1. Safe Staffing Reports / NQB
1 May 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 August 17 indicates that overall staffing levels have decreased from 103.2% to 102.6% compared to planned levels.
The planned skill mix has decreased in August 17 for Registered Nurses (RNs), and the actual skill mix for the Trust was 62.5% RNs with 37.5% Health Care Support Workers (HCSWs) which has decreased since July 17.
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.
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 is in planning.
SAFE

2. Care Hours Per Patient Day Programme
1 May 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 August indicates that overall CHPPD is 4.9 hours for RNs. This is similarly reported in the previous month and 2.9 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