Information

Safe and effective staffing in health and social care: analysis of responses

An analysis of responses received to the discussion document on safe and effective staffing in health and social care.


Section 3 – Requirements applicable to Health Boards

The discussion document set out the intention for the legislation to include more specific requirements where a validated workload planning tool and methodology exists – in the first instance this will only be applicable to nursing and midwifery services and to medical services in emergency medicine settings.

For settings where a validated workload and workforce planning tool exists, Health

Boards and, as appropriate, Integration Authorities, will have to evidence that they have followed a common methodology prior to making decisions about staffing requirements, including:

  • Application of specialty specific and professional judgement tools
  • Consideration of nationally agreed quality measures
  • Consideration of local context
  • Consideration of staff and service user views
  • Consideration of the need to redesign services

Question 3a: What is your view on the proposed requirements for Health Boards?

Agree % Neither agree or disagree % Disagree % No. of Responses
Individuals 83 15 3 40
Organisations 67 29 4 24

Question 3b: Are there any other requirements you think should be included?

A total of 39 responses were received to this question, the most common themes identified were:

Theme No. of responses Percentage
Inclusion of staff groups out with Nurses and Midwives (Multi-Disciplinary Teams) 12 31%
The need to actively identify and manage risk 5 13%
Tools and services should be flexible and adaptable to respond to unplanned demand 5 13%

Other themes that emerged from responses included the importance of ensuring clear accountability and governance (such as the role of the Executive Nurse Director or equivalent), the need for a focus on positive outcomes for service users, and the need to take account of current recruitment and retention challenges.

Question 3c: Please provide any other comments on the proposed requirements set out in section 3.

A total of 33 responses were received to this question, the most common themes identified were:

Theme No. of responses Percentage
Staff groups out with Nurses and Midwives should be included 11 33%
The importance of clearly defined accountability and governance structures 8 24%
The importance of supporting, training and developing staff 6 18%

Other themes that emerged from responses included awareness of funding and resource challenges, the need for flexibility and adaptability of tools and service models, the need for a focus on positive outcomes, and clear communication and transparency of decisions made about staffing following the application of tools.

Contact

Back to top