section 1 key performance indicators...1 section 1 key performance indicators 2016-17 quarterly...

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Section 1 Key Performance Indicators

2016-17 Quarterly Totals Monthly Totals

Target 2017

Q4 2017

Q1 2018

Q2 2018

Q3 2018

Feb 2018

March 2018

April 2018

May 2018

June 2018

July 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

Jan 2019 Sparkline

Data Quality

Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value

Funded Posts & Staff in Post (NDHT)

100% 93.78% 93.1% 92.2% 92.3% 93.6% 93.3% 93.0% 92.8% 92.4% 91.3% 92.2% 92.2% 92.4% 93.5% 94.5% 92.9% 94.2%

Sickness Absence (NDHT)

3.00% 3.29% 3.67% 3.33% 3.29% - 3.7% 3.3% 3.5% 3.29% 3.19% 3.36% 3.25% 3.27% 3.58% 3.74% 3.51% -

Appraisal Rate (NDHT)

85.0% 75.45% 80.3% 80.9% 80.5% 81.3% 80.0% 80.4% 80.9% 81.7% 80.2% 80.6% 80.5% 80.3% 80.9% 81.5% 81.6% 81.4%

Training Rate (NDHT) 85.0% 86.03% 89.6% 89.7% 90.2% 90.0% 90.2% 89.4% 89.7% 89.6% 89.7% 89.6% 90.4% 90.6% 86.2% 92.0% 91.7% 91.4%

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SECTION 2 Workforce Analysis

2.1 Percentage of Budgeted WTE Used

Notes –

To provide the % figure used in period, the WTE equivalent hours worked by category are divided by the total budgeted WTE hours available. Issues to Highlight

The percentage of budgeted WTE hours worked by contracted staff has stayed at 92.6% during January 2019. This figure is above the 12-month average of 91.8%.

The latest NHSP and Locum WTE monthly figure has increased to 4.8% and is higher than 12-month average of 4.1%

The Agency WTE percentage figure has remained at 1%, which is below the 12-month average of 1.2%

Workforce Monitoring Report – January 2019 Northern Devon Healthcare NHS Trust

Executive Team Meeting – April 2019

Workforce Development Team 3

2.2 Percentage of Pay Budget Use

Notes –

The monthly pay cost by category, which includes any overtime premiums, is divided by the total budgeted figure within the month to provide the % of the pay budget used. Issues to Highlight

The current month’s agency figure has increased to 1.3% and is below the 12-month average of 1.6%.

The NHSP and Locum Staff pay cost has increased to 6.9% for January 2019 and is higher than the 12-month average of 6.1%, locum costs are attributable to variable pay in the medical workforce.

The contracted workforce delivers the best overall value and the current figure of 95.5% is above the 12-month average of 94.8%.

The Trust is currently working with NHSI to review its agency use.

The attraction and on boarding of staff will remain important in this area. Work is underway to seek to strengthen the resilience of the recruitment team and recruiting managers in order to improve the organisational performance in this area, for eg. time to hire, quality of material. It is envisaged that the recruitment teams at Northern Devon and RDE will come together to enhance the service and streamline processes during 2019.



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Section 3 Workforce Plan

3.1 Workforce Plan

Current Budgeted Posts, Contracted Staff in Post & Substantive Staff in Post

Notes: Issues to Highlight:



5

Section 4 Sickness Absence

Generated on: 01 February 2019


Target 2017 Q4 2017 Q1 2018 Q2 2018 Q3 2018

Jan 2018

Feb 2018

Mar 2018

Apr 2018

May 2018

June 2018

July 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

FTE Staff Sparkline

Data Quality

Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value


3.00% 3.29% 3.67% 3.33% 3.29% - 4.0% 3.7% 3.3% 3.5% 3.29% 3.19%

3.36%

3.25%

3.27%

3.58%

3.74% 3.51% 2675

Section 4.1 Short Medium & Long Term Sickness



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Section 4.2 Sickness Absence by Division

Section 4.2 Sickness Absence by Division



Target 2017

Q4 2017

Q1 2018

Q2 2018

Q3 2018

Jan 2018

Feb 2018

Mar 2018

Apr 2018

May 2018

June 2018

Jul 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

FTE Staff Sparkline

Data Quality



3.00% 3.30% 3.67% 3.33% 3.29% - 4.0% 3.7% 3.3% 3.5% 3.29% 3.19% 3.36% 3.25% 3.27% 3.58% 3.74% 3.51% 2675

Chief Executive Division (Sickness Absence)

3.00% 0.85% 2.4% 0.17% 0.00% - 0.0% 1.2% 6% 0.0% 0.0% 0.5% 0.0% 0.0% 0.0% 1.3% 5.6% 22.9% 5

Strategy and Development Division (Sickness Absence)

3.00% 3.53% 4.1% 5.07% 5.73% - 3.3% 5.6% 3.4% 4.0% 5.7% 5.5% 5.7% 5.7% 5.8% 3.5% 2.4% 1.4% 163

Facilities Division (Sickness Absence)

3.00% 3.02% 4.63% 4.57% 4.20% - 4.8% 4.6% 4.5% 5.1% 3.5% 5.1% 4.0% 4.2% 4.4% 5.4% 5.2% 4.0% 139

Finance Performance & Info Division (Sickness Absence)

3.00% 1.27% 1.33% 1.20% 2.57% - 2.1% 0.9% 1% 0.7% 2.1% 0.8% 0.5% 2.8% 4.4% 3.7% 3.4% 3.3% 72

Medical Director

Division (Sickness Absence)

3.00% 0.37% 0.3% 0.00% 0.27% - 0.3% 0.6% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.7% 2.9% 0.5% 1.9% 29

Planned Care & Surgery Division (Sickness Absence)

3.00% 3.46% 3.6% 2.80% 2.90% - 3.9% 3.7% 3.2% 3.0% 2.8% 2.6% 3.0% 2.9% 2.8% 3.4% 3.8% 3.3% 805

Unplanned Care Division

3.00% 4.03% 3.93% 3.63% 3.37% - 4.4% 3.7% 3.7% 3.9% 3.6% 3.4% 3.5% 3.4% 3.2% 3.5% 3.9% 3.7% 1249



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Target 2017

Q4 2017

Q1 2018

Q2 2018

Q3 2018

Jan 2018

Feb 2018

Mar 2018

Apr 2018

May 2018

June 2018

Jul 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

FTE Staff Sparkline

Data Quality


Project Delivery Unit Division

3.00% 2.77% 0.6% 0.00% 5.50% - 0.0% 1.8% 0.0% 0.0% 0.0% 0.0% 4.0% 0.0% 12.5% 32.3% 18.2% 3.2% 4

Nursing, Quality & Workforce Division

3.00% 3.10% 2.5% 2.50% 3.47% - 3.1% 2.2% 2.2% 2.4% 3.0% 2.1% 3.5% 3.2% 3.7% 4.2% 3.1% 5.0% 132

Director of IM&T Division

3.00% 2.79% 3.27% 2.10% 1.43% - 3.7% 3.4% 2.7% 2.3% 1.7% 2.3% 1.9% 1.3% 1.1% 1.9% 3.5% 3.1% 76

Indicator: Percentage of sickness absence recorded in the last calendar month Executive Lead: Julie Cooper, Interim Director of People

Description of how the standard is measured: The percentage of working days recorded as sickness absence in the last calendar month

Performance in the period: The overall sickness figure has reduced by 0.23% this month (from 3.74% to 3.51%). This is significant where annual benchmarking usually sees an increase in sickness for this time of year. The rate for the Trust in December 2017 was 3.9%. Sickness figures for the Trust compare favourably for NHS organisations locally and nationally, with Health Education England’s South West region figures sitting at 4.25%. Overall sickness has reduced in all divisions, with the exceptions of two small divisions, with under 30 staff in each (Chief Exec division and Medical Director division). The only division other than these which has seen an increase is the Nursing, Quality and Workforce division.

Actions taken: HR, Occupational Health and health and wellbeing teams continue to monitor sickness absence and ensure appropriate action is taken. The teams are assured that sickness is being managed appropriately. Work is continuing to split the data for short and medium term sickness and the divisional data of the Nursing, Quality and Workforce division. Stress, anxiety and depression and musculoskeletal continue to be the two main reasons for sickness absence and the health and wellbeing team continue to work alongside managers and staff to prevent sickness in these areas. They have recently undertaken promotion of the ‘Time to Talk’ campaign, focusing on mental health. Staff have been encouraged to undertake the role of health and wellbeing ‘champions’ and have been inducted into the role which aims to provide support and guidance on the front line. The staff physiotherapist has been holding pop up clinics and preventative injury clinics for staff. The overall number of Occupational Health management referrals have remained



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steady however there has been a significant increase in referrals for counselling. Although this is in correlation with yearly trends seeing an increase after Christmas, there has been a sharp rise in the number of staff requiring support following breakdown of personal relationships. The health and wellbeing team is currently setting up an employee assistance service (EAP) which will be available to staff from 1st April 2019, which is hoped to improve levels of support for staff and reduce absence further. The health and wellbeing team are currently reviewing and updating the Supporting staff policy and Stress policy, which will then be re-launched, along with an internal training package for staff managing their health and wellbeing, including resilience, mental health and stress management. The HR Operations Team continue to put significant resource in to supporting the management of sickness absence with the main objectives for staff on long term sickness to return to their role as quickly as possible or if not possible explore alternative options in a timely manner. For staff on short to medium term sickness absence, the main objective is to support them to achieve satisfactory attendance levels.

Report completed by:



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Section 5 Staff Turnover 5.1 Staff Turnover

5.2 Starters & Leavers

Notes:

Within this graph all locums and staff on fixed-term contracts (including the rotational junior doctors) are excluded from the starter, leaver and turnover figures.

Employees transferring to other NHS Employers as a result of organisational change are also excluded.

The turnover figure is calculated as follows:

Total Substantive staff leavers (WTE) in last 12 months

Divided By Average Number of substantive staff (WTE) in post

Multiplied by 100

Summary:

The turnover over the last 12 months has decreased by almost 1% taking it to 11.25%. The high leavers’ trend has reduced since July 2018. The average number of leavers over the last 12 months is 23.1 and the average number of starters is 21.1. The Trust continues to seek to improve the retention of its workforce. We are participating in the NHSI nursing retention programme, developing a programme of activity supporting the health and wellbeing of staff (see supporting information for sickness absence). In addition the current review of a number of corporate support functions will ensure appropriate expertise is available to support operational delivery whilst also addressing a number of the issues affecting those teams in terms of capacity and resilience.



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Section 6 Appraisal Completion



Target 2017

Q4 2017

Q1 2018

Q2 2018

Q3 2018

Feb 2018

Mar 2018

Apr 2018

May 2018

June 2018

July 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

Jan 2019 Sparkline

Data Qualit

y Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value

Appraisal Rate (NDHT)

85.0% 75.45

% 80.3% 80.9%

80.5%

81.3% 80.0% 80.4% 80.9% 81.7% 80.2% 80.6% 80.5% 80.3% 80.9% 81.5% 81.6% 81.4%

Section 6.1 Appraisals by Division



Target 2017

Q4 2017

Q1 2018

Q2 2018

Q3 2018

Feb 2018

Mar 2018

Apr 2018

May 2018

June 2018

July 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

Jan 2019 Sparkline

Data Quality


Chief Executive Division (Appraisal Rate)

85.0% 86.68

% 75.5% 55.3%

60.3%

43.3% 83.3% 60.0% 71.4% 57.1% 37.5% 42.9% 71.4% 66.7% 40.0% 40.0% 50.0% 100%

Strategy and Development Division (Appraisal Rate)

85.0% 77.43

% 79.5% 77.7%

81.2%

83.2% 80.3% 75.1% 79.7% 76.3% 77.0% 82.5% 81.5% 79.6% 80.8% 85.2% 83.6% 86.0%

Facilities Division (Appraisal Rate)

85.0% 93.55

% 97.4% 95.2%

90.6%

97.3% 98.2% 97.6% 97.0% 95.2% 93.3% 89.6% 93.3% 88.9% 98.2% 97.1% 96.5% 96.6%

Finance Performance & Info Division (Appraisal Rate)

85.0% 66.10

% 76.0% 58.2%

55.0%

84.1% 76.2% 74.4% 65.1% 64.3% 45.2% 48.8% 48.8% 67.4% 71.4% 88.4% 92.5% 92.4%

Medical Director Division (Appraisal Rate)

85.0% 88.08

% 86.0% 63.8%

58.9%

75.7% 66.7% 90.0% 73.1% 72.0% 46.2% 46.4% 53.6% 76.7% 73.3% 71.9% 81.8% 90.0%



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Target 2017

Q4 2017

Q1 2018

Q2 2018

Q3 2018

Feb 2018

Mar 2018

Apr 2018

May 2018

June 2018

July 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

Jan 2019 Sparkline

Data Quality


Planned Care Division (Appraisal Rate)

85.0% 70.90

% 78.2% 81.6%

81.2%

78.8% 77.6% 80.3% 80.9% 82.9% 81.1% 82.4% 81.1% 80.0% 79.0% 78.3% 79.0% 77.0%

M&T Division (Appraisal Rate)

85% 67.50

% 62.2% 61.2%

75.4%

79.5% 63.2% 57.9% 61.3% 61.0% 61.2% 70.9% 76.2% 79.2% 78.3% 79.2% 81.0% 80.0%

Nursing, Quality & Workforce Division

85% 86.17

% 87.1% 90.6%

80.6%

76.1% 84.7% 87.7% 90.7% 90.7% 90.5% 84.3% 79.8% 77.6% 77.0% 77.4% 73.8% 79.3%

Unplanned Care Division

85% 76.70

% 80.5% 81.4%

80.6%

81.6% 80.4% 80.4% 81.1% 81.8% 81.2% 80.5% 80.5% 80.7% 81.4% 81.9% 81.5% 81.3%

Project Delivery Unit

85% 37.0% 44.4% 27.8% 25.0%

52.8% 50.0% 33.3% 33.3% 25.0% 25.0% 25.0% 25.0% 25.0% 25.0% 66.7% 66.7% 50.0%

Indicator: Percentage of staff receiving an appraisal in the last 12 months Executive Lead: Julie Cooper

Description of how the standard is measured: The percentage of staff who receive an appraisal in their primary post in the last 12 calendar months

Performance in the period: Overall appraisals have managed to maintain a steady rate despite the high level of clinical activity and patient demand but remains below target. The Chief Executive Division, Strategy and Development Division and the Medical Director Division have all moved above the target rate. Theatres, Radiology and Outpatients have the highest number of appraisals out of date. There are currently 8 cost centres who are achieving less than 40% compliance rate.

Actions taken: The Executive and HR teams have held/booked appraisals for January or February. The new appraisal form is being piloted with a view to rolling out in the next few months. The form incorporates sections on values and behaviours as well as focusing on practical objectives. It is employee led and encourages an important element of reflection. Individual team managers are being informed of their poor compliance and being supported to understand the issues and determine interventions. The escalation process is now written into the Appraisal Policy to ensure that compliance exceptions are clear and governance systems identify areas in need of support.

Report completed by: Katie Milton



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Section 7 Statutory & Mandatory Training Completion Summary



Target 2017

Q4 2017

Q1 2018

Q2 2018

Q3 2018

Feb 2018

Mar 2018

Apr 2018

May 2018

June 2018

July 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

Jan 2019 Sparkline

Data Quality


Training Rate (NDHT)

85.0% 86.03% 89.6% 89.7% 90.2%

90.0% 90.2% 89.4% 89.7% 89.6% 89.7% 89.6%

90.4%

90.6%

86.2%

92.0%

91.7% 91.4%

Training - Statutory (NDHT)

85.0% 88.38% 93.8% 93.1% 93.4%

90.4% 94.1% 93.3% 93.3% 93.1% 93.0% 92.6%

93.8%

93.7%

83.3%

93.9%

94.1% 94.0%

Training - Mandatory (NDHT)

85.0% 77.90% 78.3% 82.3% 83.5%

85.1% 71.4% 81.8% 82.5% 82.2% 82.3% 82.4%

83.9%

84.1%

83.7%

86.0%

85.5% 84.8%

Training - Safeguarding Adults (NDHT)

85.0% 92.73% 94.7% 92.1% 94.8%

95.0% 95.1% 94.7% 94.6% 86.9% 94.8% 94.5%

94.9%

95.1%

94.7%

95.6%

94.8% 94.5%

Training - Safeguarding Children (NDHT)

85.0% 88.30% 89.4% 90.5% 91.7%

92.6% 90.1% 89.6% 89.7% 90.5% 91.4% 91.7%

91.8%

91.5%

91.7%

93.7%

92.5% 91.6%



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Section 7.1 Statutory & Mandatory Training Completion Breakdown



Target 2017

Q4 2017

Q1 2018

Q2 2018

Q3 2018

Feb 2018

Mar 2018

Apr 2018

May 2018

June 2018

July 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

Jan 2019 Sparkline

Data

Quality Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value Value

Training - Statutory - Equality & Diversity (NDHT)

85.0% 96.13% 96.9% 97.5% 97.6% 97.3% 97.5% 96.1% 97.4% 97.5% 97.5%

97.5%

97.6%

97.6%

97.4%

97.7%

96.8%

96.4%

Training - Statutory - Fire (NDHT)

85.0% 88.80% 89.7% 86.7% 86.1% 88.2% 89.4% 89.1% 87.6% 86.5% 86.1%

84.6%

87.1%

86.6%

86.3%

88.5%

89.9%

89.8%

Training - Statutory - Infection Control

Clinical (NDHT)

85.0% 87.20% 91.0% 92.7% 94.2% 95.2% 92.0% 90.4% 92.6% 92.6% 93.0%

93.5%

94.4%

94.8%

94.3%

95.7%

95.6%

95.9%

Training - Statutory - Infection Control Non-Clinical (NDHT)

85.0% 91.63% 98.6% 98.4% 98.6% 98.8% 98.4% 99.2% 98.4% 98.3% 98.6%

98.7%

98.7%

98.5%

99.0%

98.7%

98.7%

98.6%

Training - Statutory - Moving & Handling Patient (NDHT)

85.0% 85.68% 84.2% 80.6% 81.0% 82.8% 86.0% 77.5% 81.4% 80.6% 79.7%

78.3%

82.5%

82.3%

81.4%

82.1%

84.9%

84.2%

Training - Statutory -

Moving & Handling Non-Patient Annual (NDHT)

85.0% 74.60% 100% 100% 100% 66.7% 100% 100% 100% 100% 100% 100% 100% 100% 0.0% 100% 100% 100%

Training - Statutory - Moving & Handling Non-Patient Bi-Annual (NDHT)

85.0% 92.83% 97.6% 99.3% 99.5% 99.2% 98.7% 99.6% 99.2% 99.3% 99.4%

99.6%

99.6%

99.4%

99.4%

99.1%

99.1%

99.1%



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Target 2017

Q4 2017

Q1 2018

Q2 2018

Q3 2018

Feb 2018

Mar 2018

Apr 2018

May 2018

June 2018

July 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

Jan 2019 Sparkline

Data Quality


Training - Mandatory - Conflict Resolution (NDHT)

85.0% 89.18% 91.1% 91.1% 91.1% 91.5% 90.8% 92.4% 92.3% 90.8% 90.2%

90.8%

90.6%

91.8%

93.3%

90.4%

90.7%

90.7%

Training - Mandatory - Essential Patient Safety Review (NDHT)

85.0% 72.73% 76.1% 77.0% 76.4% - 75.9% 76.7% 77.2% 77.3% 76.4%

75.2%

76.6%

77.4%

78.0%

- - -

Training - Mandatory - Information Governance (NDHT)

95.0% 79.68% 85.6% 92.3% 89.7% 89.2% 84.1% 92.3% 93.0% 92.1% 91.8%

89.7%

89.7%

89.6%

88.8%

90.8%

87.9%

86.0%

Training - Mandatory - Resuscitation

(NDHT)

85.0% 73.20% 75.5% 71.0% 75.1% 78.1% 76.3% 74.4% 71.6% 71.0% 70.4%

72.3%

76.7%

76.2%

77.1%

77.7%

79.5%

81.4%

Training - Safeguarding Adults - Awareness (NDHT)

85.0% 96.43% 97.2% 97.9% 98.1% 97.9% 97.8% 96.3% 97.7% 97.9% 98.0%

98.1%

98.1%

98.2%

97.6%

98.2%

97.9%

98.0%

Training - Safeguarding Adults - Dementia (NDHT)

85.0% 94.08% 95.8% 96.4% 96.3% 96.8% 96.5% 95.5% 96.5% 96.3% 96.3%

95.5%

96.4%

96.9%

96.5%

97.4%

96.6%

96.3%

Training - Safeguarding Adults - MCA &

DOLS (Part B) including Alerters (Part A)

85.0% 87.40% 89.8% 89.8% 90.1% 90.2% 90.8% 88.9% 89.6% 89.5% 90.2

%

90.0

%

90.1

%

90.2

%

89.8

%

91.1

%

89.8

% 89.3%

Training - Safeguarding Children - Group 1 (NDHT)

85.0% 95.58% 95.8% 95.8% 96.1% 96.2% 96.3% 95.1% 95.8% 95.6% 95.9%

95.9%

96.1%

96.2%

95.9%

96.3%

96.5%

94.7%


85.0% 86.25% 89.0% 88.4% 88.6% 89.0% 89.3% 88.9% 88.4% 88.2% 88.5%

88.5%

88.6%

88.7%

88.0%

90.1%

88.9%

88.2%



15


Target 2017

Q4 2017

Q1 2018

Q2 2018

Q3 2018

Feb 2018

Mar 2018

Apr 2018

May 2018

June 2018

July 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

Jan 2019 Sparkline

Data Quality



85.0% 82.93% 83.1% 87.5% 90.4% 92.7% 84.7% 83.7% 84.8% 88.0% 89.7%

90.8%

90.7%

89.7%

91.2%

94.9%

92.0% 91.8%

Section 7.2 Training Completion Rate by Division



Target

2017 Q4

2017 Q1

2018 Q2

2018 Q3

2018 Feb 2018

Mar 2018

Apr 2018

May 2018

June 2018

July 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

Jan 2019 Sparkline

Data Quality


Chief Executive Division (Training Rate)

85.0% 85.88% 97.6% 88.3% 87.5% 92.3% 98.2% 98.0% 92.5% 92.5% 80.0%

82.1%

88.3%

92.1%

88.8%

89.8%

98.3%

97.5%

Strategy and Development Division (Training Rate)

85.0% 88.00% 88.7% 91.2% 88.5% 91.5% 90.3% 85.1% 93.3% 90.2% 90.2%

88.7%

88.2%

88.7%

90.0%

91.8%

92.8%

92.0%

Facilities Division (Training Rate)

85.0% 90.40% 96.9% 96.7% 96.9% 91.5% 95.2% 97.2% 96.9% 96.2% 97.1%

96.6%

97.4%

96.7%

78.9%

98.0%

97.7%

97.7%

Finance Performance & Info Division (Training Rate)

85.0% 85.23% 96.2% 97.8% 97.8% 97.7% 94.2% 98.2% 97.7% 97.6% 98.1%

97.4%

97.9%

98.2%

97.6%

97.2%

98.3%

97.8%

Medical Director Division (Training Rate)

85.0% 79.85% 81.1% 58.6% 63.5% 63.8% 89.8% 62.8% 58.6% 59.3% 58.0%

58.7%

65.4%

66.3%

60.0%

66.4%

64.9%

65.3%

Planned Care Division (Training Rate)

85.0% 85.55% 88.9% 88.9% 89.6% 90.6% 89.8% 88.8% 88.4% 88.9% 89.5%

89.0%

89.9%

89.9%

89.8%

91.0%

91.0%

90.4%



16


Target

2017 Q4

2017 Q1

2018 Q2

2018 Q3

2018 Feb 2018

Mar 2018

Apr 2018

May 2018

June 2018

July 2018

Aug 2018

Sept 2018

Oct 2018

Nov 2018

Dec 2018

Jan 2019 Sparkline

Data Quality


IM&T Division (Training Rate)

85.0% 94.15% 93.1% 96.2% 96.6% 97.2% 88.8% 96.1% 95.8% 95.9% 96.9%

96.6%

97.1%

96.1%

97.8%

96.6%

97.3%

97.0%

Nursing, Quality & Workforce (Training Rate)

85.0% 90.90% 93.1% 94.8% 93.5% 94.6% 92.4% 93.5% 95.0% 94.4% 95.0%

93.4%

93.9%

93.2%

93.4%

95.2%

95.3%

93.8%

Project Delivery Unit (Training Rate)

85.0% 93.70% 99.0% 95.0% 92.6% 95.7% 100% 96.3% 96.3% 94.4% 94.4%

94.4%

91.7%

91.7%

94.4%

96.3%

96.3%

91.7%

Unplanned Care (Training Rate)

85.0% 87.53% 89.2% 89.1% 89.9% 91.2% 89.5% 88.9% 89.1% 89.0% 89.2%

89.1%

90.1%

90.4%

90.3%

91.9%

91.3%

91.0%

Indicator: Percentage of staff completing required statutory, mandatory and safeguarding training in the last 12 months

Executive Lead: Julie Cooper

Description of how the standard is measured: The percentage of staff who complete the required elements of statutory, mandatory and safeguarding training in the last 12 calendar months

Performance in the period: As predicted in the last report, the cancellation of training as part of the winter pressures mitigation has resulted in a drop in compliance levels, particularly topics delivered by face to face training, but the drop is much smaller than could have been anticipated. The overall training compliance rate still remains good. The Resuscitation training rate improved further again in January at 81.4% against a target of 85%.

We are still consistently showing below target for the following:

- Information Governance (GDPR) – Unfortunately there has been an on-going decline but has a higher target of 95%.

- Resuscitation (face to face) is much improved however still below target

- Safeguarding Adults Practitioner (Level 3).

Actions taken: The training manager has continued to take an active role in reminding staff and managers individually where they or their teams are out of date. Regular training dates for medical staff training have been agreed and circulated. We are in the process of replacing the current learning management system (STAR) with the OLM system which has a provision to improve staff awareness of their compliance needs. The IG team are currently looking into alternative eLearning provisions as well as proactively chasing those staff that are non-compliant via emails.

Report completed by: Katie Milton



17

Section 7.3 Training Compliance by Staff Group


Target % % % % % % % % %

NHS Conflict Resolution 85% 95.7% 87.8% 89.3% 93.4% N/A 93.3% 33.3% 92.6% 90.7%

Resuscitation 85% 87.0% 82.7% N/A 77.9% N/A 78.3% 70.7% 85.2% 81.4%

Information Governance 95% 86.8% 85.5% 90.3% 89.6% 94.6% 92.9% 69.0% 86.2% 86.0%

EPRR 85% 83.1% 86.0% 87.4% 86.3% 82.8% 88.6% 41.6% 83.6% 81.1%

Safeguarding Adults

Awareness85% 97.7% 99.7% 99.1% 99.2% 100.0% 100.0% 87.0% 99.4% 98.0%

Safeguarding Adults Level 2

(DOLS & MCA)85% 94.9% 91.6% 70.0% 92.2% N/A 71.4% 70.4% 94.0% 89.3%

Safeguarding Adults

Practitioners85% N/A N/A N/A 70.8% N/A N/A N/A 81.2% 79.4%

Dementia 85% 98.1% 98.4% 100.0% 98.8% N/A 83.3% 84.8% 98.9% 96.3%

Safeguarding Children -

Level 185% 97.0% 96.2% 96.0% 91.5% 95.9% 97.2% 84.9% 96.5% 94.7%


Level 285% 95.1% 92.5% 100.0% 91.5% N/A 90.5% 69.2% 90.6% 88.2%


Level 385% 100.0% 85.2% 62.5% 85.7% N/A N/A 86.4% 95.1% 91.8%

Pressure Ulcer E-Learning 85% 100.0% 93.0% 100.0% 87.1% N/A N/A N/A 93.5% 92.8%

Equality, Diversity & Human

Rights85% 97.7% 96.6% 98.6% 98.4% 100.0% 100.0% 83.9% 97.8% 96.4%

Fire Safety- Annually 85% 89.7% 86.5% 100.0% 85.0% 100.0% N/A 74.3% 88.2% 85.2%

Fire Safety - 2 Yearly 85% 91.9% 93.4% 95.1% N/A 96.9% 84.5% 87.5% 100.0% 94.4%

Health, Safety & Welfare 85% 97.7% 98.8% 98.7% 98.0% 100.0% 100.0% 84.9% 97.4% 96.9%

Infection Prevention &

Control (Clinical)85% 96.7% 99.4% 100.0% 95.9% N/A N/A 83.3% 98.6% 95.9%

Infection Prevention &

Control85% 98.6% 98.7% 98.6% N/A 100.0% 100.0% 83.3% 100.0% 98.6%

Moving & Handling (Clinical)

- Level 285% 86.2% 87.0% N/A 84.6% N/A N/A 68.8% 88.2% 84.2%

Moving & Handling

(Non-Clinical) - Level 185% 98.6% 98.8% 99.0% 100.0% 100.0% 100.0% 91.7% 100.0% 99.1%

Moving & Handling

(Non-Clinical) - Level 285% N/A N/A N/A N/A 100.0% N/A N/A N/A 100.0%

Patient Falls 85% 96.9% 94.7% 100.0% 97.5% N/A 95.5% 51.0% 95.9% 89.8%

OVERALL COMPLIANCE BY

STAFF GROUP85% 94.0% 92.5% 95.8% 91.9% 96.6% 94.8% 73.7% 92.9% 91.3%

Medical and

Dental

Nursing and

Midwifery

Registered

Total Staff

Groups

Add Prof

Scientific and

Technic

Additional

Clinical

Services

Administrative

and Clerical

Allied Health

Professionals

Estates and

Ancillary

Healthcare

Scientists



18

Section 8 Safer Staffing



19



20

Performance in the period:

Overall the fill rates are being maintained in the clinical areas, with some minor improvements seen. It should be noted that over the Christmas period there were a number of areas which had reduced beds which enabled staff to be utilised in different areas to ensure safety across the Trust.

When comparing care hours per a day required as part of the three times a day census compared to actual they are tracking each other giving assurance that staffing is mitigated to meet patient need.

Overall the fill rates are being maintained in the clinical areas with redeployments and acuity based on care hours per day which is managed daily, there continues to be improvements made. This is due to a number of new starters which joined the organisation during September and October, it is important to note that many of these staff will have been working supernumerary as part of induction and development programmes.

Where the number of staff has been noted as below the 100% fill rate, the Senior Nursing team have exercised professional judgement in ensuring safety is maintained.

Daily staffing meetings continue.

The fill rate at night for care staff continues to remain above 100%, this is in part due to requirement for 1:1 staffing for enhanced observation and cohort bay nursing.



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SECTION 9 GLOSSARY OF TERMS

Curr Current Dir Direction DNA Did Not Attend EoY End of Year ESR Employee Staff Record FTCs Fixed-Term Contracts Hrs Hours IG Information Governance Ind Indicator LTFM Long Term Financial Management MCA Mental Capacity Act Mth Month Mthly Monthly NDHT Northern Devon Healthcare NHS Trust NHS Profs NHS Professionals OT Overtime STAR Staff Training Access & Resource SWDC Strategic Workforce Development Committee TCS Transforming Community Services WTE Whole-Time Equivalent (number of staff) YTD Year to Date

section 1 key performance indicators...1 section 1 key performance indicators 2016-17 quarterly...

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