Gearing workforce management explicitly around patients’ requirements has significant effects, as East and North Hertfordshire NHS Trust has demonstrated. It has used e-rostering software to prioritise the care of patients with dementia and ensure the right staffing mix is available for its patients, transforming care for patients and reducing its agency spend on enhanced care duties by more than half.
Overall, the clinical and financial benefits from e-rostering and the introduction of the ENCT include improving the visibility of patient numbers, working staff, available staff, and patient acuity levels. It has enabled efficient deployment and re-deployment of staff at the right place and time, with each member aware of any changes such as admission or discharge of patients and staff can move accordingly, with the help of mobile alerts.
Liz Lees, Director of Nursing at East and North Hertfordshire NHS Trust, said: “The most impressive thing about the team is that while there has been an increase in demand for enhanced care, they have reduced temporary staff spending and even decreased the cost of enhanced care. They have done this by flexibly deploying the team to meet the needs of the patients throughout the day to provide high-quality safe care to some of our most vulnerable patients.”
This can be seen through a reduction in cost per whole time equivalent for the delivery of enhanced care from £2,352 in quarter one 2015 to £1,367 in quarter one 2016.
COST PER STAFF MEMBER TO DELIVER ENHANCED CARE (£ PER WHOLE TIME EQUIVALENT)