Difference Day (Aggregate) Required Hours (Night) Difference Night (Aggregate)

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1 Beds Required Hours (Day) Actual (Day) Difference Day (Aggregate) Percentage Day Required Hours (Night) Actual (Night) Difference Night (Aggregate) Percentage Night NHPPD Action taken by Matron where 10% or more of nursing hours did not meet agreed staffing levels RN NA RN NA RN NA RN NA RN NA RN NA RN NA RN NA National Hospital for Neurology & Neurosurgery There has been long term sickness and maternity leave on this ward however the area has remained safe as RN staff have been reallocated from other areas. NA have been utilised for specials for confused pts and those at risk of falls. Bernard Sunley David Ferrier Used more Nas than establishments on nights and days in order to provide 1:1 care for patients. John Young % RN useage due to high vacancies on ward, recruitment to posts in progress, ward care not compromised, staff moved from other areas as required. Nuffield NA specials have been used during day and night shifts for specials for confused patients and those at risk of falls.area has remained safe as staff have been reallocated from other areas.used more Nas than establishments on nights and days in order to provide 1:1 care for patients. Lady Anne Allerton Long term sickness and maternity leave. Area has remained safe as staff have been reallocated from other areas. Molly Lane Fox Unit Long term sickness and maternity leave. Area has remained safe as staff have been reallocated from other areas. Neurological Rehab Increased no of RNs used to bring in line with Commissioners requirements. Currently reviewing baseline establishemnt. Additional Nas on nights to provide 1:1 care. Victor Horsley Beds have been closed on this ward due to vacancies & to ensure patient safety. NA have reduced from x 3 per day to x 2 per day. Albany Rehabilitation Unit Reduced RN on day shifts due to increased level of Maternity leave but ward safety maintained by moving staff from other wards as required. Increased Nas for 1:1 specials. Telemetry Unit SITU MITU #DIV/0! #DIV/0! The staffing was reduced due to the level of activity on the unit whilst maintaining the correct patient: staff ratio of 1:1 required for level 3 patients #DIV/0! The staffing was reduced due to the level of activity on the unit whilst maintaining the correct patient: staff ratio of 1:1 required for level 3 patients. Hughling Jackson #DIV/0! #DIV/0! 7.01 RMN cover required due to short notice sickness of three trained staff members. Rostering adjusted to accommodate - bank booked. Total NHNN #DIV/0! #DIV/0! 9.56 (Total Inc ITU) Total Exc ITU's #DIV/0! #DIV/0! 6.53 (Total Exc ITU) Royal National Throat, Nose & Ear Hospital B Ward Adult Female (RNTNE) C Ward Adult Male (RNTNE) Total RNTNEH (Total Inc ITU) Total Exc ITU's (Total Exc ITU) The Heart Hospital Heart 2nd Floor Workforce review undertaken by Matron, Senior Nurse and Ward Sister determines increased use of NAs during day to cover increased activity for Day Unit and SSW. Increased use of RN for SSW to accommodate increased activity/weekend working. Heart Ward Workforce review undertaken by Matron, Senior Nurse and Ward Sister determines increased use of NA specials during day and night for vulnerable patients (confused/falls). Increased use of NA's at night to accommodate short fall in RNs due to.30% vacancy rate and bank fill rate of < 85% Heart Ward Workforce review undertaken by Matron, Senior Nurse and Ward Charge Nurse determines increased use of NA specials during day and night for vulnerable patients (confused/falls). Further eroster mapping exercise undertaken with ward Charge Nurse and Senior Nurse to determine more effective erostering going forward. Heart Critical Care NAs not used every shift at night time as considered not required - although built into establishment THH Totals (Total Inc ITU) Total Exc ITU's (Total Exc ITU) University College Hospital UCH Tower 1st Floor / AMU The additional hours equates to shifts booked for specials who care for patients with mental health issue and those at high risk of falling or absconding. T06 North Short Stay Ward T06 South Assessment (SAAU) additional beds open at weekend to accommodate Saturday theatre lists. These are not included in the eroster requirements. Establishment increase underway. UCH Tower 7th Floor N NA Usage is due to specials for confused, risk of falls patients. Hyper Acute Stroke Unit RN reduced due to 7 vacancies, these have been recruited to and due to start, staff moved to cover to maintain safety. Nas used for 1:1 specials. UCH Tower 8th North Floor the increase use of NA staffing was due to special use on the ward. The increase in RN staff was as a result of a patient being sectioned and requiring an RMN UCH Tower 8th South Floor the understaffing of RN staff was a result of higher than normal sickness rates with a underlying vacancy factor. This was exacerbated by a difficulty in filling RN vacancies on the bank. In increased use of NA's reflects special use for isolated patients requiring supervision in a side room. UCH Tower 9th Floor N RNs - vacancies currently 20% - 10 wtes. 6 are awaiting start dates NAs - one aggressive patient for the whole month of Aug required a special 24/7. We had another patient at risk of subsconding who could not be co-horted. NAs booked as bank to support the ward when vacant RN shifts could not be filled. Levelling with other wards in the division when able. UCH Tower 10th Floor North Reduced RNs on days due to sickness and Bank unable to fill. Safety maintained by moving staff and ward sister taking clinical workload.high Nas to provide 1:1 specials for patients at risk. UCH Tower 10th Floor South Reduced RNs on days due to sickness and Bank unable to fill. Safety maintained by moving staff and ward sister taking clinical workload.high Nas to provide 1:1 specials for patients at risk. UCH Tower 13th Floor N #DIV/0! The planned NA hours for nights are not reflective of actual requirements due to establishment changes some time ago. Will be corrected next month.any under RN requirement is reviewed by Matron and staff are redeployed from elsewhere in division as required. UCH Tower 13th Floor S RNs - vacancies currently 20% - 3 wtes. Out to advert NAs- 7 shifts for specials. NAs booekd to suppor the ward when RN shifts are unfilled. T14 North Oncology Since additional 2 SR opened on T14N this has required an additional NA on night shift to ensure safety.the rota has now been altered and will be reflectied from next month. T14 South Head and Neck #DIV/0! 5.68 During August one patient required a special for falls and confusion. UCH Tower 16th Floor N UCH Tower 16th Floor S #DIV/0! The planned NA hours for nights are not reflective of actual requirements due to establishment changes some time ago. Will be corrected next month.any under RN requirement is reviewed by Matron and staff are redeployed from elsewhere in division as required. Jubilee Ward T03 Critical Care T11 North #DIV/0! #DIV/0! 6.18 Staff moved between all 4 paed and TYA wards and day and night shifts to provide safe cover as required. Total averaged % over day and night and all 4 wards = 99.6% T11 South #DIV/0! 5.19 Staff moved between all 4 paed and TYA wards and day and night shifts to provide safe cover as required. Total averaged % over day and night and all 4 wards = 99.6% T12 North #DIV/0! #DIV/0! 7.00 Staff moved between all 4 paed and TYA wards and day and night shifts to provide safe cover as required. Total averaged % over day and night and all 4 wards = 99.6% T12 South #DIV/0! 6.25 Staff moved between all 4 paed and TYA wards and day and night shifts to provide safe cover as required. Total averaged % over day and night and all 4 wards = 99.6% UCH Totals #DIV/0! #DIV/0! 7.28 (Total Inc ITU)

2 Total Exc ITU's #DIV/0! #DIV/0! 6.45 (Total Exc ITU) Elizabeth Garrett Anderson Hospital EGA Neonatal Unit EGA Birthing Centre Additional staff used to cover ACU EGA Maternity Care Unit Overstaffing is private care - unable to remove from e-roster EGA Ante-Natal Care Unit #DIV/0! #DIV/0! 5.48 EGA Labour ward Required additional staffing for patient that required 1:1 care due to a child protection order EGA Totals #DIV/0! #DIV/0! (Total all areas) EGA Wards Only #DIV/0! #DIV/0! 6.72 (Total Wards)

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