Safe Staffing Reports / NQB 27 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 October 17 indicates that overall staffing levels have increased from 102.9% to 106.4% compared to planned levels. The kill mix for October increased to 64.1% Registered Nurses (RNs) with 35.9% 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 due in Autumn, monitoring impact on safety and quality. Concerns regarding vacancy levels in some CSCs. Actions and progress to date Recruitment continues locally, nationally and internationally. Very successful open day for HCSWs recruited 100 staff between Trust and NHSP. Retention and Recruitment Day for Registered Nurses on the evening of the 19th October 17. SAFE

Care Hours Per Patient Day Programme 27 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 September 17 indicates that overall CHPPD is 5 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