this months figures:
• Trust Wide – Based on safer staffing review our ward establishments have been increased to reflect the suggested Rn and HCA numbers. These appear
at present as extra shifts within the rosters and appear as establishment shifts from February 4th rosters.
Area specific –
• Apple Tree – Have had an uplift of staffing levels of 2 HCA’s and 1RN over a2 4hour period in December. Apple Tree ward have required additional
staffing due to the complexity of the patients in their care particularly during night time hours. These additional shifts requirements have been for one
HCA on a majority of all Early, Late and night shifts.
• Cherry Tree – Have had an uplift of staffing of 1 RN and 2 HCA ‘s over a 24 hour period. Cherry Tree ward have required additional staffing due to the
complexity of the patients in their care. These additional shift requirements have been for two HCA’s on all Early, Late and night shifts.
• Reablement Centre – Have required addition RN staffing due to the utilisation of additional beds. Reablement have increased RN numbers by one RN
for each shift.
• Birch Ward –Birch Ward closed between 25th to 28th December and staff had planned annual leave during this period. Birch opened on reduced bed
numbers from 29th December due to increased admissions in ED. Any additional substantive staff were re deployed to any gaps in staffing on other
wards within the hospital.
• ATSU – Have had an uplift of staffing of 1RN and 1HCA over a 24 hour period. ATSU have required additional HCA shifts intermittently due to patient
complexity
• SSU – Have had an uplift of staffing of 2RN’s over a 24 hour period. MSSU ward have required intermittent additional staffing of HCA’s due to patient
complexity.