Staffing
Recommendations related to staffing
Tag overview
recommendation across 9 inquiries
Across 9 inquiries
Tagged Recommendations
Missed care incident reporting
If a care plan cannot be delivered due to issues, such as staffing shortages, this should be recorded as ‘missed care’ using the Trust’s or organisation’s incident reporting system.
Psychology input to reduce restrictive practices
All facilities providing residential services for people with learning disabilities and autistic people should provide sufficient psychology input for each patient, to obviate the need for restrictive practices in all …
Needs-based staffing with acuity measures
Staffing should be based on service user needs rather than a fixed budget, using daily acuity measures designed specifically for units caring for people with learning disabilities. These should include …
Staffing review in safeguarding investigations
Consideration of staffing (including skill mix as well as total numbers) should be a mandatory part of safeguarding investigations in all settings.
Criminal record checks compliance
Maidstone and Tunbridge Wells NHS Trust must assure itself that it is compliant with its own current policy on criminal record checks and re-checks for staff. The Trust should ensure …
Mortuary Manager as full-time dedicated role
The role of Mortuary Manager at Maidstone and Tunbridge Wells NHS Trust should be protected as a full-time dedicated role, in recognition of the fact that this is a complex …
Mortuary Manager professional background prerequisite
A professional background in the field of mortuary services should be made a prerequisite for the post of Mortuary Manager.
HTA require suitable qualified staff with enforcement
The Human Tissue Authority, and/or the new inspectorate, should require the organisations it licenses to ensure that any individual who provides care to deceased people is suitably qualified, experienced and …
Haemophilia Centre Resources
The necessary administrative and clinical resources should be provided by hospital trusts and boards, integrated care boards, and service commissioners to facilitate multi-disciplinary regional networks to discuss policy and practice …
Quarterly assessment of staffing levels against population needs
The Home Office and contractors operating immigration removal centres must ensure that there is ongoing assessment of staffing levels (at least on a quarterly basis), so that the level of …
Qualified Project Management
In recognition of the various difficulties likely to be experienced in the design and construction of a light rail project through a city centre, the promoter and owner of the …
Staffing Guidance
The guidance mentioned in the first recommendation should include: advice concerning the circumstances in which civil servants in the inquiry team may properly transfer to posts, other than promoted posts, …
External Consultants Guidance
The Northern Ireland Civil Service should consider what changes are needed to its guidance and practices on the use of external consultants arising from the experience of RHI. Specific recommendations …
Staff Move Sequencing
Senior managers in the Civil Service must take responsibility for guiding and, where necessary, sequencing the timing of staff moves so that continuity of business is secured. This includes allowing …
Job-Specific Recruitment
A fundamental shift is needed in the approach used within the Northern Ireland Civil Service with regard to recruitment and selection for government jobs. This must involve an up-front assessment …
Commercial Awareness
Commercial and business awareness amongst policy officials, particularly those working in roles relating to the economy of Northern Ireland, must be improved. It is important that the leadership of the …
Senior Paediatric Responsibility
Senior paediatric medical staff should hold overall patient responsibility in children's wards accommodating both medical and surgical patients.
Foundation Doctors in Children's Wards
Foundation doctors should not be employed in children's wards.
On-Call Consultant Display
The names of all on-call consultants should be prominently displayed in children's wards.
Senior Lead Nurse in Children's Wards
To ensure continuity, all children's wards should have an identifiable senior lead nurse with authority to whom all other nurses report. The lead nurse should understand the care plan relating …
Trust Awareness of Duty of Candour
Trusts should ensure that all healthcare professionals are made fully aware of the importance, meaning and implications of the duty of candour and its critical role in the provision of …
Staffing and skills mix review
Health Boards should ensure that the staffing and skills mix is appropriate for each ward, and that it is reviewed in response to increases in the level of activity/patient acuity …
Staffing concerns escalation
Health Boards should ensure that there is a straightforward and timely escalation process for nurses to report concerns about the staffing numbers/skill mix.
Medical staffing levels
Health Boards should ensure that the level of medical staffing planned and provided is sufficient to provide safe high quality care.
24/7 IPC cover
Health Boards should ensure that there is 24-hour cover for infection prevention and control seven days a week, and that contingency plans for leave and sickness absence are in place.
Safe staff numbers and skills
The General Medical Council's system of reviewing the acceptability of the provision of training by healthcare providers must include a review of the sufficiency of the numbers and skills of …
Strengthening the nursing professional voice
Commissioning arrangements should require the boards of provider organisations to seek and record the advice of its nursing director on the impact on the quality of care and patient safety …
Responsibility for regulating and monitoring compliance
The measures formulated by the National Institute for Health and Clinical Excellence should include measures not only of clinical outcomes, but of the suitability and competence of staff, and the …
NHS Litigation Authority Improvement of risk management
The NHS Litigation Authority should introduce requirements with regard to observance of the guidance to be produced in relation to staffing levels, and require trusts to have regard to evidence-based …