Staffing

Improving the Induction Process for new staff joining the Inpatient Therapy team at RSH (2023)

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Type of publication:
Service improvement case study

Author(s):
*Sarah Sandy, *Isaac Ogunsanya, *Hannah Lloyd, *Alix Astles, *Kate Robinson, *Leah Jackson, *Phil Evans and *Katie Craft

Citation:
SaTH Improvement Hub, May 2023

Abstract:
The induction process within Therapies is not standardised and the quality is very variable. There has been a large turnover of staff with poor retention for various reasons. Within 12 months we had 13 new starters with 8 International recruits. Feedback from exit interviews within the Inpatient Team at RSH highlighted failings with the induction process.

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Staff Planning- Medicine (2022)

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Type of publication:
Service improvement case study

Author(s):
*Rachel Webster (Deputy Divisional Director of Nursing Medicine), *Richard Worthington (Workforce Planning)

Citation:
SaTH Improvement Hub, June 2022

Abstract:
In order to improve the assurance and support for ward areas, an automated staffing plan was created.

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Respiratory workload and medical staffing in uk local neonatal units (LNUS) and special care units (SCUS)-time for a rethink (2019)

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Type of publication:
Conference abstract

Author(s):
*Tyler W.; Fox G.F.; Fenton A.C.

Citation:
Archives of Disease in Childhood; May 2019; vol. 104

Abstract:
Introduction: The majority of UK neonatal care occurs in SCUs and LNUs with a smaller volume of highly complex care delivered by NICUs. Whilst the significant shortfall in nursing numbers nationally has been highlighted, medical staffing has received little attention. Aim To determine levels of medical staffing in UK LNUs/ SCUs, days of respiratory support provided and admissions weighing <1.5 kg. Methods Questionnaire sent to every LNU and SCU requesting details of medical tier staffing. ODNs provided the number of
respiratory care days (RCD – invasive and non-invasive mechanical respiratory support) delivered 2013-15 and numbers of admissions weighing <1.5 kg. Results 78 (86.7%) LNUs and 38 (95%) SCUs responded. 11/ 90 LNUs delivered <365 RCDs annually. Of these 9 admitted <25 infants weighing <1.5 kg. 6/40 SCUs delivered >365 RCDs annually. Significant numbers of LNUs and SCUs employed nontraining grade medical staff and ANNPs to cover rotas; neonatal CST holders or equivalent support many units (Tables 1 & 2). The 8/11 low-activity LNUs who responded provided partially separate Tier 1 staffing from paediatrics, consistent with SCU staffing recommendations only. Half of the high activity LNUs and all high activity SCUs did not achieve staffing standards for NICUs or LNUs respectively. Conclusions A wide range of activity is undertaken by UK LNUs and SCUs, with moderate overlap of workload between unit types. These data should inform potential unit redesignation as part of the current national reviews. Current medical and ANNP staffing is a major barrier to implementing change. (Table Presented).

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