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Using Ward Data – the Challenges of Staff Recruitment and Retention
Alison Bielby, Barnsley Hospital NHS Foundation Trust
National Policy
• Francis Enquiry (February 2013)• How to ensure the right people, with the
right skills, are in the right place at the right time (November 2013)
• Hard Truths The Journey to Putting Patients First (January 2014)
• NICE clinical guideline – Safe staffing for nursing in adult inpatient wards in acute hospitals (July 2014)
Requirements of Trusts
• Ten expectations – 9 providers and 1 commissioner.
• National staffing data to be published on NHS Choices from May 2014
• Staffing data to be published in ward areas
• Monthly/six monthly board papers to be submitted
BHNFT
• District General Hospital on one site with approximately 450 beds.
• 20 inpatient areas including critical care, maternity and paediatrics
• Relatively stable work force• Already using safer nursing care tool to
assess acuity• Use e-roster system to roster nursing staff
Challenges
• Publishing data before the NICE guidance had been published.
• Validating data• Very quick turn around to submission• Recruitment• Political oversight
What did we do?
• Used e-roster and engaged the lead nurses in ensuring that data is validated
• Implementation of a new escalation system for staffing issues
• Triangulate to harms on the board paper including falls, PU, medicines.
• Developed a red flag system to compliment intentional rounding.
Ward staffing board
Quality Boards
Recruitment and retention
• Implemented development programmes for senior nursing staff.
• Staff surveys including FFT, heat checks and through Open and Honest Care
• Appraisal system linked to Trust objectives
• Skill mix and staffing requirements reviews
• Exit interviews
Recruitment and retention (cont.)• HR officer for recruitment – action plan
developed• Close working with HEI’s• Recruitment open day• Updated monthly situation report re
vacancies Trust wide• Updated preceptorship programme• Recruitment campaigns.
Conclusion
• No magic wand• Knowing your position• Preventing silo working• Being open and honest