Workforce Performance Report April 2019 Workforce Executive Lead

Workforce Performance Report (April 2019) Workforce (Executive Lead – Tim Boylin) Workforce Performance Report April 2019 Tim Boylin Director of Human Resources

Workforce Performance Report (April 2019) Workforce (Executive Lead – Tim Boylin) Review of Temporar y Staffing Use The graph above shows temporary staffing spend April 2015. In July 2017 the OOH GPs transferred onto the bank, they did not previously show in temporary staffing spend The graph shows that the upward trajectory of spend on temporary staffing has steadied in FY 19 and the increase in spend has been absorbed by growing the bank rather than by increasing agency use. It is hoped that the current use of temporary staffing can be maintained or reduced and therefore in FY 20 through growing the bank further rather than maintaining agency spend it will decrease.

Workforce Performance Report (April 2019) Workforce (Executive Lead – Tim Boylin) Temporary Staffing Spend This Month: 20. 07% £ 4. 02 m Last Month: 17. 00% £ 3. 54 m Last Year: 19. 40% £ 3. 96 m Temporary staffing spend increased by 474 K (13%) to £ 4. 02 m, in line with normal annual trends, but the highest ever. For the first time, there is full confidence that agency spend is Actual for the month rather than inflated due to invoicing issues. Spend was 20. 07% of payroll approximately the same cost and a slightly higher % than last year with the amount of bank use increased by £ 266 k whilst agency decreased by £ 209 k. 57% of total temporary staffing spend was agency a 5% increase on the previous month. £ 353 k of the increase in temporary staffing spend is attributable to Inpatient units, of which £ 288 k was through Bank. Bucks AMHTS and Bucks CAMHS Medical also saw a significant increase in agency spend.

Workforce Performance Report (April 2019) Workforce (Executive Lead – Tim Boylin) Temporary Staffing Spend Agency Spend increased in the 4 operational directorates with bank spend increasing significantly in Oxfordshire & SW MH. NHSI agency rule overrides are now being reported against the new directorates and are reported in true calendar months rather than aggregated weeks.

Workforce Performance Report (April 2019) Workforce (Executive Lead – Tim Boylin) HCA Agency Spend Reduction On 14 May 2018 the Trust stopped using Agency HCA workers across inpatient units. Where a HCA Flexible Worker cannot be sourced Registered Nurses are used. In March the number of temporary staffing hours used in inpatient units increased by 40%, from 27, 555 to 45, 750 this was not reflected in the number of additional shifts recorded at 17% from 6287 to 7342 – staff worked longer shifts. It is thought that this steep rise was due to substantive employees working a Flexible Worker shift whilst taking annual leave on their substantive post. NHSI Agency rule overrides which are now reported in true calendar months increased to 1008 from 878. It s thought that this is due to the increased demand for agency worker across all Trusts at the end of the financial year. . Agency grade swops remained at a similar level to the previous month. The number of Thornbury shifts used increased to their highest level.

Workforce Performance Report (April 2019) Workforce (Executive Lead – Tim Boylin) Agency Target 5. 0% Agency Spend (%) By Directorate

Workforce Performance Report (April 2019) Workforce (Executive Lead – Tim Boylin) Sickness Target 3. 5% Sickness (%) By Directorate

Workforce Performance Report (April 2019) Workforce (Executive Lead – Tim Boylin) Turnover Target 12. 0% Turnover (%) By Directorate

Workforce Performance Report (April 2019) Workforce (Executive Lead – Tim Boylin) Vacancy Target 9. 0% Vacancy (%) By Directorate

Workforce Performance Report (April 2019) Workforce (Executive Lead – Tim Boylin) WRES Indicators 1& 2 - Chart showing NHS Jobs applicants ethnic origin Indicator 2: Likelihood of being appointed 80, 00% 70, 00% 60, 00% 50, 00% White Applicants 40, 00% BME applicants 30, 00% Not disclosed 20, 00% 10, 00% Ap r-1 8 M ay Ju ne Ju ly Au g Se p Oc t No v D Ja ec n 19 Fe M b ar ch Ap ril Apr-18 May June July Aug Sept Oct Nov Dec Jan-19 Feb March 0, 00% Ethnic origin of staff in disciplinary process at 16 April 80, 00% 70, 00% 60, 00% 50, 00% 40, 00% White 30, 00% 20, 00% Not disclosed 10, 00% Ap r -1 8 M ay Ju ne Ju ly Au g Se pt Oc t No v De Ja c n 19 Fe M b ar ch Ap ril 0, 00% BME

Workforce Performance Report (April 2019) Workforce (Executive Lead – Tim Boylin) WRES Indicator 6: Bullying by staff Percentage experiencing bullying from patients 35% 45% 30% 40% 35% 25% 30% 25% 20% White 20% 15% BME 15% 10% 5% 5% 0% 2014 2015 White 2016 0% 2017 2014 2015 2016 BME Indicator 7: %age believing Trust provides equal opportunities 100% 80% 60% White 40% BME 20% 0% 2014 2015 2016 2017