1. 1 © NHS Professionals 2015 Workforce Insight BCUHB Generation 2015 Maria Nicholson 30 th Nov 2015

2. 2 © NHS Professionals 2015 Manage budget controls Clinical governance takes priority Deliver right staff, right skills, right place, right time Improve client satisfaction Deliver quality care and outcomes Why optimise your workforce?

3. 3 © NHS Professionals 2015 How does eRostering help? Safe operation Right nos. substantive staff Right skills, right place, right time (safer staffing compliance) Can include therapy sessions Improve continuity of care Ability to manage across sites More control and oversight in real time Governance and Board assurance Increased shift fill rates Improved notice for requirements FW given more advance notice time to choose Staff can book themselves into shift Have time to flex staff Visibility and control Visible rosters for all staff Visibility of staff requests granted, study leave, annual leave, temporary staffing fill Transparency and fairness for staff Faster payroll generation

4. 4 © NHS Professionals 2015 How does eRostering help? Management Information Fast report generation; daily, weekly, monthly Ability to set KPIs to monitor and be proactive Staffing levels, skill mix, study leave, sickness/absence unfilled risk factors plus many others if required Auditable data for benchmarking which can link to complaints investigation and quality agenda Identify trends Exportable data for bespoke reporting Workforce planning/organisational change HR/ESR system matching checks Reduced cost Maximises contracted hours Minimises temporary spend Reduces sickness and absence Manages annual leave Improved budget control Improved accuracy eTimesheets – a significant cost saving ePayroll Repetitive rosters Releases clinical time for patient caring activity Ability to have management oversight from another location

5. 5 © NHS Professionals 2015 The importance of Accurate Records: Working in groups: From this what do you see What would keep you awake at night What action would you recommend How do you think your own rosters would compare To consider: Francis & Keogh found on their inspections and enquiries that the documented rosters on units did not reflect the reality of the day. National Audit Office – up to 5% of invoicing can be incorrect NMC Code: Record keeping and the management of resources – including staffing

6. 6 © NHS Professionals 2015 The importance of Accurate Records: Working in groups: From this what do you see What would keep you awake at night What action would you recommend How do you think your own rosters would compare

7. 7 © NHS Professionals 2015 Gather information: X Workforce staffing management information is not readily available X Workforce staffing management & strategy of substantive staff needs strengthening as impacting on temporary staffing demand X High levels of vacancies and sickness X You rely heavily on substantive staff for additional hours X You rely heavily on agencies – high cost/quality inconsistent X Managers need more help in use of eRostering and ESR management X eRoster team significantly under resourced X Workforce planning is inconsistent X High levels of unused hours – even if only 25% of data is correct X Poor housekeeping of rosters likely X Limited evidence that rostering is fair, equitable, monitored for each shift all for measuring safer staffing and quality care delivery Recommendations: ×Empower the managers – give back bank/agency control ×Practical management training ×Audit of unused hours & action taken ×eRostering team needed resource ×eRostering team increase will help support training and reporting ×Flexible working patterns need review ×HR support for managers ×Recruitment strategy for both substantive and bank to be reviewed ×Health Board reporting and monitoring to be strengthened What did we find?

8. 8 © NHS Professionals 2015