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Page | 1 Dr Deborah Wildgoose Director of Nursing and Quality Wendy Joseph Deputy Director of Nursing and Quality Inpatient Staffing Six Month Review and Declaration (1 July 2015 to 31 December 2015) January 2016 Nursing and Quality

Inpatient Staffing Six Month Review and Declaration...Inpatient Staffing Six Month Review and Declaration January 2016 Page | 3 Analysis of the monthly staffing reports from 1st July

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Page 1: Inpatient Staffing Six Month Review and Declaration...Inpatient Staffing Six Month Review and Declaration January 2016 Page | 3 Analysis of the monthly staffing reports from 1st July

Page | 1

Dr Deborah Wildgoose Director of Nursing and Quality

Wendy Joseph

Deputy Director of Nursing and Quality

Inpatient Staffing Six Month Review and Declaration

(1 July 2015 to 31 December 2015)

January 2016

Nursing and Quality

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Inpatient Staffing Six Month Review and Declaration January 2016 Page | 1

CONTENTS

Page No

1. Introduction ...................................................................................................... 2

2. Background ..................................................................................................... 2

3. Patient Safety .................................................................................................. 2

4. Ward and Service Development ...................................................................... 4

5. Work of the Clinical Staffing Review Group ...................................................... 5

6. E-Rostering ...................................................................................................... 5

7. National Update ............................................................................................... 5

8. Work Plan ........................................................................................................ 5

9. Conclusion ....................................................................................................... 6

Appendices

Appendix 1 Ward Level Trust RAG Rating ........................................................... 7

Appendix 2 Data Review – July 2015 –December 2015 ....................................... 8

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1. Introduction

In line with the National Quality Board (NQB) guidance issued in November 2013 and to assist provider organisations to fulfil their commitments as outlined in ‘Hard Truths: The Journey to Putting Patients First’ DH 20131, the Trust is required to consider staffing capacity and capability every six months and to present the findings to the Board of Directors. This paper provides a six month update to paper Gii titled ‘Inpatient Staffing Six Month Review and Declaration’ that was presented to the Board of Directors (BoD) in July 2015 by the then Deputy Chief Executive/Director of Nursing and Partnerships. Detailed within this paper is work undertaken with regard to nursing and care staffing, capacity and capability on the inpatient wards and progress made since the last declaration. In addition a summary overview is provided that compliments the monthly reports provided.

2. Background

In July 2015 a paper titled ‘Inpatient Staffing Six Month Review and Declaration’ was presented to the Board of Directors. This was the third paper to outline the progress made in achieving the National Quality Board requirements regarding safe staffing levels and to enable the BoD to make a declaration to record and publish progress against the requirements and milestones. This enabled the Board to assure themselves that the nursing and care staffing capacity and capability in the Trust is sufficient to provide safe care.

3. Patient Safety Since the third report presented in July 2015 staffing fill rates by ward have been published on the Trust public website and also on NHS Choices on a monthly basis. This has resulted in the Trust complying with the requirement to publish its staffing data since May 2014. Ward staffing levels are analysed through two methods:

Through guidance issued by NHS England, where the overall staffing fill rates for each ward are subject to a RAG rating as follows:

The RAG rating for each ward is reported monthly to the Human Resources and Organisational Development Policy and Planning Group by the Service Directors.

Through a locally developed RAG rating (Appendix 1) that is sensitive to any patient safety risks experienced shift by shift at a local level. It is reported weekly by each ward to the Modern Matron in order for staffing fill rates to be calculated. The ward reports also contain a ward assessment of the level of staffing safety by shift. Where it is identified that the staffing levels are below that expected or required on any ward, the Trust ‘Inpatient Staffing Acuity and Dependency Profiles’ is utilised by the nurse in charge of the ward at that time to provide guidance on securing additional staff. The ‘Inpatient Staffing Acuity and Dependency Profiles’ were described in the paper titled ‘Inpatient Staffing Declaration’ Paper I, that was presented to the Board of Directors at the May 2014 meeting.

1 ‘Patients First and Foremost: The Initial Government Response to the Report of Mid Staffordshire NHS

Foundation Trust Public Inquiry’ (DH 2013).

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Analysis of the monthly staffing reports from 1st July 2015 – 31st December 2015 indicate there were 13 shifts recorded as RED by the clinical teams. This is an increase from 9 red shifts during December 2014 – June 2015. The total number of shifts during this period across all wards, by Business Division and Localities is 13,248. The RED shifts are detailed in Table 1.

Month (2015)

Number of shifts scored RED

Ward Business Division Locality

July 1 1 x Ferns OPMHS

Rotherham

August 0 0 0 0

September 3 2 x Brodsworth 1x Goldcrest

AMHS AMHS

Doncaster Rotherham

October 4 4 x Brodsworth AMHS Doncaster

November 2 1x Brodsworth 1x St Johns Hospice

AMHS DCIS

Doncaster Doncaster

December 3 3x Goldcrest AMHS Rotherham

Table 1: Breakdown of the shifts identified as RED by month and by ward

Further analysis of these shifts through the clinical staffing review group and by each Assistant Director indicates that a number of factors influenced the decision to rate a shift as RED. Each RED rated shift has been reviewed in depth and it has been identified that contingency plans had been put in place on each occasion. Consequently, whilst recorded as RED, there have been no patient safety issues identified. As identified, during the 6 month period under review (1 July 2015 – 31 December 2015) there were 13,248 shifts reported across the inpatient wards. Therefore the percentage of shifts rated as RED was 0.10%.

For the period 1st July to 31st December 2015 there have been 44 Incident Reports (IRIs) completed which relate to staffing levels on the inpatient wards. This is a reduction of 15 from the previous reporting period during which 59 Incident Reports (IR1s) relating to staffing were completed. For the period 1st July to 31st December 2015 the concerns which led to the completing of the IR1 have been drawn from the narrative provided rather than the broad cause heading on the report .This will then be used to inform the planned work to look at the impact of changes in clinical activity on staffing levels. The narrative themes are as follows:

9 – Due to a lack of suitably trained/skilled staff. These are predominately due to short term sickness.

10 – Due to pre booked bank or agency staff not arriving for duty.

25 - Due to unexpected increase to clinical activity levels on the ward. During the time period since the last staffing declaration, the Clinical Staffing Review Group (CSRG) has continued to receive the reports on a monthly basis. Therefore the IR1 reports are highlighted through the meeting and the representative for each business division provides feedback on the completed IR1. This is a progressing piece of work and is not yet established fully to be able to draw comparisons with staffing fill rates. The development of this will continue. During the 6 month period under review (1st July 2015 – 31st December2015) the percentage of shifts for which an IR1 was completed due to staffing issues was 0.33%. Additional review of the staffing fill rates by ward alongside key patient safety data has been completed. This data has been cross referenced with the ‘smoke detectors’ identified through the Trust Quality Improvement Reports for Quarter 2 and Quarter 3 2015/16.

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CQC findings in relation to safe staffing levels Between 15th and 18th September 2015 the Care Quality Commission undertook an inspection visit to the Trust as part of their on-going national inspection programme. During this inspection the CQC visited 21 inpatient areas within the Adult Community service, Adult Mental Health, Older Peoples Mental Health, Learning Disability and Forensic services. In the draft reports the inspectors made the following comments:

That the trust should ensure that tools used to calculate minimum staffing levels on wards are

robust.

That it was noted that there had been shifts where two of the wards were not compliant with the required minimum safe staffing levels.

The comments have been considered and the following narrative provided:

There are no relevant Department of Health guidelines regarding staffing levels for the type of inpatient services provided by the Trust. However the Trust has an existing dependency tool to calculate minimum staffing levels on wards with staffing data being reviewed by the Clinical Staffing Review Group on a monthly basis and escalated to the Board of Directors as appropriate. In view of this it is felt that the trust has robust processes in place. The Clinical Staffing Review Group will take account of all new tools and guidelines published and consider staffing levels against best practice to ensure that the approach used by the Trust continues to be undertaken in a contemporary manner.

With regard to the two wards highlighted as not being compliant with the required safe minimum staffing levels, one ward had compensated the low percentage of non-professionally qualified staff with qualified staff and the other ward had ensured that safe staffing levels were maintained by an increase in the non-professionally qualified staff and additional clinical leadership to support the low % of qualified staff. Therefore overall minimum staffing levels were maintained on both wards.

4. Ward and Service Development During the six months since the last safe staffing declaration there has been one key service development within the Trust which was the opening of the inpatient detoxification beds at New Beginnings on the 5th October 2015. This unit is within the Drugs and Alcohol Business Division who are represented at the clinical staffing review group and now undertake monthly reporting on the staffing levels. In the July 2015 report it was highlighted that as a consequence of a complex clinical position within one of the Learning Disability services, Sapphire Lodge had been temporarily closed towards the end of the 6 month reporting period. This temporary closure remains in place so no data on staffing levels for this unit are included for this reporting period. Once the beds are reopened the staffing requirements and data recording will resume. 5. Work of the Clinical Staffing Review Group The Trust Clinical Staffing Review Group (CSRG), outlined in the ‘Inpatient Staffing Declaration: Clinical Staffing Review’ Paper I, presented to the Board of Directors in May 2014 and further detailed in the ‘Inpatient Staffing Six Month Review and Declaration’ Paper Gii, presented to the Board in December 2014, continues to meet on a monthly basis. Chaired by the Deputy Director of Nursing and Quality, the group has representation from all Business Divisions which have inpatient wards, Human Resources, the Performance and Assurance team and Nursing and Quality.

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The governance arrangements for the reporting of monthly staffing fill rates have previously been presented to the Board of Directors. Detailed within the ‘Inpatient Staffing Declaration: Clinical Staffing Review’ Paper Gii, presented to the Board in December 2014. The group reviews all fill rates and undertakes a deep dive into the wards where the fill rates are RED.

6. E-Rostering

A parallel, but connected programme of work, underway is the development of E-Rostering across the Trusts clinical wards and teams. The roll out of E-Rostering to the inpatient ward areas has now been completed, with 26 wards live on the system and the automated interface for the payment of additional hours, overtime an unsocial enhancement. The exception to this is Sapphire Lodge, Learning Disabilities given the temporary closure of the unit. The next stage of the project is to implement community E-Rostering and Bank E-rostering. The implementation of the bank rostering will commence in January 2016 with a view to having a centralised Bank across the Trust, rather than a number of smaller Banks which will increase flexibility across the Trust and the geographical areas. The impact of this will be considered over the next 6 months. 7. National Update The Trust continues to maintain a national profile and to consider all developments to the national policy framework as they emerge. Key activity and update from the last 6 months are:

As part of a national approach to safer staffing levels, NHS England commenced a piece of work to develop Safer Staffing Performance Indicators. The Trust has contributed to this through attendance at a workshop where initial work was presented. The Trust will continue to participate in this work as it is progressed by NHS England but there has been no further update since the last report.

On 16th November 2015 the Director of Nursing and Quality, Dr Wildgoose delivered a presentation on “Improving staffing and skill mix in mental health inpatient units” at a national conference held in London.

On 17th December 2015 the Health Minister, Ben Gummer announced plans to create a new nursing support role. It is proposed that this will be a nursing associate role which will allow people to access registered nurse training through either a degree level nurse apprenticeship or a shortened degree course. This announcement can be viewed on line at :

https://www.gov.uk/government/news/nursing-associate-role-offers-new-route-into-nursing

8. Work Plan

The work plan for the CSRG which was presented in the July 2015 report has been completed and in moving forward the work of the group will include:

On-going review of the Inpatient Staffing Acuity and Dependency Profiles developed in March 2014 to ensure they are kept in line with service developments and transformation.

More detailed exploration of patient profiles /clinical needs within the inpatient wards and the impact that this has on activity levels and staffing.

Undertaking trend analysis of the staffing reports.

A review of the % use of bank and agency to achieve the required safe minimum staffing levels.

To further the understanding of staffing fill rates and to enhance the daily collection of staffing levels, the weekly proforma completed by each ward has been developed to include those shifts that have been covered by a bank or agency nurse. This will further progress the Trust level of understanding of the use of bank and agency staff. The collation of this data commenced from 1st July 2015.

Continued monitoring of the staffing fill rates by wards and business division, including those shifts identified as RED, to establish the reasons for the RED shifts and any consequent impact on patient safety.

Continued review of the Patient safety data and in particular IR1 data, to establish any correlation to staffing fill rates and any impact on patient safety.

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Exploring the role of the group in relation to community staffing.

Monitoring the impact of implementing E-Rostering for the nursing bank on shift fill rates.

Consideration of the plans for introduction of an associate nurse role and impact of this on both the ward staff skill mix, and future recruitment of registered nurses.

A review of the ‘Mental Health Staffing Framework’ published by NHS England on 30th June 2015 to determine the implications for the Trust inpatient wards. .

9. Conclusion The Clinical Staffing Review Group has continued to meet on a monthly basis and has progressed work both in terms of understanding staffing fill rates and the impact any variance has on patient care. There is an increased level of understanding of staffing levels by ward on a day by day, weekly and monthly basis. This has enabled the Trust to further its work on understanding the correlation of other data on staffing fill rates and any consequent impact on patient care. This information, together with the update on the work plan and on-going actions within the Trust including the work of the Trust Clinical Staffing Review Group, supports the declaration of safe staffing levels within the Trust inpatient wards. Consequently, following the detailed review, it is concluded that there were no patient safety concerns identified as a consequence of inappropriate staffing levels during the last 6 months.

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Appendix 1

WARD LEVEL TRUST RAG RATING

Rag Rating

Green

When Planned and Actual staffing levels are met.

Green/Amber Additional resources are above planned staffing levels to meet

identified patient needs.

Amber

Escalation procedures have been implemented as outlined in the individual Ward/Units Acuity and Dependency Plan in order to maintain safe staffing levels.

Amber/Red

Staffing Levels are below the planned level. The Ward/Units Acuity and Dependency Plan have been implemented but unable to obtain staff as planned. SAFE contingency plans have been put in place.

Red

The planned staffing levels have not been met or the dependency has increased, and a RISK to patient safety is mitigated.

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Appendix 2

DATA REVIEW 1 JULY 2015 – 31 DECEMBER 2015

DONCASTER

Skelbrooke

*Bed Occupied Days:

94% (94%)

Vacancies:

12.98%

Sickness/Absence (%FTE):

4.96%

SI:

0

Complaints:

4

Brodsworth

*Bed Occupied Days:

90% (73%)

Vacancies:

2.28%

Sickness/Absence (%FTE):

4.92%

SI:

0

Complaints:

3

Cusworth

*Bed Occupied Days:

87% (71%)

Vacancies:

12.37%

Sickness/Absence (%FTE):

4.65%

SI:

1

Complaints:

6

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov DecSkelbrooke Qualified Skelbrooke Non Professionally Qualified

Day Shift

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov Dec

Skelbrooke Qualified Skelbrooke Non Professionally Qualified

Night Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Brodsworth Qualified Brodsworth Non Professionally Qualified

Day Shift

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov DecBrodsworth Qualified Brodsworth Non Professionally Qualified

Night Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Cusworth Qualified Cusworth Non Professionally Qualified

Day Shift

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov DecCusworth Qualified Cusworth Non Professionally Qualified

Night Shift

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Emerald

*Bed Occupied Days:

96% (84%)

Vacancies:

20.86%

Sickness/Absence (%FTE):

10.62%

SI:

0

Complaints:

0

Coral

*Bed Occupied Days:

97% (92%)

Vacancies:

7.9%

Sickness/Absence (%FTE):

4.78%

SI:

0

Complaints:

0

Hawthorne

Bed Occupied Days:

82%

Vacancies:

20.26%

Sickness/Absence (%FTE):

4.14%

SI:

0

Complaints:

3

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov Dec

Emerald Qualified Emerald Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov DecEmerald Qualified Emerald Non Professionally Qualified

Night Shift

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov Dec

Coral Qualified Coral Non Professionally Qualified

Day Shift

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov Dec

Coral Qualified Coral Non Professionally Qualified

Night Shift

0%

50%

100%

150%

200%

Jul Aug Sept Oct Nov Dec

Hawthorne Qualified Hawthorne Non Professionally Qualified

Day Shift

0%50%

100%150%200%250%300%

Jul Aug Sept Oct Nov DecHawthorne Qualified Hawthorne Non Professionally Qualified

Night Shift

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Hazel

Bed Occupied Days:

74%

Vacancies:

4.19%

Sickness/Absence (%FTE):

6.99%

SI:

1

Complaints:

0

Magnolia

Bed Occupied Days:

59%

Vacancies:

4.57%

Sickness/Absence (%FTE):

9.45%

SI:

0

Complaints:

0

St John’s Hospice

Bed Occupied Days:

68%

Vacancies:

6.01%

Sickness/Absence (%FTE):

4.31%

SI:

1

Complaints:

1

0%

50%

100%

150%

200%

Jul Aug Sept Oct Nov Dec

Hazel Qualified Hazel Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

Jul Aug Sept Oct Nov DecHazel Qualified Hazel Non Professionally Qualified

Night Shift

0%

50%

100%

150%

200%

Jul Aug Sept Oct Nov Dec

Magnolia Qualified Magnolia Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

Jul Aug Sept Oct Nov Dec

Magnolia Qualified Magnolia Non Professionally Qualified

Night Shift

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov Dec

St. John’s Qualified St. John’s Non Professionally Qualified

Day Shift

0%50%

100%150%200%250%300%350%

Jul Aug Sept Oct Nov Dec

St. John’s Qualified St. John’s Non Professionally Qualified

Night Shift

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Inpatient Staffing Six Month Review and Declaration January 2016 Page | 11

New Beginnings

Bed Occupied Days:

See Note 1

Vacancies:

16.45%

Sickness/Absence (%FTE):

13.29% **

SI:

0

Complaints:

0

** These figures covers October 2015 to December 2016 only. Note 1: The Unit has only recently opened and these figures are not yet available.

Amber Lodge ISU

Bed Occupied Days:

88%

Vacancies:

4.33%

Sickness/Absence (%FTE):

9.48%

SI:

0

Complaints:

0

Amber Lodge Rehabilitation and Recovery

Bed Occupied Days:

88%

Vacancies:

4.33%

Sickness/Absence (%FTE):

9.48%

SI:

0

Complaints:

0

0%

50%

100%

150%

200%

250%

Nov Dec Jan Feb Mar

New Beginnings Qualified New Beginnings Non Professionally Qualified

Day Shift

0%50%

100%150%200%250%

Nov Dec Jan Feb Mar

New Beginnings Qualified New Beginnings Non Professionally Qualified

Night Shift

0%

50%

100%

150%

200%

Jul Aug Sept Oct Nov Dec

Amber Lodge ISU Qualified Amber Lodge ISU Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

Jul Aug Sept Oct Nov Dec

Amber Lodge ISU Qualified Amber Lodge ISU Non Professionally Qualified

Night Shift

0%

50%

100%

150%

200%

Jul Aug Sept Oct Nov Dec

Amber Lodge R&R Qualified Amber Lodge R&R Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

Jul Aug Sept Oct Nov Dec

Amber Lodge R&R Qualified Amber Lodge R&R Non Professionally Qualified

Night Shift

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Jubilee Close

Bed Occupied Days:

100%

Vacancies:

9.03%

Sickness/Absence (%FTE):

2.53%

SI:

0

Complaints:

0

Sapphire Lodge

Bed Occupied Days:

n/a

Vacancies:

Unavailable

Sickness/Absence (%FTE):

7.08%

SI:

1

Complaints:

0

Bungalow 2

Bed Occupied Days:

100%

Vacancies:

Unavailable

Sickness/Absence (%FTE):

3.98%

SI:

0

Complaints:

0

0%

50%

100%

150%

200%

Jul Aug Sept Oct Nov DecJubilee Close Qualified Jubilee Close Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

Jul Aug Sept Oct Nov DecJubilee Close Qualified Jubilee Close Non Professionally Qualified

Night Shift

0%50%

100%150%200%250%

Jul Aug Sept OctSapphire Lodge Qualified Sapphire Lodge Non Professionally Qualified

Day Shift

0%100%200%300%400%500%600%

Jul Aug Sept OctSapphire Lodge Qualified Sapphire Lodge Non Professionally Qualified

Night Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Bungalow 2 Qualified Bungalow 2 Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Bungalow 2 Qualified Bungalow 2 Non Professionally Qualified

Night Shift

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Inpatient Staffing Six Month Review and Declaration January 2016 Page | 13

Coniston

*Bed Occupied Days:

53% (48%)

Vacancies:

13.80%

Sickness/Absence (%FTE):

6.34%

SI:

0

Complaints:

0

Windermere

*Bed Occupied Days:

50% (45%)

Vacancies:

11.55%

Sickness/Absence (%FTE):

7.59%

SI:

1

Complaints:

0

ROTHERHAM

Kingfisher

*Bed Occupied Days:

100% (100%)

Vacancies:

6.00%

Sickness/Absence (%FTE):

4.77%

SI:

0

Complaints:

2

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Coniston Qualified Coniston Non Professionally Qualified

Day Shift

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov DecConiston Qualified Coniston Non Professionally Qualified

Night Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Windermere Qualified Windermere Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Windermere Qualified Windermere Non Professionally Qualified

Night Shift

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov DecKingfisher Qualified Kingfisher Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov DecKingfisher Qualified Kingfisher Non Professionally Qualified

Night Shift

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Osprey

*Bed Occupied Days:

101% (90%)

Vacancies:

19.09%

Sickness/Absence (%FTE):

2.58%

SI:

0

Complaints:

1

Sandpiper

*Bed Occupied Days:

98% (84%)

Vacancies:

8.44%

Sickness/Absence (%FTE):

2.57%

SI:

0

Complaints:

0

Goldcrest

*Bed Occupied Days:

82% (72%)

Vacancies:

3.16%

Sickness/Absence (%FTE):

3.31%

SI:

0

Complaints:

0

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov Dec

Osprey Qualified Osprey Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Osprey Qualified Osprey Non Professionally Qualified

Night Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Sandpiper Qualified Sandpiper Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Sandpiper Qualified Sandpiper Non Professionally Qualified

Night Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Goldcrest Qualified Goldcrest Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Goldcrest Qualified Goldcrest Non Professionally Qualified

Night Shift

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Brambles

*Bed Occupied Days:

93% (72%)

Vacancies:

4.66%

Sickness/Absence (%FTE):

6.46%

SI:

0

Complaints:

0

Ferns

*Bed Occupied Days:

52% (50%)

Vacancies:

5.76%

Sickness/Absence (%FTE):

9.61%

SI:

1

Complaints:

0

Glade

Bed Occupied Days:

*61% (57%)

Vacancies:

5.84%

Sickness/Absence (%FTE):

10.30%

SI:

0

Complaints:

0

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov Dec

Brambles Qualified Brambles Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Brambles Qualified Brambles Non Professionally Qualified

Night Shift

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov Dec

Ferns Qualified Ferns Non Professionally Qualified

Day Shift

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov DecFerns Qualified Ferns Non Professionally Qualified

Night Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Glade Qualified Glade Non Professionally Qualified

Day Shift

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov Dec

Windermere Qualified Windermere Non Professionally Qualified

Night Shift

Page 17: Inpatient Staffing Six Month Review and Declaration...Inpatient Staffing Six Month Review and Declaration January 2016 Page | 3 Analysis of the monthly staffing reports from 1st July

Inpatient Staffing Six Month Review and Declaration January 2016 Page | 16

NORTH LINCOLNSHIRE Mulberry

*Bed Occupied Days:

98% (78%)

Vacancies:

11.04%

Sickness/Absence (%FTE):

8.08%

SI:

4

Complaints:

4

Laurel

*Bed Occupied Days:

58% (53%)

Vacancies:

4.80%

Sickness/Absence (%FTE):

5.50%

SI:

1

Complaints:

0

Note: * Bed Occupied Days: Figures shown are % occupancy including leave

Figures in () indicate % occupancy excluding leave

Key to colour coding

Adult Mental Health

Doncaster Community Integrated Services

Drug and Alcohol Service

Forensic

Learning Disabilities

Older People’s Mental Health

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov DecMulberry Qualified Mulberry Non Professionally Qualified

Day Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov DecMulberry Qualified Mulberry Non Professionally Qualified

Night Shift

0%

50%

100%

150%

200%

250%

Jul Aug Sept Oct Nov Dec

Laurel Qualified Laurel Non Professionally Qualified

Day Shift

0%50%

100%150%200%250%

Jul Aug Sept Oct Nov Dec

Laurel Qualified Laurel Non Professionally Qualified

Night Shift