Rota Design for 2009 - North Western Deanery

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F1s Mon Tues Weds Thurs Fri Sat Sun1 9am–1pm2 1pm–5pm3 5pm–9pm4 9pm–1am5 1am–5am6 5am–9am+WARD NURSESMon Tues Weds Thurs Fri Sat Sun1 9am–1pm2 1pm–5pm3 5pm–9pm4 9pm–1am5 1am–5am6 5am–9amA&E/MAU Mon Tues Weds Thurs Fri Sat Sun+1 9am–1pm2 1pm–5pm3 5pm–9pm4 9pm–1am5 1am–5am6 5am–9am12
Rota Design Life Cycleiii) Worked example: AnalysisMethodology1. What does the department need and whenAnalysis by dayMondays are often busy following weekend on call asinvestigations are pending and most support servicesresume activityThere is a lull in activity mid week after 5pmAnalysis by time slotF1 presence is crucial during 9am-5pm during the weekAt weekends morning activity (9am-1pm) for F1s is lower2. Possible sources of data for analysisQuantitativeHAN data/iBleep dataQualitative data● Completed workload analysis grids● Interviews● QuestionnairesResults – this is achieved by pulling all the available data together to formulate conclusionsDataEvidence available at Trust AQualitative Consultants Believe F1s presence is needed at all times but mainly until midnightF1sWard nursingstaffA&E/MAU staffBelieve best emergency exposure is from midday to midnight mostdays, and elective exposure 9am-5pmNeed F1 presence before lunch on weekdays, other staff can assist onweekend mornings eg phlebotomists, assistant practitionersNeed F1 presence after lunch through to 9pm most days, with coverlater in to the night on Fridays and SaturdaysQuantitative HAN data Clear need for significant F1 presence Monday-Friday 9am-5pmFriday-Monday twilight support is essentialTuesday-Thursday twilights are clearly quieterFriday and Saturday nights are clearly busy with a lull in activitypost midnightWeekend mornings are busy on the wards but quiet in admissionsFinal workload analysis grid – this provides a template upon which to base the rota designMon Tues Weds Thurs Fri Sat Sun1 9am–1pm2 1pm–5pm3 5pm–9pm4 9pm–1am5 1am–5am6 5am–9am13
Page 1 and 2: WORKING TIME DIRECTIVE 2009PUBLICAT
Page 3 and 4: Contents page1. Introduction 21. Se
Page 5 and 6: 2. Importance of goodrota designi.
Page 8 and 9: 2. Basic New Deal andWTD RevisionNe
Page 10 and 11: 3. Rota Design Life CycleRota desig
Page 12 and 13: 2. Feasibility studyAfter identifyi
Page 16 and 17: 4. Design“There cannot be a ‘on
Page 18 and 19: 7. ReviewThe three possible outcome
Page 20 and 21: 4. Good Practice GuidanceHandoverMo
Page 22 and 23: Trust WTD policiesThere are many ar
Page 24 and 25: Approval to change band/work patter
Page 26 and 27: STAGE 1AAgreement of trainees to pr
Page 28 and 29: STAGE 1cEducational approval for pr
Page 30 and 31: 5. Pitfalls to avoidRotas monitorin
Page 32 and 33: 6. Banding AppealsThe following sec
Page 34 and 35: At banding appeal1. There is little
Page 36 and 37: 7. Additional Advice1. If trusts em
Page 38 and 39: Points to consider with other worki
Page 40 and 41: 8. Support, evidence andguidance al
Page 42 and 43: Taking this methodology further the
Page 44 and 45: 9. AppendicesAppendix ASoftware too
Page 46 and 47: 1.0 Roles and responsibilities:1.1
Page 48 and 49: Bleep Filtering ChartHospital At Ni
Page 50 and 51: Record of Changes to Document - Iss
Page 52 and 53: Example bleep policy 3Manchester Me
Page 54 and 55: Appendix CSample WTD policySouth Ma
Page 56 and 57: Pay Banding SupplementsBand: averag
Page 58 and 59: 2.2 Similarly to 2.1 above, where a
Page 60 and 61: Hours Breach ReportNameGradeDepartm
Page 62 and 63: Example natural break policy 2Guida
Page 64 and 65:
Appendix EBanding Appeal GuidancePr
Page 66 and 67:
Approval To Change BandTrust:Hospit
Page 68 and 69:
10. References1HSC 1998/204. Workin
Page 71 and 72:
69Notes
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Rota Design for 2009 - North Western Deanery

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