Children’s and Women’s Division, (C&W), Trust Board Quality Report July 2015
Safe Staffing Dashboard Inpatient Areas Only
Appendix 4A
C&W
Total Funded WTE
March 15
769.5
April 15
755.61
May 15
755.61
Trust
March 15
2946.55
April 15
2901.1
May 15
2953.1
Vacancy %
8.6%
7.2%
7.9%
12%
11.6%
11.3%
Sickness %
3.8%
3.66%
4.58%
4.2%
4.14%
4.21%
Maternity/Adoption Leave %
4.4%
4.23%
4.41%
3.4%
3.3%
3.3%
Agreed Staffing Levels %
77.6%
85%
82%
62.7%
71%
73%
Total number of Medication
Nursing Administration Errors
or Concerns.
Total numbers of Hospital
Acquired Pressure Ulcers
Total Number of Avoidable
Grade 3-4 Hospital Acquired
Pressure Ulcers.
Extravasation incidents
12
16
19
62
60
70
6
2
4
94
74
108
0
0
0
1
3 Unconfirmed at time of
reporting
8 Unconfirmed at time of
reporting.
2
3
3
4
5
10
May 2015 Safe Staffing by INPATIENTward for C&W division.
EARLY SHIFT
LATE SHIFT
NIGHT SHIFT
Agreed
Establishment
Escalation
Minimum
Surplus
Narrative In relation to the escalation shifts, staff within children’s services have been moved between clinical areas in order to ensure safe staffing cover, although a variable number of beds were closed between March to May due to the low levels and poor skill mix of staffing, which has
addressed the numbers of minimal staffing shifts. There appear to be conflicting surplus and escalation shifts in some wards. This is due to bank staffing booked to one ward and then distributed according to acuity and need. Although on occasion the Children’s Decision Unit, (CDU), in the
emergency department was closed due to staffing issues and patients were moved to be supported in a ward area. In maternity services, there is a flexible approach to covering the high acuity areas, which are determined through the use of the Birthrate plus tool. Staff are moved from
within the acute sites to cover the delivery suites when activity increases, and the midwives from the community services are moved onto the acute sites to support as required. Gynaecology move staff from the day case area to mitigate at risk and minimal staffing on the ward to meet
acuity needs. Gynaecology is the only inpatient area requiring acuity measurement; however the National tool for measuring this for children is currently under review. The quality indicators for extravasation incidents provides the most sensitive indicator against staffing levels and skill mix
in children’s inpatient clinical areas and this has remained relatively static.
.NB: These figures relate to selected inpatient areas against specific indicators that are being monitored as nursing sensitive. The figures presented are accurate as of the date the information was retrieved from Datix (on 20th of the month). Any changes to the record after these dates as a
result of ongoing review or investigation may not be reflected in figures retrieved after the Safe Staffing cut-off or elsewhere (i.e. Divisional Quality reports). Please note the data represents the total count of incidents observed that meet the indicator criteria for the given period, similar
indicators that are constructed/reported differently will not match the figures reported here.