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.
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).
|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||
|Ainslie - Top Floor||85.4%||85.2%||111.8%||110.0%|
|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|
|Woodbury Unit 1||103.3%||154.3%||98.9%||204.8%||N/A|
|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|