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 28 1782.5 713 1885.0 816.3-102.5-103.3 105.8 114.5 1426 713 1265.0 807.0 161.0-94.0 88.7 113.2 5.52 those at risk of falls. Bernard Sunley David Ferrier 26 1667.5 954.5 1511.5 1167.0 156.0-212.5 90.6 122.3 1426 713 1311.0 1163.5 115.0-450.5 91.9 163.2 6.10 Used more Nas than establishments on nights and days in order to provide 1:1 care for patients. John Young 28 1667.5 713 1334.0 1276.5 333.5-563.5 80.0 179.0 1426 356.5 1357.0 943.0 69.0-586.5 95.2 264.5 4.96 80% 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 1 19 1311 356.5 1181.8 494.5 129.3-138.0 90.1 138.7 1069.5 356.5 862.5 333.5 207.0 23.0 80.6 93.5 5.43 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 27 2139 713 1748.0 747.3 391.0-34.3 81.7 104.8 1437.5 713 1428.0 724.5 9.5-11.5 99.3 101.6 6.18 Long term sickness and maternity leave. Area has remained safe as staff have been reallocated from other areas. Molly Lane Fox Unit 12 1000.5 713 816.5 678.5 184.0 34.5 81.6 95.2 713 713 701.5 460.0 11.5 253.0 98.4 64.5 8.72 Long term sickness and maternity leave. Area has remained safe as staff have been reallocated from other areas. Neurological Rehab 18 954.5 713 1096.5 755.5-142.0-42.5 114.9 106.0 713 356.5 716.5 666.5-3.5-310.0 100.5 187.0 5.07 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 30 1897.5 954.5 1860.8 845.8 36.8 108.8 98.1 88.6 1449 713 1472.0 575.2-23.0 137.8 101.6 80.7 5.57 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 10 713 356.5 632.5 737.0 80.5-380.5 88.7 206.7 713 356.5 645.0 414.0 68.0-57.5 90.5 116.1 7.13 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 7 713 356.5 738.5 356.5-25.5 0.0 103.6 100.0 713 356.5 713.0 356.5 0.0 0.0 100.0 100.0 10.19 SITU MITU 9 3921.5 0 3447.3 0.0 474.3 0.0 87.9 #DIV/0! 3565 0 3346.5 0.0 218.5 0.0 93.9 #DIV/0! 27.73 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. 6 2139 157.5 1759.5 157.5 379.5 0.0 82.3 100.0 2139 0 1795.0 0.0 344.0 0.0 83.9 #DIV/0! 24.64 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 12 1455 0 1297.8 374.8 157.3-374.8 89.2 #DIV/0! 1069.5 0 922.5 357.8 147.0-357.8 86.3 #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 21361.5 6701 91.9 #DIV/0! 17859.5 5347.5 93.1 #DIV/0! 9.56 (Total Inc ITU) Total Exc ITU's 15301 6543.5 93.1 #DIV/0! 12155.5 5347.5 93.9 #DIV/0! 6.53 (Total Exc ITU) Royal National Throat, Nose & Ear Hospital B Ward Adult Female (RNTNE) 15 598 149.5 540.5 149.5 57.5 0.0 90.4 100.0 345 80.5 345.0 80.5 0.0 0.0 100.0 100.0 2.61 C Ward Adult Male (RNTNE) 18 874 172.5 828.0 172.5 46.0 0.0 94.7 100.0 713 115 701.5 115.0 11.5 0.0 98.4 100.0 3.47 Total RNTNEH 1472 322 92.6 100.0 1058 195.5 99.2 100.0 3.04 (Total Inc ITU) Total Exc ITU's 1702 391 92.6 100.0 1300 609.5 99.2 100.0 3.04 (Total Exc ITU) The Heart Hospital Heart 2nd Floor 24 2125.5 839.5 2063.0 1038.5 62.5-199.0 97.1 123.7 1253.5 184 1463.1 172.3-209.6 11.8 116.7 93.6 6.11 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 3 27 1667.5 713 1541.0 854.5 126.5-141.5 92.4 119.8 1368.5 356.5 1163.8 632.5 204.7-276.0 85.0 177.4 5.07 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 4 23 1311 471.5 1414.5 610.0-103.5-138.5 107.9 129.4 1069.5 356.5 1173.0 816.5-103.5-460.0 109.7 229.0 4.65 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 18 4979.5 356.5 4957.5 376.5 22.0-20.0 99.6 105.6 5945.5 356.5 5441.5 287.5 504.0 69.0 91.5 80.6 21.55 NAs not used every shift at night time as considered not required - although built into establishment THH Totals 10083.5 2380.5 99.2 119.6 9637 1253.5 100.7 145.2 9.35 (Total Inc ITU) Total Exc ITU's 5104 2024 99.1 124.3 3691.5 897 103.8 166.7 5.28 (Total Exc ITU) University College Hospital UCH Tower 1st Floor / AMU 56 3921.5 1782.5 4568.6 2325.2-647.1-542.7 116.5 130.4 3921.5 1782.5 4418.9 2484.0-497.4-701.5 112.7 139.4 6.79 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 44 2622 1253.5 2405.9 1379.5 216.1-126.0 91.8 110.1 1495 897 1564.1 1092.8-69.1-195.8 104.6 121.8 4.75 T06 South Assessment (SAAU) 15 1069.5 356.5 1143.8 459.8-74.3-103.3 106.9 129.0 713 356.5 885.5 425.5-172.5-69.0 124.2 119.4 5.55 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 38 2024 2139 2184.8 2713.0-160.8-574.0 107.9 126.8 1782.5 713 1748.0 2400.5 34.5-1687.5 98.1 336.7 5.84 NA Usage is due to specials for confused, risk of falls patients. Hyper Acute Stroke Unit 18 2139 713 1882.5 952.5 256.5-239.5 88.0 133.6 2139 356.5 2141.5 471.5-2.5-115.0 100.1 132.3 9.90 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 21 1667.5 936.5 1885.8 1355.0-218.3-418.5 113.1 144.7 1265 356.5 1446.0 1131.0-181.0-774.5 114.3 317.3 6.71 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 22 1667.5 356.5 1309.3 647.0 358.3-290.5 78.5 181.5 1230.5 356.5 1173.0 794.5 57.5-438.0 95.3 222.9 5.47 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 62 4236.5 2046 3628.5 2866.8 608.0-820.8 85.6 140.1 2852 1782.5 2518.3 2463.3 333.8-680.8 88.3 138.2 5.87 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 30 2024 1069.5 1724.3 1299.5 299.8-230.0 85.2 121.5 1069.5 713 1046.5 966.0 23.0-253.0 97.8 135.5 5.42 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 32 2024 1069.5 2235.5 1216.0-211.5-146.5 110.4 113.7 1219 713 1117.3 966.0 101.8-253.0 91.7 135.5 5.23 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 24 3547.5 0 3081.9 149.8 465.6-149.8 86.9 #DIV/0! 1782.5 356.5 1965.8 468.5-183.3-112.0 110.3 131.4 7.90 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 20 1069.5 713 972.3 736.0 97.3-23.0 90.9 103.2 1069.5 713 945.0 828.0 124.5-115.0 88.4 116.1 5.94 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 26 2640 930 2495.5 855.1 144.5 74.9 94.5 91.9 1426 356.5 1345.5 736.0 80.5-379.5 94.4 206.5 6.86 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 23 1782.5 713 1696.0 810.3 86.5-97.3 95.1 113.6 1426 0 1334.0 271.3 92.0-271.3 93.5 #DIV/0! 5.68 During August one patient required a special for falls and confusion. UCH Tower 16th Floor N 15 2017.5 465 1821.0 456.5 196.5 8.5 90.3 98.2 713 356.5 678.5 345.0 34.5 11.5 95.2 96.8 7.89 UCH Tower 16th Floor S 22 3322.5 0 2958.5 508.3 364.0-508.3 89.0 #DIV/0! 1426 356.5 1564.5 608.8-138.5-252.3 109.7 170.8 7.73 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 17 954.5 713 861.8 736.0 92.8-23.0 90.3 103.2 713 713 690.0 726.3 23.0-13.3 96.8 101.9 6.07 T03 Critical Care 35 10108.5 1311 9386.5 1196.0 722.0 115.0 92.9 91.2 9982 1069.5 9729.5 1023.5 252.5 46.0 97.5 95.7 21.40 T11 North 9 954.5 0 980.5 46.0-26.0-46.0 102.7 #DIV/0! 713 0 793.3 46.0-80.3-46.0 111.3 #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 17 1426 150 1379.3 112.8 46.7 37.3 96.7 75.2 1069.5 0 1082.3 0.0-12.8 0.0 101.2 #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 18 2356 0 1941.8 24.0 414.3-24.0 82.4 #DIV/0! 1426 0 1654.0 12.0-228.0-12.0 116.0 #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 16 1782.5 150 1576.5 138.8 206.0 11.3 88.4 92.5 1069.5 0 1161.3 83.0-91.8-83.0 108.6 #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 55357 16867.5 94.7 #DIV/0! 40503 11948.5 102.3 #DIV/0! 7.28 (Total Inc ITU)
Total Exc ITU's 45248.5 15556.5 94.8 #DIV/0! 30521 10879 102.5 #DIV/0! 6.45 (Total Exc ITU) Elizabeth Garrett Anderson Hospital EGA Neonatal Unit 31 6959.5 465 7013.3 429.5-53.8 35.5 100.77 92.37 6555 218.5 6327.1 207.0 227.9 11.5 96.5 94.7 15.27 EGA Birthing Centre 7 713 356.5 795.8 355.5-82.8 1.0 111.61 99.72 713 356.5 782.0 333.5-69.0 23.0 109.7 93.5 10.19 Additional staff used to cover ACU EGA Maternity Care Unit 45 2495.5 1069.5 2362.3 1177.3 133.2-107.8 94.66 110.07 1782.5 713 1793.0 862.5-10.5-149.5 100.6 121.0 4.49 Overstaffing is private care - unable to remove from e-roster EGA Ante-Natal Care Unit 10 930 0 1157.5 0.0-227.5 0.0 124.46 #DIV/0! 713 0 676.5 0.0 36.5 0.0 94.9 #DIV/0! 5.48 EGA Labour ward 17 5115 356.5 4742.7 473.5 372.3-117.0 92.72 132.82 3921.5 356.5 3888.5 448.5 33.0-92.0 99.2 125.8 19.12 Required additional staffing for patient that required 1:1 care due to a child protection order EGA Totals 16213 2247.5 104.84 #DIV/0! 13685 1644.5 100.17 #DIV/0! 10.91 (Total all areas) EGA Wards Only 4138.5 1426 106.46 #DIV/0! 3208.5 1069.5 99.64 #DIV/0! 6.72 (Total Wards)