January 2012 - Sandwell & West Birmingham Hospitals

SWBTB (1/12) 275 (a)
There is a very significant level of reported patient non compliance for which we need to
agree management strategies.
2.3 Nutrition and Hydration
Target –
75% patients are MUST assessed within 12 hours of admission (CQUiN)
80% compliance protected meal times
YTD – Only 3 wards failed to achieve in excess of 85% MUST assessment (D16, D18,
and L5)
All wards are achieving at least 80% compliance with protected meal times
(based on snap shot audits)
Our patients continue to be at the high end of the national average for
malnourishment scores on admission at 29% (vs. national average 25‐30%)
Use of various risk mitigation actions, eg red trays is good at around 99% compliance
vs. 69% in June 2010
Food diaries are completed in 98% of patients who require them vs. 64% in June
2010
Fluid balance charts are completed in 96% of patients requiring them vs. 74% in June
2010
2.4 Nurse Staffing Levels
The Trust aims to have staffing ratios at around 1 WTE:1 bed (unless guidance specifically
states otherwise) and a qualified to unqualified ratio of 60:40.
Ward
BUDGETED POSTS & FUNDED BEDS
TOTAL
WTE
% of
Trained
Staff
No of
funde
d
beds
No of
staff
per
Bed
BUDGETED
POSTS& ACTUAL
BEDS OPEN
Actual
No of
beds
open
No of
staff per
Bed
TOTAL
WTE
ACTUAL IN POST & FUNDED BEDS
% Trained
Staff
% Bank &
Agency Staff
No of staff
per Bed
Sickness
Rate (%)
(Nov)
Medicine & Emergency Care
D5 (CCU/PCCU) 39.25 92.36% 17 2.31 17 2.31 38.74 79.89% 13.91% 2.28 6.59
CCU Sandwell 19.07 84.27% 10 1.91 10 1.91 18.46 83.97% 5.20% 1.85 7.39
D7 (includes 10 winter beds) 33.04 62.65% 26 1.27 26 1.27 34.03 52.98% 24.69% 1.31 3.4
D11 31.54 59.38% 21 1.50 21 1.50 32.70 52.05% 9.42% 1.56 4.35
D12 16.52 66.10% 10 1.65 10 1.65 20.34 65.00% 10.32% 2.03 17.72
D15 26.20 58.02% 24 1.09 24 1.09 26.59 49.46% 9.17% 1.11 2.19
D16 28.50 56.84% 23 1.24 23 1.24 26.79 46.21% 23.74% 1.16 11.65
D17 28.01 69.98% 26 1.08 26 1.08 27.88 59.00% 14.17% 1.07 8.12
D18 19.61 54.11% 16 1.23 16 1.23 24.27 46.27% 24.85% 1.52 11.56
D41 24.67 77.10% 17 1.45 17 1.45 25.44 66.38% 12.63% 1.50 3.43
D43 31.20 57.72% 28 1.11 28 1.11 30.20 41.75% 19.98% 1.08 2.73
D47 *Some ratios excl therapists* 30.17 49.96% 22 1.37 22 1.37 41.84 34.12% 41.80% 1.90 14.73
MAU 64.85 64.80% 28 2.32 28 2.32 63.45 59.62% 15.12% 2.27 10.54
Priory 3 30.30 51.55% 29 1.04 29 1.04 33.26 44.35% 10.71% 1.15 10.39
EAU (includes 4 winter beds) 48.64 64.58% 32 1.52 32 1.52 49.86 57.37% 20.19% 1.56 13.01
Newton 4 28.54 46.57% 22 1.30 22 1.30 36.20 36.74% 28.57% 1.65 4.75
Newton 1 20.63 83.57% 12 1.72 12 1.72 18.73 64.07% 18.05% 1.56 0
Priory 4 34.20 51.46% 35 0.98 35 0.98 35.37 42.40% 17.54% 1.01 7.59
Lyndon 4 ( +7 winter beds) 33.30 56.19% 33 1.01 33 1.01 36.98 50.22% 17.41% 1.12 0.54
Lyndon 5 (closed) 0.00 #DIV/0! 30 0.00 30 0.00 0.69 0.00% 100.00% 0.02 n/a
Newton 5 23.70 76.37% 15 1.58 15 1.58 23.77 74.04% 11.65% 1.58 4.49
Winter Ward ‐ Sandwell 24.00 50.00% 24 1.00 24 1.00 20.07 57.10% 13.00% 0.84 8.04
Winter Ward ‐ City 24.00 60.00% 20 1.20 20 1.20 9.27 43.78% 31.20% 0.46 n/a
Priory 5 36.60 52.46% 34 1.08 34 1.08 34.18 57.64% 5.88% 1.01 8.94
McCarthy
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