Publish date: 8 April 2024

Ward Guardian, the new information and monitoring tool, will be rolled out to the final stage of Phase 4 across Secure Division from Monday 6 May 2024 to the below areas.

  • Dickens Ward
  • Ruskin Ward
  • Owen Ward
  • Arnold Ward
  • Byron Unit
  • Marlowe Ward
  • Chesterton Ward
  • Tennyson Ward
  • Auden Ward
  • HSS Health Centre
  • Security Training
  • Aspen Wood Security
  • Security Reception
  • Rowan View Security
  • Central Security

Ward Guardian is a tool to support managers in effective use of our rosters. The tool brings together relevant information regarding planned rosters which rostering mangers can use to make amendments to their roster before the roster cycle begins. We need rostering mangers to adhere to the four/ five parameters below.

Inpatients

Roster Principle

Target

Rationale/ Benefits of Adherence to this Principle

Roster Fully Approved 42 Days

in Advance

 

All rosters to be signed off and approved by first approver by 49 days and second approver 42 days in advance.

42 days in advance

Evidence from other trusts and within Mersey Care clearly demonstrates that approving a roster with at least six weeks’ notice leads to reduced bank/agency staff usage and a reduction in sickness hours. In addition, this is

an NHSEI Level of Attainment metric which Mersey Care is assessed against.

Designated person in charge allocated to every shift.

 

Each shift (early, day or night) must have a designated in charge person identified on the roster when submitted. The aim is to clearly indicate who the designated, qualified in charge

person is for every shift on completion of a roster.

75% of shifts must have a designated staff member in charge

This is a safety and compliance measure. At present, whilst most, if not all shifts have a designated in charge person, this is not always recorded on Health Roster.

Temporary Cover Requirements Requested Before Roster Approved

 

Requirements for temporary cover which are identified during the rostering process are requested prior to the roster being

signed off by the second approver.

Maximum of 5 shifts left to be requested at roster second approval

If requests for temporary cover are made in advance, it is more likely that the cover can be provided and that this cover can be filled by bank staff or overtime rather than higher costing agency staff.

Annual Leave Equally Distributed Throughout the Year

 

Annual leave should be equally distributed across the year. The target is that as close to 15.2% (with tolerance of >< 5%) of contracted hours are allocated to annual leave in every roster cycle.

15.2% of contracted hours rostered (><5% tolerance)

If annual leave is equally allocated across the year, this ensures staff are taking their annual leave to assist with their health and wellbeing. This metrics also assists with the reduction of inappropriate use of bank and agency staff.

Staff Within the Accepted 21- Hour Tolerance.

 

A maximum of 21 hours can be carried forward to a roster cycle. If this is exceeded for more than 3 members of staff in the team, adherence to this principle will be deemed to have not been complied with.

 

All available hours to the rostering manager should be allocated within a roster cycle. As close to possible to zero hours should be carried over. Similarly, hours owed to staff should be maintained as close as possible to zero. It is accepted that from time- to-time, hours will either be owed to or by staff.

Maximum of 3 staff members outside of 21-hour tolerance

Evidence and data available clearly indicate that many available hours go un-rostered in each roster cycle. This differs significantly across wards/ teams, with some wards/teams managing this issue effectively, and others not doing so well.

If available hours are not rostered, this results in lost capacity which comes at a cost and inappropriate use of bank and agency staff.

 

 

 

Security Teams

Roster Principle

Target

Rationale/ Benefits of Adherence to this Principle

Roster Fully Approved 42 Days

in Advance

 

All rosters to be signed off and approved by first approver by 49 days and second approver 42 days in advance.

42 days in advance

Evidence from other trusts and within Mersey Care clearly demonstrates that approving a roster with at least six weeks’ notice leads to reduced bank/agency staff usage and a reduction in sickness hours. In addition, this is

an NHSEI Level of Attainment metric which Mersey Care is assessed against.

Overtime %

Last roster’s percentage of substantive hours which are full rate Overtime or Plain/Additional rate hours.

<=3% of hours

To ensure that colleagues are not paid at a higher rate of overtime than they are eligible to receive.

 

Overtime should not be used to cover vacancies if there are owed net hours within the team.

Annual Leave Equally Distributed Throughout the Year

 

Annual leave should be equally distributed across the year. The target is that as close to 15.2% (with tolerance of >< 5%) of contracted hours are allocated to annual leave in every roster cycle.

15.2% of contracted hours rostered (><5% tolerance)

If annual leave is equally allocated across the year, this ensures staff are taking their annual leave to assist with their health and wellbeing. This metrics also assists with the reduction of inappropriate use of bank and agency staff.

Staff Within the Accepted 21- Hour Tolerance.

 

A maximum of 21 hours can be carried forward to a roster cycle. If this is exceeded for more than 3 members of staff in the team, adherence to this principle will be deemed to have not been complied with.

 

All available hours to the rostering manager should be allocated within a roster cycle. As close to possible to zero hours should be carried over. Similarly, hours owed to staff should be maintained as close as possible to zero. It is accepted that from time- to-time, hours will either be owed to or by staff.

Maximum of 3 staff members outside of 21-hour tolerance

Evidence and data available clearly indicate that many available hours go un-rostered in each roster cycle. This differs significantly across wards/ teams, with some wards/teams managing this issue effectively, and others not doing so well.

If available hours are not rostered, this results in lost capacity which comes at a cost and inappropriate use of bank and agency staff.

 

 

 

Ward Guardian will monitor adherence to each principle and provide reports directly to rostering managers as to how well they are adhering to these principles and how to improve rosters if necessary. The table above provides information on the principle, the target which will be used to measure if adherence has been achieved, and the description for the principle/target.

The below diagram summarises how Ward Guardian works.

A diagram of a workflowDescription automatically generated

 

As part of the rollout, training on Ward Guardian will be provided aimed at rostering mangers and deputies and one session to brief Clinical Service and Operational Managers. These sessions are noted below.

Monday 22 April 1pm to 2pm (Roster managers)

Microsoft Teams

Join the meeting now

Meeting ID: 345 248 390 860

Passcode: 5hTuU8

Wednesday 24 April 10.30am to11.30am (Roster managers)

Microsoft Teams

Join the meeting now

Meeting ID: 328 521 452 142

Passcode: zFcuib

Thursday 25 April 10.30am to 11.30am (Clinical service mangers/ Operational managers)

Microsoft Teams

Join the meeting now

Meeting ID: 325 036 359 889

Passcode: SWrpWw

If you have any questions in relation to the project, please contact Strategicprogrammes.development@merseycare.nhs.uk