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Staffing levels (finalv3)

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WQ.215/2019

WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY K.G. PAMPLIN OF ST. SAVIOUR

ANSWER TO BE TABLED ON TUESDAY 4th JUNE 2019

Question

Will the Minister provide an update on staffing levels at the General Hospital from the past 18 months, indicating when and in which departments staffing levels were under capacity and in which departments and on which dates reduced staffing levels coincided with higher than average demand for the services provided by those departments?

Answer

The staffing levels (vacancies) over the past 18 months (October 2017 – April 2019) by department are provided below. It is not possible to provide data or information identifying staffing levels against demand as this data has not previously been captured. As part of the PeopleLink programme across the Government of Jersey, HCS has commenced implementation of e-rostering (an electronic rostering system), across all departments and pay groups, which will enable us to manage our resources in a more transparent and efficient way. For ward areas, as part of this work, we are implementing an additional software package called Safe Care'; this will enable us to compare the amount of individual nursing care required per patient and the number of nurses available on the clinical area under scrutiny (ie overall, the sicker and less mobile the patients are in a unit eg intensive care unit, the more nursing care per patient is needed) alongside our staffing levels and bed occupancy, providing assurance in relation to staffing and demand. All wards will be using this system by the end of the year.

 

October 2017

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

2.6

7.1

1.1

7.8

6.5

3.2

1.6

8.0

N/A

General

0

0

0.2

11.1

0.5

25.7

14.5

11.9

1

50

Estates & Facilities

N/A

N/A

N/A

0.5

1.9

10.6

11.6

Medical Specialities

23.1

11.4

4.8

8.9

0

0

1

6.7

N/A

Surgical Services

12

9.2

1.3

3.5

0.7

6.6

0.3

2.8

N/A

Theatres

19.5

16.8

2

8.7

0

0

3

28.7

N/A

Therapy Services

2

50

0

0

10

10.1

2.8

21.4

N/A

Women & Children

5.7

4.7

8.5

30.8

1

100

0.2

1.5

N/A

 

November 2017

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

2.6

7.1

0

0

0

0

1.6

8.0

N/A

General

0

0

0

0

0.5

25.7

14

11.2

1

50

Estates & Facilities

N/A

N/A

N/A

0.5

1.9

9.6

10.5

Medical Specialities

23.1

11.4

6.8

12.7

0

0

2

13.5

N/A

Surgical Services

14.2

4

0.7

1.9

1.1

10.3

0.7

6

N/A

Theatres

14.5

12.5

1

4.3

0

0

3

28.7

N/A

Therapy Services

2

50

0

0

8.8

7.9

2.2

16.7

N/A

Women & Children

3.8

3.1

10.4

35.1

1

100

0.2

1.5

N/A

December 2017

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

2.9

7.9

1.1

7.8

7

3.4

2.1

10.2

N/A

General

0

0

0

0

0.5

25.7

18.6

14.2

1

50

Estates & Facilities

N/A

N/A

N/A

0.5

1.9

10.6

11.6

Medical Specialities

18.1

8.8

4.8

8.9

0

0

1.3

9.1

N/A

Surgical Services

15.7

12

0.7

1.9

1.9

17.9

0.7

6

N/A

Theatres

14.1

12.2

1

4.3

0

0

2

19.3

N/A

Therapy Services

2

50

0

0

10.6

10.6

2.2

16.8

N/A

Women & Children

3.8

3.1

9.4

31.8

1

100

0.2

1.5

N/A

 

January 2018

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

3.3

9.4

2.1

14.9

7.1

3.5

1.6

3.1

N/A

General

0

0

0

0

0.5

25.7

14.7

11.3

2

100

Estates & Facilities

N/A

N/A

N/A

0.5

1.9

6.6

7.2

Medical Specialities

19.8

9.7

5.4

10

1

75

1

6.8

N/A

Surgical Services

13.3

10.2

0.7

1.9

1.9

17.9

0

0

N/A

Theatres

13.7

11.8

1

4.3

0

0

2

19.3

N/A

Therapy Services

0

0

0

0

17.3

17

4.2

26.2

N/A

Women & Children

4.1

3.4

7.4

25

1

100

0

0

N/A

 

February 2018

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

2.3

6.6

2.1

14.9

5.5

2.7

1.1

5.5

N/A

General

0

0

0

0

0.5

25.7

15.7

12.1

1

50

Estates & Facilities

N/A

N/A

N/A

0.5

1.9

8.6

9.4

Medical Specialities

22.4

10.8

3.8

7

0

0

0

0

N/A

Surgical Services

17.1

13.1

0.7

1.9

1.9

17.9

0

0

N/A

Theatres

11.7

10.1

1

4.3

0

0

1

9.8

N/A

Therapy Services

0

0

0

0

14.1

13.8

4.1

25.6

N/A

Women & Children

5.1

4.2

7.4

25

1

100

0.9

9

N/A

 

March 2018

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

1.3

3.7

2.1

14.9

8.9

4.2

1.7

8.3

N/A

General

0

0

0

0

0.5

25.7

17.7

13.7

2

100

Estates & Facilities

N/A

N/A

N/A

1.5

5.5

8.6

9.4

Medical Specialities

21.3

10.3

4.3

8.1

0

0

1

6.6

N/A

Surgical Services

16

12.3

0.7

1.9

1.9

17.9

0

0

N/A

Theatres

10.7

9.2

1

4.3

0

0

1.9

17.5

N/A

Therapy Services

0

0

0

0

13.7

13.3

4.1

25.6

N/A

Women & Children

5

4.1

7.4

25

1

100

1.6

15.7

N/A

 

April 2018

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

1.8

5.2

1.1

7.8

9.9

4.8

1

4.8

N/A

General

0

0

0

0

0.5

25.7

22

16.8

2

100

Estates & Facilities

N/A

N/A

N/A

0.5

1.9

9.6

10.5

Medical Specialities

23.6

11.4

4.3

7.9

0

0

1.3

8.9

N/A

Surgical Services

18.8

14.2

2.4

6.3

3.1

25.8

0.3

2.6

N/A

Theatres

15.6

13.1

2

8.3

0

0

2.1

19.5

N/A

Therapy Services

0

0

0

0

14.1

13.7

4.3

26.5

N/A

Women & Children

4.5

3.7

7.4

25

1

100

1.6

15.7

N/A

May 2018

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

1.8

5.2

1.1

7.8

7.9

3.8

2

9.7

N/A

General

0

0

0

0

0.5

25.7

22

16.5

2

100

Estates & Facilities

N/A

N/A

N/A

1.5

5.5

8.6

9.4

Medical Specialities

24.7

11.9

4.3

7.9

0

0

1.3

8.9

N/A

Surgical Services

19

14.4

2.4

6.3

3.1

25.8

0

0

N/A

Theatres

15.6

13.1

2

8.3

14.2

13.9

2.3

21.3

N/A

Therapy Services

0

0

0

0

14.2

13.9

4.5

27.8

N/A

Women & Children

7.5

6.2

6.4

21.6

1

100

1.6

15.7

N/A

 

June 2018

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

1.6

4.5

0.1

0.7

13.6

6.5

2.4

11.7

N/A

General

0

0

0

0

0.5

25.7

23

17.3

2

100

Estates & Facilities

N/A

N/A

N/A

0.5

1.9

8.6

9.4

Medical Specialities

22.9

11

5.1

9.1

0

0

1.3

8.9

N/A

Surgical Services

19

14.4

2.4

6.3

3.1

25.8

0.6

4.5

N/A

Theatres

15.3

12.9

2

8.3

3.1

25.8

0.6

4.5

N/A

Therapy Services

0

0

0

0

13.6

13.3

5.5

34

N/A

Women & Children

6.8

5.7

6.4

21.6

1

100

0.6

5.8

N/A

 

July 2018

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

1.2

3.5

0.1

0.7

19.9

9.2

1.9

9.5

N/A

General

0

0

0

0

0.5

25.7

22

16.5

2

100

Estates & Facilities

N/A

N/A

N/A

0.5

1.9

6.5

7.1

Medical Specialities

24.7

11.7

2.1

3.7

0

0

0.6

4.3

N/A

Surgical Services

20

15.1

-3.6

-9.3

3.1

25.8

1.1

8.5

N/A

Theatres

13

10.8

1

4.2

0

0

1.5

13.8

N/A

Therapy Services

0

0

0

0

12.6

12.4

5

30.9

N/A

Women & Children

9.6

8

7.4

25

1

100

0.6

5.8

N/A

 

August 2018

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

3

8.3

0.1

0.7

22.5

10.4

2.2

10.8

N/A

General

0

0

0

0

0.5

25.7

25.6

19

2

100

Estates & Facilities

N/A

N/A

N/A

1.5

5.5

9.5

10.4

Medical Specialities

26.5

12.6

8.4

15.1

0

0

0.6

4.3

N/A

Surgical Services

19.5

14.7

1.4

3.7

3.1

25.8

2.5

19.7

N/A

Theatres

13.5

11.2

1

4.2

0

0

1.5

13.8

N/A

Therapy Services

0

0

0

0

13.6

13.4

4.3

27.8

N/A

Women & Children

12.3

10

12.4

41.9

1

100

0.6

5.8

N/A

 

September 2018

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

3

8.3

1.1

7.8

22.3

10.3

2.5

12

N/A

General

0

0

0

0

0.5

25.7

27.7

20.4

2

100

Estates & Facilities

N/A

N/A

N/A

-0.5

-1.7

8.5

9.3

Medical Specialities

26.2

12.5

9.5

17.1

0

0

0.5

3.4

N/A

Surgical Services

19

14.2

0.4

1.1

3.1

26.3

1.7

13.5

N/A

Theatres

10.1

8.3

1

4.2

0

0

1.5

13.8

N/A

Therapy Services

0

0

0

0

13.8

13.4

6

37.1

N/A

Women & Children

8.3

6.8

11.4

38.5

0

0

2.2

20.2

N/A

October 2018

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

2.6

7.3

1.1

7.3

19.4

8.9

4

18.8

N/A

General

0

0

0

0

0.5

25.7

29.4

21.7

2

100

Estates & Facilities

N/A

N/A

N/A

-0.5

-1.7

8.5

9.3

Medical Specialities

34.1

15.4

10.8

19

0

0

0.3

2.1

N/A

Surgical Services

14.7

11

0.4

1.1

2.4

20

0.8

6.6

N/A

Theatres

10.9

8.9

1

4.2

0

0

1.5

13.8

N/A

Therapy Services

0

0

0

0

14.7

14.5

5

30.9

N/A

Women & Children

11.8

9.6

11.6

38.9

0

0

2.2

20.2

N/A

 

November 2018

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

1.6

4.5

1.1

7.3

21.7

9.9

4

18.8

N/A

General

0

0

0.6

31.4

1.5

50.5

27.5

20.5

2

100

Estates & Facilities

N/A

N/A

N/A

0.5

1.9

8.5

9.3

Medical Specialities

37.1

16.7

10.5

18

0

0

0.6

3.9

N/A

Surgical Services

14.7

11

0.3

0.8

2.4

20

0.6

5.1

N/A

Theatres

9.9

8.1

1

4.2

0

0

1.2

11.7

N/A

Therapy Services

0

0

0

0

13.7

13.5

5

32.9

N/A

Women & Children

10.6

8.7

11.6

38.9

0

0

0.6

5.4

N/A

 

December 2018

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

3.2

8.9

1.1

7.3

20.3

9.3

3.5

16.8

N/A

General

0

0

0

0

1.5

50.5

27.5

20.4

2

100

Estates & Facilities

N/A

N/A

N/A

1.5

5.5

6.5

7.1

Medical Specialities

33.3

15

10.5

18

0

0

1.1

7

N/A

Surgical Services

16.5

12.4

0.3

0.8

1.4

11.6

0.6

5.1

N/A

Theatres

11.4

9.3

1

4.2

0

0

1.2

11.7

N/A

Therapy Services

0

0

0

0

13.1

12.9

5

32.9

N/A

Women & Children

9.6

7.8

11.6

38.9

0

0

0.6

5.4

N/A

 

January 2019

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

5.2

14.5

1.5

10

8.9

4.4

2.1

10.5

N/A

General

0

0

0

0

0

0

2.8

2.7

0

0

Estates & Facilities

N/A

N/A

N/A

5

16.5

-1

-1.2

Medical Specialities

13.5

6.7

-2

-4.1

0

0

0.5

3.2

N/A

Surgical Services

3.4

2.8

0

0

-2.5

-30.5

0.5

3.2

N/A

Theatres

18.5

14.4

0

0

0

0

-0.4

-4.4

N/A

Therapy Services

0

0

0

0

15.8

14.4

1

9.5

N/A

Women & Children

1.9

1.6

5.6

18.8

0

0

0

0

N/A

 

February 2019

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

4

11.3

1.5

10

8.8

4.3

2.1

10

N/A

General

0

0

0

0

0

0

2.8

2.7

0

0

Estates & Facilities

N/A

N/A

N/A

5

16.5

-1

-1.2

Medical Specialities

12.9

6.5

-0.7

-1.4

0

0

-0.1

-0.4

N/A

Surgical Services

2.5

2

1

2.7

-2.5

-30.5

-0.3

-2.7

N/A

Theatres

18.5

14.4

0

0

0

0

-0.4

-4.4

N/A

Therapy Services

0

0

4

13.4

16.1

14.8

0

0

N/A

Women & Children

2.4

2

4

13.4

0

0

0

0

N/A

March 2019

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

3.1

8.9

1.5

10

24.5

11.1

1.9

9.2

N/A

General

0

0

0

0

0

0

9.7

9.2

0

0

Estates & Facilities

N/A

N/A

N/A

5

17.1

-1

-1.2

Medical Specialities

12.5

6.2

-1.6

-3.3

1

75.8

-0.1

-0.4

N/A

Surgical Services

3.8

3.1

1

2.7

-0.5

-5.7

-0.3

-2.7

N/A

Theatres

15.5

12.1

0

0

0

0

-0.4

-4.4

N/A

Therapy Services

0

0

4

13.4

15.6

14.1

1

9

N/A

Women & Children

1.4

1.2

4

13.4

0

0

0

0

N/A

 

April 2019

Department

Nursing & Midwifery

Dr's & Consultants

AHPs

Civil Servants

Manual Workers

 

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Vacancy #

%

Diagnostic & Clinical Support

7.3

8.9

1.5

10

22.7

10.3

2.3

11.2

N/A

General

0

0

0

0

0

0

11.6

10.9

0

0

Estates & Facilities

N/A

N/A

N/A

5

16.5

0

0

Medical Specialities

9.6

4.8

-7.6

-15.7

1

75.8

-1.1

-7.1

N/A

Surgical Services

6.6

5.4

1

2.7

-2.5

-30.5

0.2

1.5

N/A

Theatres

15

11.6

1

4.3

0

0

-0.4

-4.4

N/A

Therapy Services

0

0

0

0

15.5

14.4

0.4

3

N/A

Women & Children

2.6

2.2

2

6.7

0

0

0

0

N/A

Note:  a)  AHPs  =  Allied  Health  Professionals  (eg  occupational  therapists,  physiotherapists, radiographers).

b) The figures preceded by a minus indicate over establishment – usually for specific pieces of work or where extra resources have been agreed.