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Improve Leadership Skill Mix and Staffing To Reduce Staff Absence Hot

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Area Classification

Mental Health

Briefly describe what it is

Historically, the loss of senior staff from Inpatient wards to Community Mental Health Teams had led to a higher proportion of junior qualified staff who do not possess this skills or experience required to work in the most acute, high risk part of the system.This has contributed to high sickness levels and in response to a survey on sickness absence staff clearly cited staffing levels as a key reason for that stress. A local agreement was implemented to increase staffing levels and ensure leadership issues were addressed by having a Band 6 member of staff on duty at all times.

Were there any key things that you had to do to make it happen?

Patient safety has been the central driver. A proposed new staffing establishemnt was developed and put to our Board of Govenors to provide better assurance in delivering a consistently safe service. this was supported by the Chief Nurse/Director of service Delivery, the Medical Director and the Human Resource Department.

Describe (and provide evidence) of the impact on quality of care

The staff to patient ratio has now increased and has led to more direct face to face contact with patients. We have also seen a reduction in sickness levels, serious incidents, medication errors and AWOL patients.

Describe (and provide evidence) of the impact on patient (or staff) experience

Clinical supervision happens more frequently. This has subsequently contributed to a reduction in staff sickness. Staff describe feeling supported as the availability of who they can turn to for help has increased. 82% of our patients currently feel satisfied that staff involve them in decisions about their own care.

Describe (and provide evidence) of the impact on reducing cost

Reduction in sickness and bank / agency fill costs.
Reduction in patient going AWOL has also impacted on use of Police Service Resources.
Overall reduction in investigative tasks due to errors which has clear benefits for the integrity and finances of the organisation.
Increased staff time with patients.

Keywords / Tags

Leadership, Sickness levels, Stress, Safe, Patient Contact, Clinical Supervision, Patient Satisfaction

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