Safe Staffing 2017

Safe Staffing - April 2017


Trained staff

We did not meet the level for 3 nurses on any day shift in April

We met 2 staff nurses on every shift for all shifts bar 5.5 hours over 3 separate occasions where there was only one nurse on duty This was never for more than 2 hours 

Escalation of non-cover had happened and authorisation to cover but unable to cover 

These deficits were due to sickness on all occasions last minute

We are currently 1.6 WTE down in staffing 0.6 WTE equivalent has been filled and staff nurse will start on June induction

We also have 0.56 WTE long term sickness and 0.6 WTE that cannot work clinically at present due to OH restrictions

CNL and CTL have covered many shortfalls in staffing

Bank has been authorised to cover the vacancy factor

We have worked up to 2 trained on every shift and this was achieved on all night shifts

We have worked to have 4 HCSW instead of 3 on every early shift wherever possible and for 3, four if possible on a late shift to ensure at least 6 staff in total on an early and 5 staff in total on a late shift


Untrained staff

There were as above at least 3 staff on every day shift and 2 staff on every night shift

We have a 15 hour a week vacancy on our current establishment figures



Please find the safe staffing for Welland ward.

We had gaps in staffing on night duty for trained nurses as we were supporting the Butterfly hospice.  1 WTE RN on long term sickness, 1 WTE HCSW on long term sickness and one HCSW new to trust so working as supernumery.

  • Band 7 working in the numbers also to support.

Currently no vacancies.


We have recruited to the vacancies within the Band 2 establishment to cover the shortfall, however, staff are not due to commence in employment until the end of May beginning of June and July. Bank has been employed to cover the shortfall but this is proving challenging as all our bank staff are our substantive staff.

Other vacancies have been sent to recruitment and we are awaiting confirmation of agreement to go out to advert and I am chasing this outcome daily. Staff continues to flex according to the need.


Maternity leave – band 6 - 0.8wte; HCSW band 2 - 1.6wte

Long term sick – HCSW band 2 0.8wte

Vacancies – band 6- 0.2wte, band 5 -2wte (out to advert), HCSW band 2- 4.0wte(recruited to, and due to start over the next 2 months)

Please note the vacancies are estimated figures as I have not had sight of my full budget and nominal role as yet.


Safe staffing numbers WTE


We have 2.00 WTE hours  out to advert at present 

We have 1 long term sick on Gloucester ward 

We have an ANP on a phased return following long term sickness

We have back filled our band 5 establishment with band 2 due to band 5 shortages. This should improve with the new staff in place. Work is ongoing to ensure staff is at a safe level accordingly.



BAND 2  -  WTE   We have 0.60 WTE which is at advert at present 

We  have  long term WTE 1.20 sickness and 2 staff on phased return after return to work following long term sickness

We have 0.40 band 1 post vacancy at present at advert

  Safe Staffing - April 2017


Safe Staffing - March 2017


Trained staff

We currently work towards having 2 trained on every shift this was achieved on all but one afternoon

We did not achieve 3 staff on each day for any of the days of the month

We currently have a vacancy factor of 1.6 WTE (Appointed 0.6 WTE to start in June)

We also have a 0.4 WTE sickness LTS

CTL and CNL have been filling in for deficits and also regular bank staff have been authorised

Extra HCSW have been used to cover to ensure actual numbers are up to 6 staff in a day

Untrained staff

On the majority of days we were over the recommended numbers due to increasing numbers to ensure a total of 6 staff on each shift

There were however 4 occasions that only one HCSW was on nights and everything was tried to cover with no avail on these nights we were not up to full patients in beds

There were 4 occasions that we were just below the full 3 staff on duty on days

The above occasions were due to last minute sickness



This month we continue to have 1 HCSW on long term sick, we have a new HCSW that has started this month who is currently supernumerary however, has been supporting on the wards and staff are being flexible to ensure patient safety levels by splitting there shifts.

  Safe Staffing - March 2017


Safe Staffing February 2017


Trained Staff

There was only one occasion where one staff worked on their own and this was due to last minute carers leave and we were unable to cover

We did not meet safe staffing levels of 3 band 5 nurses on shift on any of the days of the month but all shifts were covered with two trained nurses with the exception of the above

We have long term sickness of one staff member and one nurse who is unable to work clinically 

Our establishment figures do not reflect the amount needed to be able to staff to 3 nurses in the day time

Untrained staff

We had 2 nights where only one HCSW was on the night shift On these nights we were not up to full capacity of patients 

We have 2 WTE vacancies at present and have just appointed to these to start in April induction with a bank staff member too


During February we have been supporting the butterfly hospice therefore we have been utilising agency staff where we can. If we have been unable to cover this we have amended start and end times for the staff coming onto the ward to support safe staffing levels and utilised our ANP on the ward who is supernumerary. 

We continue to have a HCSW on long term sickness and have a 1 FTE HCSW starting her induction in March.

  Safe Staffing - February 2017


Safe Staffing - January 2017


2 x 12 hour day shifts were left uncovered by HCSW, supanumery student nurses used.


Trained nurses

We only met safe staffing of 3 band 5 staff nurses on6 of the 31 days in March

All shifts had 2 nurses on

CNL and CTL are extra to numbers and fill in when needed

Ward is staffed to 11.4 WTE which equates to 2 nurses on every shift day and night

All nights were covered with 2 trained


We were over hours on days for the 3 HCSW as we were using HCSW to cover Housekeeper role and also to ensure 6 staff on ward in absence of 3rd trained

There were 3 nights that only 1 HCSW on duty all due to sickness but all escalated and cover authorised but unable to appoint shift due to lack of bank staff


During January we have employed our apprentice HCSW to a substantial post of 24 hours and continue to have 1 HCSW on long term sick. For the nursing staff where we have had sickness we have split shifts to cover the ward safely and utilised out advanced nurse practitioner to support on the ward.


  Safe Staffing - January 2017