Safe staffing

 

 

At Sherwood Forest Hospitals NHS Foundation Trust, we recognise that having the right number of nurses with the right skills in the right place at the right time is critical in our commitment to providing high quality, safe, person centred, compassionate care across all wards and departments.

From April 2014 It became a national requirement by NHS England, that all organisations with inpatient wards publish their nurse staffing data on a monthly basis and display daily data at ward level, where it is easily accessible to the public. The data collected is then uploaded to NHS Choices for public viewing on a monthly basis. The initiative was in response to the Francis Report and the Governments ‘Hard Truths’ document that followed the public enquiry.

What information are hospitals being asked to submit?

Hospitals are required to submit planned hours for each ward on each shift for registered nurses and heath care assistants. These are submitted alongside the actual hours worked, which ideally should be as close as possible to the planned hours.

 

 

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Monthly Safe Staffing Report to the Board of Directors

Staffing report to inform the Trust Board of Directors on staffing capacity and capability across Sherwood Forest Hospitals NHS Foundation Trust wards.

March 2017

December 2016

November 2016

August 2016

July 2016

June 2016

May 2016 

September 2015

July 2015

June 2015

May 2015

April 2015

March 2015

February 2015

January 2015

November 2014

October 2014

August 2014

July 2014

June 2014

May 2014

 

How do we know the planned hours are right?

The information provided alone does not tell us if they were appropriate to deliver safe and effective care. In planning nurse staffing levels consideration of a number of other factors is required

Patient dependency

Using the Safer Nursing Care Tool ( add link to implementation pack) these staffing levels are monitored against patient dependency and acuity three times daily, the data is submitted electronically  ADD LINK to SNCT on health roster. 

Professional judgement

Senior nurses are experts in understanding the levels of care their patients need, they also understand the skills required and the number of nurses needed to deliver care safely.

Ward factors

How many patients are admitted and discharged  throughout a 24hr period, the ward layout i.e. number of side rooms, how easy it is to observe patients and the distance travelled by nurses to deliver care and  obtain the necessary resource and equipment are all important factors when considering the number of nurses required for each ward.

How many registered nurses do we have on each ward?

Research demonstrates that staffing levels are linked to the safety of care and that fewer staff can increase the risk of patient safety incidents occurring. There is no national guidance on the number of registered nurses there should be on a ward, it is however recognised that patient care is improved with a higher proportion of registered nurses as part of the nursing establishment.

How do we know we are consistently achieving safe nursing staffing levels on each ward?

Each day ward staffing levels are reviewed on every ward on a shift by shift basis. Senior nurses take responsibility for this to make sure they are staffed safely. This information is collected electronically on our health roster system and will be used to generate monthly reports to our Trust Board.

Ward Dashboard

Each month a dashboard focused on quality and safety is generated looking at performance against a number of key factors that influence safe care. The report includes:

  • Sickness and absence rates
  • Numbers of bank and agency used
  • Patient experience feedback
  • Harm free care e.g. no. of pressure sores, no. of patients assessed against risk of developing clots
  • Infection prevention and control
  • Administration of medicines
  • Falls

 

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Safe Staffing Return

Sherwood Forest Hospitals NHS Foundation Trust Ward Staffing: Nursing, midwifery and care staff.

March 2017

September 2016

April 2016

March 2016

February 2016

January 2016

December 2015

November 2015

October 2015

September 2015

August 2015

July 2015

June 2015

May 2015

April 2015

March 2015

February 2015

January 2015

December 2014

November 2014

October 2014

August 2014

July 2014

June 2014

May 2014

 

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Six Month Board Paper

Six month board paper for Sherwood Forest Hospitals NHS Foundation Trust.

March 2017

January 2017

December 2016

April 2015

November 2014

April 2014