Safe Staffing

Nurse with patient

From May 2014 all hospitals are required to publish information about the number of nursing and midwifery staff working on each ward, together with the percentage of shifts meeting safe staffing guidelines.

This initiative is part of the NHS response to the Francis report which called for greater openness and transparency in the health service.

Blackpool Teaching Hospitals NHS Foundation Trust is committed to ensuring the appropriate levels of Nursing, Midwifery and care staff to support the safe care of our patients. The Trust has proactively reviewed  Nursing , Midwifery and Care staffing levels in line with patient needs and developments in treatment and care. In the last two years the Trust has invested over £2.5 million in new nursing posts. An active nurse recruitment programme is in place and to ensure we achieve the number of nurses we require the Trust has recruited from the UK and Europe.

The Quality Committee and the Trust Board receive papers on nurse establishment reviews six monthly. These reviews involve the Ward Managers, Matrons, Directorate Managers, Finance Managers, Associate Directors of Nursing and the Director of Nursing & Quality.  The most recent review was completed in line with our budget setting process for 14/15 with the final paper presented to the public board meeting in April 14 . The Board agreed to a further investment of £1 million in 14/15.

The Nurse Staffing information published on our website should be considered in the context of evolving national guidance and also the daily fluctuating patient care needs for nursing care. The published data provides a view ward by ward and shows the planned staffing level against the actual staffing level. In some cases it is necessary to request a staff member to help on another ward with a higher than expected demand for nursing care. Daily staffing meetings are held within the hospital to support staffing decisions and management of risk to ensure patient safety and appropriate skill of registered to unregistered nurses.

A monthly exception report provides an explanation to the Trust Board against those wards where we did not meet the planned staffing level.  We aim to have at least 90% staff fill rate for each ward and use the following assurance ratings:

Full Assurance – The number of actual nursing staff on duty during the previous month compared to the planned staffing level as above a 90% fill rate.
Limited Assurance – The number of actual nursing staff on duty the previous month compared to the planned staffing level was below a 90% fill rate.
No Assurance – The number of actual nursing staff on duty the previous month compared to the planned staffing level indicates a trend of recurrent understaffing .

The Trust Board welcomes the opportunity share with you our staffing data.

Nursing and Midwifery Bi-Annual Staffing Review - Reports

Trust Board Staffing Exception Report

Staffing Information Boards

Staffing Information Board

Staffing Information Board

Each ward within our trust displays the planned and actual numbers of staff (registered nurses, midwives and clinical support workers or other support, such as ward clerk, housekeeper) on the shift each day, as can be seen above.

They also show who is in charge of the shift and the other team members working on the ward that day.

NHS Choices Website.