1. STARTING FROM SCRATCH BUILDING A BETTER ROSTER

2. Principles of Accountability in Rostering Patient and service needs come first Involve staff as much as possible Consider staff competence Be fair and flexible Agreeing for one person sets a precedent – think twice Communicate verbally and in writing Then communicate again!

3. How to Start from Scratch 1.Determine patient needs (Complete an activity sheet; Consider changes in patient care) 2.Create an “ideal” pattern 3.Match staff to ideal pattern, taking into account their contractual arrangements & preferences 4.Check against priorities

4. Priorities of Rostering Does it meet patient & service needs? Right numbers?, Right skills? Is it legal? Does it meet contractual requirements? Is it fair? Is it timely?

5. Building Blocks Rosters are built using Whole Time Equivalents (WTEs) WTE hours for nurses are 39 per week Leave entitlements mean that an any one time about 20% of the hours are not available for patient care

6. Unplanned Leave Sick Leave Maternity Leave Paternity Leave Compassionate Leave Force Majeure Leave

7. Planned Leave Annual Leave Parental Leave Study Leave Special Leave

8. Premium Pay In principle, premium pay hours should be shared out fairly amongst staff In reality, patient care needs must prevail when deciding who is rostered – staff mix and competence must be considered