An evidence-based method for the determination of safe and effective staffing levels for physiotherapy services

An evidence-based method for the determination of safe and effective staffing levels for physiotherapy services

eS692 WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS633–eS832 Funding acknowledgements: This project was supported and funded ...

47KB Sizes 7 Downloads 25 Views

eS692

WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS633–eS832

Funding acknowledgements: This project was supported and funded by Health Education West Midlands. Ethics approval: Approved by the University of Worcester Institute of Health and Society Research Ethics Committee and permission granted by participating Trusts. http://dx.doi.org/10.1016/j.physio.2015.03.3538 Special Interest Report Platform Presentation Number: SI-PL-2081 Sunday 3 May 2015 13:56 Room 334–335 AN EVIDENCE-BASED METHOD FOR THE DETERMINATION OF SAFE AND EFFECTIVE STAFFING LEVELS FOR PHYSIOTHERAPY SERVICES R. Jones 1,2 , F. Jenkins 1,3 1 JJ Consulting Healthcare Management Ltd, Bath and Cardiff, United Kingdom; 2 Moorfields NHS FT, London, United Kingdom; 3 Cardiff and Vale UHB, Cardiff, United Kingdom

Background: It is widely recognised within Physiotherapy that there is need for robust evidence-based approaches to determining safe and effective staffing levels. Patient safety, ensuring quality patient care with compassion and respect for patients’ dignity, achieving optimal clinical outcomes, is of paramount importance. Staffing level determination is complex, there are no standard nationally or internationally agreed approaches. The UK Francis Report on serious failings at Mid Staffordshire NHS FT and subsequent reports including Berwick, Keogh, Andrews and others referred to correlation between patient safety and staffing levels. Staffing levels have been the subject of widespread controversy, political ‘standpoints’, debate within patient representative organisations, professional bodies, trades unions, public and media. Purpose: Although the UK focus on staffing levels has been on nursing services, patient care requires multidisciplinary intervention including physiotherapy. Our purpose has been to design and develop a logical, evidence-based approach to support physiotherapy managers, leaders and clinicians responsible for workforce planning. Methods: We have developed our safe and effective staffing approach over many years drawing on our experience as healthcare and physiotherapy directors, managers, leaders and clinicians, and on our work in research and consultancy. We have undertaken service reviews and surveys and have scoped nationally and internationally studying over 200 publications and contacting at least 30 UK and 25 international organisations on this topic, as well as ‘online’ research to ascertain current practice in staffing level determination. Our approach incorporates two major elements: use of our Management Quality Matrix and 10 steps for calculating

safe and effective staffing levels. We also use tried and tested tools which we have developed on Staff Activity Analysis and Benchmarking. The Matrix comprises 14 standards each with a wide range of components designed to measure performance and improve quality of services. The underpinning principle of our approach is to establish need, demand, projected throughput and annual activity for the new, re-designed or service under review including safety, risk and patient experience parameters established using the Management Quality Matrix and calculating and matching an appropriate staffing level to satisfy these demands and needs. The process comprises 10 steps to ensure that the annual staff workload capacity matches the identified or projected annual caseload requirement. The process uses data from within the service (evidence), including activity analysis and benchmarking data available. Results: The result of using our approach is a methodical, explicit and evidence-based process for determining safe and effective staffing levels. Conclusion(s): An effective and efficient way to approach staffing level determination is to assess the volume of work to be done at the standard required for safe and effective care, good patient experience and achieving the clinical outcomes required and then calculating appropriate staffing capacity to match these. Use of our Management Quality Matrix and Ten Steps framework supplemented by our Activity Analysis and Benchmarking Tools will facilitate the process. Implications: This work makes available an evidencebased process for calculating appropriate staffing levels for business cases, staffing proposals and also for workforce design and management which will enhance patient experience. Keywords: Determining safe staffing; Effective workforce management; Techniques and tools Funding acknowledgements: None. Ethics approval: None required. http://dx.doi.org/10.1016/j.physio.2015.03.3539