National benchmark shows Stevenage’s Lister Hospital is consistently failing to provide sufficient care hours to patients

PUBLISHED: 08:30 01 February 2018

Archant

The Lister Hospital in Stevenage is consistently failing to provide sufficient care hours to patients, according to a national benchmark.

Care Hours Per Patient Day is calculated by dividing the number of actual nursing hours by the number of patients, giving the average number of nursing hours available to each patient.

Of the seven wards monitored at Stevenage’s Lister Hospital over a 20-day period, only one - Swift, an elective orthopaedic ward - consistently met the required CHPPD, missing it on just two days.

Alarmingly, a risk assessment found that since the introduction of trainee nursing associates - who receive on-the-job training and are supposed to support, not replace, registered nurses - the skill mix on the Acute Medical Unit Ward is inadequate on the days the ward manager is not supervisory. The ward manager will now remain supervisory for five days a week, instead of three.

On 10B - a diabetic ward - the required CHPPD was not met once, due to a high number of unfilled shifts, high sickness levels and higher than expected patient acuity and dependancy for the ward model. An action plan has been put in place.

On three wards - fraility ward Ashwell, rehabilitation stroke ward Barley, and the short stay unit - the required CHPPD was only met on one day.

The Trust said the SSU had a higher than expected number of patients requiring enhanced care for the data collection period, but is looking at new models of care for the stroke unit, and has introduced an additional care support worker for the late and night shift on Ashwell.

On ward 8B - a general surgical and vascular ward - the required CHPPD was only met on two days due to a high level of vacancies and higher than average sickness rates. A ward improvement plan has been put in place.

A Trust spokesman said: “When comparing the Trust’s data with similar NHS Trusts across the country, the picture is positive.

“The Trust’s planned staffing levels benchmark favourably, with the vacancy rate for nursing and midwifery staff dropping. For example, the vacancy rate for band five registered nurses - who make up the majority of our nursing workforce - stood at 11 per cent in November, down from 13.2 per cent the previous month.

“This improvement reflects the work that is going on to both recruit and retain nursing and midwifery staff at a time of national shortage in these key groups of people.”

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