DATE 25 March 2014 REPORT FOR Trust Board of Directors Part A REPORT FROM Dr Neil Pease, Director of OD & Workforce CONTACT OFFICER Dr Neil Pease, Director of OD & Workforce SUBJECT Monthly Staffing Report BACKGROUND DOCUMENT (IF ANY) None REPORT PREVIOUSLY CONSIDERED BY & DATE(S) N/A EXECUTIVE COMMENT (INCLUDING KEY ISSUES OF NOTE OR, WHERE RELEVANT, CONCERN AND / OR NED CHALLENGE THAT THE BOARD NEED TO BE MADE AWARE OF) N/A HAVE THE STAFF SIDE BEEN CONSULTED ON THE PROPOSALS? N/A HAVE THE RELEVANT SERVICE USERS/CARERS BEEN CONSULTED ON THE PROPOSALS? N/A ARE THERE ANY FINANCIAL CONSEQUENCES ARISING FROM THE RECOMMENDATIONS? No IF YES, HAVE THESE BEEN AGREED WITH THE RELEVANT BUDGET HOLDER AND DIRECTOR OF FINANCE, AND HAVE ANY FUNDING ISSUES BEEN RESOLVED? N/A ARE THERE ANY LEGAL IMPLICATIONS ARISING FROM THIS PAPER THAT THE BOARD NEED TO BE MADE AWARE OF? No WHERE RELEVANT, HAS PROPER CONSIDERATION BEEN GIVEN TO THE NHS CONSTITUTION IN ANY DECISIONS OR ACTIONS PROPOSED? WHERE RELEVANT, HAS PROPER CONSIDERATION BEEN GIVEN TO SUSTAINABILITY IMPLICATIONS (QUALITY & FINANCIAL) & CLIMATE CHANGE? THE PROPOSAL OR ARRANGEMENTS OUTLINED IN THIS PAPER SUPPORT THE ACHIEVEMENT OF THE TRUST OBJECTIVE(S) AND COMPLIANCE WITH THE REGULATORY STANDARDS LISTED Yes N/A Maintaining adequate safe staffing levels ACTION REQUIRED BY THE BOARD Note the content of the report
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DIRECTORATE OF ORGANISATIONAL DEVELOPMENT & WORKFORCE MONTHLY STAFFING REPORT Dr Neil Pease Director of Organisational Development and Workforce March 2014 Northern Lincolnshire and Goole NHS Foundation Trust actively seeks to promote equality of opportunity and good race relations. The Trust seeks to ensure that no employee, service user, or member of the public is unlawfully discriminated against for any reason, including their religion, beliefs, race, colour, gender, marital status, disability, sexual orientation, age, social and economic status or national origin. These principles will be expected to be upheld by all who act on behalf of the Trust, with respect to all aspects of this document. Page 3 of 20 pages
Introduction This report provides an update on the staffing position within the Trust, identifying key trends. The report includes details on recruitment initiatives and key recruitment challenges. Key issues for the Board to note this month include: Despite advertising for radiologists the Trust has not been able to recruit. Currently working with NL Group to source suitable consultant locums with potential to be recruited on a temporary basis initially leading to permanent employment. Overseas recruitment continues to be pursued for medical positions currently focusing on Greece and Amsterdam. Several applications through the Medical Training Initiative (MTI) Scheme continue to progress. NHSJobs 2 was launched during the reporting period which impacted on the ability to place adverts as the system was down for a two week period. All recruitment team members have received internal training and the new systems enables the teams to invite for interview, request references all automatically through the software which will improve the turnaround time for a candidate. Private accommodation for the second cohort of overseas nurses in SGH has now been secured with all nurses now being based close to the Hospital. A further recruitment drive is now underway to recruit to a number of vacancies within the Medicine group at both sites which will include a tour to Madrid in the first week in April coupled with a national/local recruitment campaign. All job descriptions and adverts are now produced utilising the visions and values of the Trust and the appropriate branding. Working on bespoke adverts to be placed nationally for A & E Staff Grades DPOW (4 Vacant ) and Band 5 nurses specifically for Medicine at DPOW and SGH to run alongside the international recruitment exercise. Medical Staffing Position The monthly medical staffing report for the mid-march 2014 position (Appendix 1) shows that there has been no overall change to the number of medical posts in the establishment; these remain at a total of 603 posts. The number of posts currently vacant on a substantive basis is 64, giving a vacancy rate of 10.6% which is an increase in 3 posts being vacant from February 2014. Following recent meeting with NL Managed Services for February they report 113 requests for locums being filled with 9 not being filled for the month of February equalling 92.6% fill rate for all requested shifts. Work is currently being undertaken to analysis those shifts they were unable to fill and a comparison exercise as to the current rates of pay against previous years rates of pay is being produced for analysis. Net savings as a result of using NL Managed Services verses direct supply of locums stands at 79,400 for the month of February 2014. The following chart shows the number of posts and vacancies in the medical establishment from August 2013, since the formation of the Recruitment HUB. Page 4 of 20 pages
Medical vacancies 620 600 580 560 540 61 62 67 62 59 61 64 520 500 535 541 536 541 544 542 539 Sept Oct Nov Dec Jan Feb Mar Post Substantively Filled A recruitment campaign aimed at engaging with consultants and medical staff based in the EU, South Africa, Australia, New Zealand and the Indian sub-continent commenced in January 2014 through the BMJ careers website. Originally 3 expressions of interest were received unfortunately this did not lead to securing any candidates and no further interest has been received. Work is being undertaken to scope the potential overseas recruitment of medical staff in both Greece and Amsterdam as possible countries of interest. As part of the research undertaken Greece is showing a significant development of health manpower with a high number of medical professions striking to protest at the government s austerity measures. A newly founded group called the Greek Medical Association consists of professionals who have decided to leave Greece and look for new career opportunities within the UK. Further work being taken to explore working in partnership with this group to undertake recruitment events within Greece. General Staffing Position Number of WTE Adverts Placed 100 90 80 70 60 50 40 30 20 10 0 Sept Oct Nov Dec Jan Feb Medical Staffing DPOW Non Medical 100 90 80 70 60 50 40 30 20 10 0 SGH/Goole/Communities Sept Oct Nov Dec Jan Feb Medical Staffing Non Medical Page 5 of 20 pages
In the 6-month period September 2013 to February, a total of 528.71 wte posts have been advertised. This excludes the overseas recruitment and the UK cohort nursing recruitment exercises. There was a drop in activity due to the two weeks down time from the introduction of NHSJobs 2. External adverts are currently being designed to attract nurses into vacant positions within A & E at SGH and HDU at DPOW (pending the completion of the expansion). It is planned to advertise within the RCN bulletin alongside NHS Jobs/local recruitment campaign. New Starters within the Organisation In the 6-month period September 2013 to February 2014 364.77wte, have commenced employment with Northern Lincolnshire and Goole Trust (excludes medical staff). We expect a rise in March/April due to a number of recruitment cohort days that have been held for Health Care Assistants and Bank staff. The recruitment team has communicated with existing staff within NLAG the requirement for additional bank members of staff and this has produced a number of applications which are being processed in a streamlined and efficient manner. 70 New Starters 60 50 40 30 20 10 0 Sept Oct Nov Dec Jan Feb Zero Hours Bank All Directorates Admin, Estates, Scientific/Technical Nursing & Additional Clinical, Allied Health Page 6 of 20 pages
Bank/Agency Update Position This report provides a monthly update of bank shifts to allow the Workforce Review Group to monitor bank usage. The report provides data in terms of: The total number of shifts requested and total fill rate during the month Of the shifts that are filled, the number of shifts requested for both vacancy and sickness and other reasons Outcome Data Numbers of shifts requested The total number of shift requested for coverage by temporary staff in February was 4528. This represents a significant decrease compared to January of 1300 shifts. Of the total requested shifts 3748 were filled overall representing a percentage of 83% filled. The number of shifts filled by bank staff remains consistent this month from January to February at 2500 shifts approximately. The fill rate for agency however is significantly reduced from 1604 in January to 1199 in February. Diagram 1: Showing numbers of shifts requested, filled by Bank staff and filled by agency. Trust wide Requests for all Sites 7000 6000 5000 4000 3000 2000 December January February 1000 0 Total Number of Requests Total Number filled by Bank Total number filled by Agency Reasons for requesting temporary staff Across the Trust the request reasons with the highest number of requests are vacancies and sickness. For February numbers of requests for Vacancy/Backfill remains consistently double the number requested for any other reason at 2350. Sickness and all other reasons show a slight decrease compared to January to 641 and 755 respectively. Page 7 of 20 pages
Diagram 2: Reasons for requests for Bank staff. Trust Wide Requests for all Sites 2500 2000 1500 1000 December January February 500 0 Vacancy/Backfill Sickness Other Nursing Figures Provided by Sheldon Mill/Finance by staff group Staff Groups Budgeted WTE Contracted WTE WTE Vacancy Factor Registered 1560.62 Unregistered 719.05 1,2 6,7 1504.01 3, 4, 5 56.61 3.63% 720.88-1.83-0.25% Total Nursing 2279.67 2224.89 54.78 2.40% Medical & Dental 586.84 8 524.14 62.7 10.68% Scientific, Therapeutic, Technical 990.4 967.82 22.58 2.28% Admin & Clerical 1141.68 1115.31 26.37 2.31% Maintenance 44 43 1 2.27% Support Staff 396.87 384.26 12.61 3.18% "Other" 1.72 1.72 0 0.00% Totals 5441.18 5261.14 180.04 3.31% Page 8 of 20 pages
Directorate Budgeted WTE Contracted WTE WTE Vacancy Factor Operations 3838.28 3689.83 148.45 3.87% Diagnostics & Therapeutics 696.11 678.24 17.87 2.57% Facilities 477.22 447.93 29.29 6.14% Corporate 429.57 445.14-15.57-3.62% Totals 5441.18 5261.14 180.04 3.31% DPOW A&E review - Registered 8.71wte (To be agreed by trust board) SGH A&E review - Registered 15.87wte (To be agreed by trust board) UK Cohort - 2 wte (Mar/Apr) Spanish Nurse recruitment - 35wte (April) Central UK recruitment - 20wte (Apr/May) DPOW A&E review - Unregistered 5.43wte (To be agreed by trust board) SGH A&E review - Unregistered 6.11wte (To be agreed by trust board) GP F2 Doctors included in Dec report have been removed from February report and will not be included for future reports (21wte budget) Registered Nursing Budgeted WTE Contracted WTE WTE Vacancy Factor As at 28th February 2014 1536.04 1447.01 89.03 5.80% Increased Establishments A&E DPOW 8.71 Increased Establishments A&E SGH 15.87 Mar-14 UK Cohort 2 Apr 14 - Spain Recruitment 35 Apr 14 - Central UK Recruitment 20 Forecast registered nursing 1560.62 1504.01 56.61 3.63% Unregistered Nursing Budgeted WTE Contracted WTE WTE Vacancy Factor As at 28th February 2014 707.51 720.88-13.37-1.89% Increased Establishments A&E DPOW 5.43 Increased Establishments A&E SGH 6.11 Forecast unregistered nursing 719.05 720.88-1.83-0.25% Total Nursing (As per above) 2279.67 2224.89 54.78 2.40% Page 9 of 20 pages
Bank and Agency Spend (nursing) Figures Provided by Sheldon Mill Nursing ET Report Nursing Pay Costs - Headlines Monthly figures for nursing staffing are now being produced, looking at WTE and actual expenditure. Nursing pay costs have continued to increase year on year since March 2011 Bank costs increased significantly in 2012 before plateauing at a high level. They are increasing again. Agency costs have remained relatively low until the current year when agency usage and costs increased significantly. No net vacancies for unregistered staff, whilst for registered staff the vacancy rate is falling. NURSING STAFF REPORT EXECUTIVE TEAM SUMMARY M11 28 Feb 2014 2. WTE TREND Worked WTE Mar-11 Mar-12 Mar-13 Jun-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Total Unregistered 585 614 618 611 650 673 684 682 697 715 Total Registered 1,394 1,385 1,379 1,368 1,373 1,377 1,390 1,424 1,416 1,431 Total Nursing 1,979 1,998 1,998 1,978 2,023 2,049 2,073 2,106 2,113 2,146 Bank Ureg 29 9 45 37 31 29 39 36 49 46 Bank Reg 64 47 47 35 30 34 48 36 47 50 Bank total 92 56 92 72 61 64 87 72 96 97 Agency HCA 0 0 8 6 60 32 33 24 43 32 Agency Reg 1 1 19 24 40 32 29 48 61 53 Agency total 1 1 28 30 100 64 62 73 104 85 Total Bank & Agency 94 57 120 102 161 128 149 145 200 182 Total Nursing 2,073 2,055 2,117 2,080 2,184 2,177 2,223 2,251 2,313 2,328 Central Nursing Functions -50-57 -54-54 -52-53 -55-58 -58-61 Diagnostics -15-12 -10-10 -12-10 -10-10 -8-13 TOTAL (Ops nursing) 2,008 1,987 2,053 2,016 2,120 2,114 2,157 2,183 2,246 2,254 Page 10 of 20 pages
Worked WTE - Operations Medicine DPOW 367 377 401 387 438 428 437 434 440 446 Medicine S&GH 379 369 393 383 412 409 426 438 484 470 Operations Central 133 127 131 137 142 141 143 144 145 152 Surgery & CC 519 513 520 514 523 521 528 526 538 547 Therapy & Comm 201 201 201 193 196 199 214 218 218 217 Womens & Childrens 408 400 406 402 409 414 409 422 421 422 2,008 1,987 2,053 2,016 2,120 2,114 2,157 2,183 2,246 2,254 Budgeted WTE Mar-11 Mar-12 Mar-13 Jun-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Total Unregistered 632 631 659 669 674 676 697 697 708 708 Total Registered 1,470 1,409 1,448 1,473 1,485 1,496 1,506 1,506 1,536 1,536 Total Nursing 2,102 2,039 2,108 2,141 2,159 2,172 2,204 2,203 2,244 2,244 Bank Agency Total Bank & Agency 0 0 0 0 0 0 0 0 0 0 Total Nursing 2,102 2,039 2,108 2,141 2,159 2,172 2,204 2,203 2,244 2,244 Central Nursing Functions -52-56 -57-55 -55-56 -56-56 -57-57 Diagnostics -18-14 -7-7 -7-7 -7-7 -7-7 TOTAL (Ops nursing) 2,032 1,969 2,044 2,080 2,098 2,110 2,141 2,140 2,180 2,180 Redundancy reductions - WTE Nurses HCAs CNS Nurse mngt Total 2010-11 2011-12 2012-13 2013-14 DPoW 12.95 4.8 3 3.00 23.75 12.27 7.57 2.91 1.00 SGH 1.64 0.75 3.2 2.00 7.59 1.64 3.80 2.15 Goole 5.47 2.83 8.30 8.30 Total 20.06 8.38 6.20 5.00 39.64 13.91 11.37 13.36 1.00 Increase in budget: Feb n/a, Jan Medicine Estab ward review; Medicine DPOW Reg 19.17 UnReg (8.16), Medicine SGH Reg 13.19 UnReg 19.14 W&C Reg (3.03) UnReg (1.2), TCS Macmillan Reg 1.0, Dec n/a, Nov Macmillan HT 20 SGH, A&E 8, Childrens HV 2, Oct SGH Surgical Wards 8 Single Access 3 Sep Louth Midwifery 9, B1 3, Operations Centre 5. Page 11 of 20 pages
3. VACANCIES Budgeted WTE Unregistered Registered Total as at 28th February 2014 707.51 1536.04 2243.55 DPoW A&E 5.43 8.71 14.14 to be confirmed by Trust Board SGH A&E 6.11 15.87 21.98 to be confirmed by Trust Board Post review establishment 719.05 1560.62 2279.67 Contracted WTE Unregistered Registered Total as at 28th February 2014 720.88 1447.01 2167.89 Mar-14 UK cohort 2.00 2.00 Est by ODW recruitment team Spain Recruitment Apr-14 Phase 4 35.00 35.00 Est by ODW recruitment team Apr-14 Central UK recruit ment 20.00 20.00 Est by ODW recruitment team 720.88 1504.01 2224.89 WTE Unregistered Registered Total as at 28th February 2014-13.37 89.03 75.66 forecast as at Feb 2014-1.83 56.61 54.78 net shift in vacancies 11.54-32.42-20.88 Page 12 of 20 pages
NURSING STAFF REPORT - OVERVIEW NHS Foundation Trust Vacancy % rates Unregistered Registered Total as at 28th February 2014-1.89% 5.80% 3.37% forecast as at Feb 2014-0.25% 3.63% 2.40% net shift in vacancies 1.64% -2.17% -0.97% 4. EXPENDITURE TRENDS Nursing pay costs 000 - per month Mar-11 Mar-12 Mar-13 Jun-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Total Nursing 5,738 5,851 5,866 5,936 6,010 6,014 6,061 6,154 6,272 Bank 212 313 288 260 298 270 316 225 289 3.7% 5.4% 4.9% 4.4% 5.0% 4.5% 5.2% 3.7% 4.6% Agency 18 39 136 136 474 261 397 587 726 0.32% 0.67% 2.33% 2.29% 7.88% 4.34% 6.55% 9.55% 11.57% 230 353 424 396 772 531 713 812 1,015 TOTAL 5,968 6,204 6,290 6,332 6,782 6,545 6,774 6,967 7,286 Nursing pay costs 000 - ytd Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Total Nursing YTD 5,986 11,866 17,802 23,792 29,696 35,706 41,720 47,780 53,935 60,206 Bank YTD 278 530 790 1,043 1,272 1,570 1,840 2,156 2,381 2,670 Bank YTD % 4.64% 4.47% 4.44% 4.38% 4.28% 4.40% 4.41% 4.51% 4.41% 4.43% Agency YTD 96 217 352 506 820 1,293 1,554 1,952 2,539 3,265 Agency YTD % 1.60% 1.83% 1.98% 2.13% 2.76% 3.62% 3.72% 4.09% 4.71% 5.42% 374 747 1,142 1,549 2,092 2,863 3,394 4,108 4,920 5,935 TOTAL 6,360 12,613 18,944 25,341 31,788 38,569 45,114 51,888 58,855 66,141 Page 13 of 20 pages
Agency costs 000 - per month Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Med DPOW Reg 13 26 19 24 68 159 70 122 186 209 Unreg 0 2 1 1 33 86 25 12 28 11 Med S&GH Reg 65 74 88 98 140 127 104 161 257 291 Unreg 11 16 22 27 62 91 53 92 95 178 Ops Central Reg 0 0 0 0 0 3 1 2 2 0 Unreg Surgery & CC Reg 5 4 5 2 9 3 6 6 14 29 Unreg 1 0 1 0 1 4 1 2 4 4 W&C Reg 0 0 0 0 0 0 0 0 1 3 Unreg 0 0 0 0 0 0 0 0 1 0 Total Reg 84 103 112 125 218 292 182 291 459 533 Total Unreg 12 18 24 29 96 181 79 106 128 193 TOTAL 95 121 136 153 314 474 261 397 587 726 Bank costs 000 - per month Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Med DPOW Reg 37 50 60 48 48 64 53 74 43 48 Unreg 46 41 46 36 37 56 41 56 33 41 Med S&GH Reg 58 37 39 38 30 33 32 34 28 35 Unreg 25 23 14 19 18 45 23 25 21 36 Ops Central Reg 1 0 0 0 0 0 0 3 3 4 Unreg 3 1 2 4 2 3 4 4 5 6 Surgery & CC Reg 31 30 30 39 31 26 28 34 21 41 Unreg 18 17 12 13 11 12 12 13 16 18 TCS Reg 4 4 4 3 3 5 7 6 6 8 Unreg 0 0 0 1 2 1 2 1 1 1 Page 14 of 20 pages
W&C Reg 44 40 41 39 34 38 53 53 35 41 Unreg 6 5 7 8 10 12 12 11 8 9 Diagnostics Reg Unreg 6 5 4 5 2 3 2 2 2-2 Corporate Reg 0 0 0 0 0 0 1 2 3 4 Unreg Total Reg 175 161 174 167 147 166 173 205 139 180 Total Unreg 103 92 86 86 82 132 97 111 86 109 TOTAL 278 252 260 253 229 298 270 316 225 289 Page 15 of 20 pages
MEDICAL STAFFING - Northern Lincolnshire and Goole NHS Foundation Trust - February 2014 - APPENDIX ONE Scunthorpe Grimsby Goole Total Department Grade total Vacancy total Current Situation Anaesthetics Consultants 16 2 14 0 30 2 SAS Doctors 6 0 10 2 1 0 17 2 Trust Doctors 4 3 0 0 4 3 SGH - attempting to recruit locally Training Grades 9 2 10 3 19 5 SGH - 2 substantive vacancies. One locum appointed to cover. Unsuccessful recrutiment process. Adverts due to go out over the next couple of weeks DPOW - two vacancies advertised repeatedly - offered jobs twice but declined. Not to be re-advertised until after February 2014. DPOW - attempting to recruit Specialty Doctors as above to cover, re-advertised. DPOW Junior post will be covered by Medical Training Initiative recritment. Start date TBC. ENT Consultants 2 0 3 0 5 0 SAS Doctors 2 0 3 0 5 0 Trust Doctors 0 0 1 0 1 0 Training Grades 2 0 1 0 3 0 General Surgery Consultants 5 0 9 0 14 0 SAS Doctors 3 0 3 0 6 0 Trust Doctors 5 0 4 0 9 0 Training Grades 12 0 14 0 26 0 Urology Consultants 5 0 1 0 6 0 SAS Doctors 5 1 0 0 5 1 SGH - Advert closes 14/01/2014, didn t appoint from these interviews Mr Coombs revising JD Trust Doctors 1 0 1 0 2 0 Training Grades 4 0 0 0 4 0 Ophthalmology Consultants 3 1 3 0 3 0 9 1 SGH - Post to be advertised SAS Doctors 4 0 6 2 10 2 2 additional Ophthalmology posts created. Advertised and agency sourcing Training Grades 2 0 2 0 4 0 Oral Surgery Consultants 1 0 1 0 2 0 SAS Doctors 1 0 2 0 3 0 Training Grades 0 0 0 0 0 0 Page 16 of 20 pages
Department Grade Scunthorpe Grimsby Goole Total total Vacancy total Current Situation Trauma & Orthopaedics Consultants 6 1 7 0 2 0 15 1 SGH - New Consultant post SAS Doctors 4 0 4 0 2 0 10 0 Trust Doctors 3 0 5 0 8 0 Training Grades 7 0 6 0 13 0 Emergency Medicine Consultants 5 3 5 3 10 6 SAS Doctors 8 4 8 3 16 7 Trust Doctors 0 0 3 1 3 1 DPOW - Post appointed to waiting for start date SGH - 2 locums in place, unsuccessful recruitment in partnership with Hull, posts to be advertised locally. DPOW - 1 locum in place. Repeated attempts to recruit on a substantive basis been unsuccessful. SGH - advertised repeatedly, JD been revised by the deaprtment, locum cover provided on ad hoc basis. DPOW - One vacancy filled, doctor started 6 January 2014. Will continue to advertise and work with locum agencies to fill the other vacancies. Training Grades 8 1 8 0 16 1 SGH - 1X ST4 Vacancy interviews 18/02/2014, waiting for the candidate to confirm. Despite several attempts to confirm the candidate has failed to accept the post. Given deadline of 21.03.14 to accept or decline. Acute Medicine Consultants 5 2 3 0 8 2 SGH - 2 new posts. have been advertised twice, no suitable candidates. SAS Doctors 1 1 1 0 2 1 SGH - New post from October 2013, General Manager finalising JD and advert Trust Doctors 1 1 2 0 3 1 SGH - New post from October 2013, General Manager finalising JD and advert. Training Grades 2 0 1 0 3 0 Cardiology Consultants 3 0 4 0 7 0 SAS Doctors 2 0 2 0 4 0 Training Grades 6 1 5 0 11 1 SGH - Vacant ST3 - various unsuccessful recruitments 0 0 Gastroenterology Consultants 3 1 4 0 7 1 SAS Doctors 1 1 1 0 2 1 Trust Doctors 1 0 0 0 1 0 SGH - Emailed General Manager to check about the recruitment. DPOW -One Consultant currently on sabbatical SGH - Agency locum in place - despite numerous adverts cannot recruit to the post. Job description sent to Royal College 04/10/2013, advert sent back from college with comments for the department. Job description sent to General manager for comment on 11th October 2013 - no response received team to chase. Training Grades 6 0 6 1 12 1 DPOW - ST3 post vacant not being recruited to by the Deanery, Fixed Term Specialty Doctor to be advertised - awaiting job description. Diabetes / Endocrinology Consultants 2 1 2 0 4 1 SGH - Emailed General Manager to check about the recruitment. SAS Doctors 0 0 1 0 1 0 Training Grades 7 0 4 0 11 0 Page 17 of 20 pages
Scunthorpe Grimsby Goole Total Department Grade total Vacancy total Current Situation Respiratory Consultants 3 1 4 0 7 1 SAS Doctors 1 0 1 0 2 0 SGH - Long-term vacancy (since Nov 2012), agency locum in place. Post advertised twice, no suitable applicants Training Grades 8 1 5 0 13 1 SGH - ST3 been vacant and unfilled on long-term basis. Care for Older People / Stroke Consultants 4 2 4 0 8 2 SGH posts have been advertised twice, no suitable applicants SAS Doctors 2 1 5 1 7 2 SGH - General Manager drafting JD. DPOW - Post re-advertised again, no shortlistable candidates, awaiting instructions on re-advertising. Training Grades 8 1 10 0 18 1 SGH - Vacant ST3 - various unsuccessful recruitments Palliative Care Consultants 1 1 1 1 New post - Post advertised but no suitable applicants. SAS Doctors 0 0 0 0 Trust Doctors 0 0 0 0 Training Grades 0 0 0 0 Dermatology Consultants 2 0 0 0 2 0 SAS Doctors 2 1 0 0 2 1 General Manager drafting JD Training Grades 0 0 1 0 1 0 Haematology/On cology Consultants 2 1 1 0 3 1 General Manager drafting JD SAS Doctors 0 0 2 0 2 0 Appointment made to Specialty Doctor vacancy at DPOW Trust Doctors 1 0 0 0 1 0 Training Grades 1 0 2 0 3 0 Neurology Consultants 1 0 1 0 SAS Doctors 1 1 1 1 Trust Doctors 0 0 0 0 Training Grades 0 0 0 0 Interviewed and offered post but declined. Awaiting revisied Job Description before being readvertised. Rheumatology Consultants 4 0 4 0 SAS Doctors 0 0 0 0 Trust Doctors 0 0 0 0 Training Grades 3 0 3 0 Page 18 of 20 pages
Department Grade Scunthorpe Grimsby Goole Total total Vacancy total Current Situation Obstetrics & Gynaecology Consultants 6 1 7 0 13 1 SGH - Waiting for JD SAS Doctors 4 0 4 0 8 0 Training Grades 13 1 11 1 24 2 SGH - Department have put vacancy on hold. DPOW - F/T SD advertised,unsuccessful - need to check about re-advertising Paediatrics Consultants 6 0 6 0 12 0 SAS Doctors 4 0 8 2 12 2 DPOW - unsuccessful recruitment, re-advertised as Specialty Doctor, interview date TBC. Training Grades 13 1 12 0 25 1 SGH - Candidate withdrew, need to check with the department about re-advertising Radiology Consultants 8 0 9 0 17 0 Working with NL Group to fill on a temp to perm basis CV's being submitted for approval to interview. SAS Doctors 0 0 1 0 1 0 Training Grades 0 0 0 0 0 0 New post (based cross-site, not just DPOW) interviews 1 November unsuccessful (candidate not suitable) awaiting instructions regarding re-advertising. Path Links Consultants 3 1 21 1 24 2 SAS Doctors 0 0 0 0 0 0 Training Grades 0 0 0 0 0 0 Lincoln Cellular Pathologist - post re-advertised, closing date 30 December 2013, interviews 30 January 2014, offered to candidate who didn t accept, gone back to the department to see what the next steps are. Community Dental Consultants 7 0 7 0 SAS Doctors 0 0 0 0 Trust Doctors 0 0 0 0 Training Grades 0 0 0 0 Rehabilitation Medicine Consultants 3 1 3 1 SAS Doctors 1 0 1 0 Trust Doctors 0 0 0 0 Training Grades 1 0 0 0 1 0 Advertised twice, no candidates. Not re-advertising at this stage, considering using agencies to source a locum Page 19 of 20 pages
Department Grade Scunthorpe Grimsby Goole Total Minor Injuries Unit Consultants 0 0 0 0 total Vacancy total Current Situation SAS Doctors 5 2 5 2 One doctor appointed from SGH. Rotas being reviewed Trust Doctors 0 0 0 0 Training Grades 0 0 0 0 General Practice (F2's) Training Grades 5 0 8 1 13 1 Psychiatry Training Grades 3 0 4 0 7 0 TOTALS 274 39 316 23 13 2 603 64 Page 20 of 20 pages