Pipeline recruits (RN) GOSH Safe Nurse Staffing Report November and December 2017 Capacity: A number of beds have been closed over the last two months : this is due to patients high level of acuity, lack of I.V givers, sickness , Ward moves to PICB and seasonal fluctuations. Also some of the issue are the changes following the move to PICB are not properly reflected within Rosterpro this will be addressed with the roll out of the new allocate system. Staffing: There were no unsafe shifts reported in November or December. All Newly Qualified nurses who commenced in the Trust in September have completed their supernumerary period (exc. ITU units). Care hours per patient day (CHPPD) increased again in both November and December. There has been a significant rise in the patient acuity with over 65% of children requiring a nurse to patient ratio of 1:1or 1:2 level of care for the period of this report. Turnover rate has reduced once again following the trend for the last 6 months Temporary Staffing: Overall shift request numbers were lower for November and December than previously reported in October. The fill rate continues at 90% and 82% respectively with only 1 shift was filled by agency in November and none in December. Month UNIFY* Actuals vs plan CHPPD** Trust average PANDA Acuity (weighted for cubicle and complexity) Maternity leave (RN) Sickness (RN) Turnover FTE Vacancies (RN) Vacancies (un-registered) Pipeline recruits (RN) Pipeline recruits WIC (1:1) HD (1:2) Normal under 2 (1:3) Normal over 2 (1:4) Sept 89.85% 13.8 40.88% 20.84% 24.79% 4.2% 2.3% 16.2% -35 28 4 11 Oct 90.28% 13.9 44.91% 15.63% 13.07% 26.38% 4.4% 2.9% -24 26 19 9 Nov 101.2% 14.5 49.50% 17.30% 11.90% 21.30% 2.06% 2.97% 15.9% 4.98 83.8 16.6 7 Dec 98.61% 46.8% 17.5% 12.7% 22.8% 1.78% 2.99% 16% 16.38 112.06 87.1 13

Glossary Glossary UNIFY - Unify is an online collection system used for collating, sharing and reporting NHS and social care data. Care Hours Per Patient Day (CHPPD) - CHPPD is calculated by adding the hours of registered nurses and healthcare support workers available in a 24 hour period and dividing the total by the number of patients at midnight. CHPPD is reported as a total and split by registered nurses and HCAs to provide a complete picture of care and skill mix. CHPPD data is uploaded onto the national Unify system and published on NHS Choices on a monthly basis. CHPPD provides more granular data providing the actual number of nursing and HCA hours available for each patient for everyday for the month and is another way of displaying staffing levels. Defining Staffing levels • Normal dependency Under 2 Years - 1 Nurse: 3 Patients • Normal dependency Over 2 Years - 1 Nurse: 4 Patients • Ward High Dependency (HD) - 1 Nurse: 2 Patients • Ward Intensive Care (WIC) - 1 Nurse: 1 Patient Defining staffing levels for Children’s and Young People’s services (Royal College of Nursing, July 2013)

November 2017

December 2017