Safer Staffing

We constantly strive to provide high quality care to the people who use our services. All of our staff work to provide care and compassion to people when they need it – whether it is at the beginning, or end of their life; in times of illness or uncertainty; or as part of helping people with long term conditions to stay as healthy and live as independently as possible.

Following a requirement from the NHS Chief Nursing Officer England and the Care Quality Commission, from June 2014, we will be publishing details of staffing levels on all our inpatient wards on this page.

The trust set a baseline for what are known as safe staffing levels for a fully occupied ward with no patients requiring intensive one to one nursing care.

CNO guide for safer staffing [pdf] 8MB
CQC timetable for actions [pdf] 81KB
Safer staffing action plan[xls] 38KB

Why our staffing levels may sometimes look ‘low’

Compared to the baseline average, there will be times that our staffing figures will be lower. We operate a policy of only having staff on shift proportional to the number of patients on a ward and their individual care needs. This fluctuates and during parts of the year when there are fewer seasonal complaints like those which occur during the winter months (falls, influenza, respiratory problems) there may be a reduced demand for beds, so at times we may require fewer members of staff to care for the patients on the ward.

We can safely operate our wards with less staff as the situation is constantly assessed and extra staff called in when demand for care increases.

Why our staffing levels may sometimes look ‘high’

There are also times when we have a higher number of patients requiring more complicated care or requiring individual care on a one-to-one basis. When this occurs, we bring in more staff to deal with the extra work involved and to meet the needs of the patients.


With around 2,100 shifts occurring in the average month, we have to work hard to ensure these shifts achieve the levels of care that we demand for our patients. We plan ahead to ensure that anticipated staff absences for holidays or training courses are covered. There are, of course, times when we will have emergency absences due to illness or other circumstances, but every effort is made to ensure this does not impact on patient care. We have systems in place to obtain additional nursing support at short notice.

Very occasionally we are unable to find emergency cover. At these times an assessment is carried out and this will be reported as a potential risk incident and the on call manager is informed of the situation. This month, out of around 2100 shifts, 14 were reported on datix under the category ‘adverse events that affect staffing levels’. This equates to 0.66% of shifts. Actions were taken to provide emergency cover. Where this was not possible a risk assessment was undertaken.

Further explanations for any ward which was 10% over or under (10% was the level agreed by Chief Nurses) during the month are available in the downloads below (mitigations).

Safer staffing data for August 2017
Ward name Day Night  
Average percentage of registered nurses on shift against planned hours Average percentage of care staff  on shift against actual hours Average percentage of registered nurses on shift against planned hours Average percentage of care staff  on shift against actual hours Percentage of beds occupied
Ainslie  - Ground Floor


104.6% 110.0% 212.9% N/A
Ainslie  - Top Floor 85.4% 85.2% 111.8% 110.0%
Mayfield Ward 82.9% 71.1% 101.9% 160.0% N/A
Brookside 83.3% 202.6% 109.8% 185.7% N/A
Cook Ward 89.9% 150.6% 100.0% 172.6% N/A
Foxglove Ward 92.4% 83.8% 65.6% 196.8%


Grays Court Ward 1 87.1% 84.3% 100.0% 96.8% N/A
Grays Court Ward 3 N/A N/A N/A N/A N/A
Japonica 91.8% 94.0% 87.1% 119.2% N/A
Hepworth Ward


306.6% 106.7% 416.1% N/A
Kahlo Ward 77.2% 114.7% 97.1% 117.9% N/A
Monet 91.1% 125.3% 98.4% 106.5% N/A
Moore Ward 100.5% 81.1% 96.8% 109.7% N/A
Morris Ward 95.3% 126.8% 100.0% 112.9% N/A
Ogura Ward 90.2% 106.7%


101.6% N/A
Stage Ward 105.8% 131.7% 100.0% 190.3% N/A
Thorndon Ward 85.3% 94.0% 98.3% 122.6% N/A
Titian Ward 89.2% 212.6% 98.8% 264.5% N/A
Turner Ward 86.3% 266.2% 91.9% 176.0% N/A
Woodbury Unit 1 103.3% 154.3% 98.9% 204.8% N/A


Performance 2018

Safer staffing information 2018

Month Safer staffing report Nurse staffing report Mitigations
January 18-01 SSR [pdf] 530KB ​​    
February 18-02 SSR [pdf] 647KB    
March 18-03 SSR pdf] 873KB    
April 18-04 SSR [pdf] 577KB    
May 18-05 SSR [pdf] 577KB ​​​​​    

18-06-SSR [pdf] 590KB ​​​​​​

July 18-07 SSR [pdf] 599KB    
August Safer Staffing report September 2018 [pdf] 580KB    
September 18-09 SSR [pdf] 574KB    
October 18-10 SSR [pdf] 574KB    
Month Safer staffing report Nurse staffing data Mitigations


Month Safer staffing report Nurse staffing data Mitigations

Performance 2017

Safer staffing information 2017

January 17-01-SSR [pdf] 266KB    
February 17-02-SSR [pdf] 842KB    
March 17-03-SSR [pdf] 742KB    
April 17-04-SSR [pdf] 751KB 17-04-SNS [xls] 3MB  
May 17-05-SSR [pdf] 295KB    

17-06-SSR [pdf] 602KB

17-06-SSR [pdf] 602KB  
July 17-07-SSR [pdf] 408KB 17-07-SSR [pdf] 408KB  
August 17-08-SNS [xls] 3MB 17-08-SNS [xls] 3MB  

Performance 2016

Safer staffing information 2016

January 16-01 SSR [pdf] 720KB 16-01 SNS [xlsx] 14KB 16-01-mitigations [pdf] 202KB
February 16-02 SSR [pdf] 563KB 16-02 SNS [xls] 3MB 16-02-mitigations [pdf] 198KB
March 16-03 SSR [pdf] 420KB 16-03 SNS [xls] 3MB 16-03-mitigations [pdf] 201KB
April 16-04 SSR [pdf] 611KB 16-04 SNS [xls] 3MB 16-04 mitigations [pdf] 199KB
May 16-05 SSR [pdf] 731KB 16-05 SNS[xls] 3MB 16-05 Mitigations [pdf] 198KB

16-06 SSR [pdf] 729KB
Bi annual staffing report Board June 16 [pdf] 852KB

16-06-SNS [xls] 3MB  
July   16-07-SNS [xls] 3MB  
August 16-08-SSR [pdf] 694KB 16-08 SNS [xls] 3MB  
September 16-09-SSR [pdf] 604KB 16-09-SNS [xls] 3MB  
October 16-10-SSR [pdf] 541KB 16-10-SNS [xls] 3MB  
December 16-12 SSR [pdf] 913KB 16-12 SNS [xls] 3MB