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.