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National Data Available to Support Workforce Planning Challenges & Benefits. 10 th June 2009 David Baird and Steven Williamson. National Data Available to Support Workforce Planning - Challenges & Benefits. ISD Data sources Types of data available Uses made of the data
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National Data Available to Support Workforce Planning Challenges & Benefits 10th June 2009 David Baird and Steven Williamson
National Data Available to Support Workforce Planning - Challenges & Benefits • ISD Data sources • Types of data available • Uses made of the data • Importance of capturing accurate information • Data capture of workforce information • Workforce Information • Types of data available • Uses made of the data • Importance of capturing accurate information
Where does the data come from ISD Data Sources PAS Both updated on a daily basis. SMRP ISD SMR00-Outpatients SMR01 (1E) –Geriatric long stay discharges SMR01-Acute hospital discharges SMR04-Mental health discharges SMR02-Maternity discharges
ISD Data Sources – types of data available • Approx 210 different topic areas within our A-Z • 37 national statistic publications each year Workforce Child Health Cancer Waiting Times Dental Acute activity Unintentional Injuries • Approx 50 data sources / collections Data going back as for as 1964 Many are published quarterly, therefore approx 148 releases each year
Uses Made of data • Used to answer • Information Requests (approx 3,800 per year) • Parliamentary Questions (approx 750 per year) • Monitor HEAT Targets • Help to Inform policy • Better health, better care • Reduce number of admissions to hospital • Monitoring of oral health
Uses Made of data - Examples • Dental Registrations • Heat Target - 80% of all 3-5 year old children to be registered with an NHS dentist by 2010/11
Uses Made of data - Examples • Dental Registrations • Heat Target - 80% of all 3-5 year old children to be registered with an NHS dentist by 2010/11
Readmissions to hospital • Heat Target - By 2008/09 reduce the proportion of older people (aged 65+) who are admitted as emergency inpatients two or more times in a single year by 20 per cent compared with 2004/05, and reduce by 10 per cent emergency inpatient bed days Uses Made of data - Examples
Breastfeeding Rates • Heat Target - to increase the proportion of newborn children exclusively breastfed at 6-8 weeks in Scotland from 26.2% in 2006/07 to 32.7% in 2010/11 (an increase of 25%) Uses Made of data - Examples
Breastfeeding Rates • Who do you need to target to increase the rate? Uses Made of data - Examples
Importance of capturing accurate information • How heavy was Scotland’s heaviest baby?
Importance of capturing accurate information • Weight is recorded in kilograms • Usually referred to in pounds and ounces • 22lbs = 10 kilos • Likely that a 10lb baby has been incorrectly recorded as weighing 10
Importance of capturing accurate information • From heavy babies to heavy children • (a.k.a. media frenzy)
Importance of capturing accurate information • MMR – the Wakefield Effect
SWISS - Overview • Workforce information is now captured through the Scottish Workforce Information Standard System (SWISS) - Workforce Information Repository (WIR). • SWISS is the data collection and analysis system that is now being used by the whole of NHS Scotland, for local, regional and national reporting. • The aim of SWISS project is to develop a workforce information system to support the needs of NHS Scotland, linking Human Resources, Payroll and other systems (including finance).
How is the database populated? • Data feeds into Workforce Information Repository (WIR) Payroll update – nightly Web front end – nightly HR interface – weekly
The Workforce Information Repository (WIR) Payroll NHS Boards NHS Boards NHS Boards NHS Boards Regions National (ISD) Workforce Information Repository (WIR)
Information in SWISS • Individual level information held for all staff • Employee – contains personal identifiable fields : • E.g. NI number, Name, Age • Employment – contains information about your current job : • E.g. Employer, Division/CHP, Service Area, Hours, Start Date, AfC details • Absence – contains information about employees absence periods : • E.g. Start and End of Absence, Absence Type, Hours Lost • Employment Earnings – contains information about the employees earnings : • E.g. Financial Year, Pay Period, Payscale, Gross Pay, Hourly Rates
Access to SWISS • Web Front End • Can be restricted to organisational structure level • Can be restricted to type of role e.g. update professional data only • Reporting • Can be restricted to organisational structure level • Can be restricted to specific variables • Check with SWISS local contact for access
SWISS Fields – Who Can Update? • Post Descriptor, Job Family, Sub Job Family – Payroll • Contracted Hours – Payroll • Division/CHP, Directorate, Department, Sub Department – SWISS local contact • Service Area fields – SWISS local contact • Registration information – SWISS local contact
SWISS - Updates • SWISS team look to update key fields in a yearly update – around ISD’s publication • SWISS team are always looking to make the data more robust • Post descriptor list is currently be reviewed – implement April 2010
Uses of SWISS data • National – • Staff Governance Returns • Sickness Absence • Equal Pay • eKSF • SACDA • NHS Board – • Registration monitoring • NMC Mentorship
Workforce Data Sources – types of data available • Allied Health professionals, including; • - Staff in post • Vacancies • • Other therapeutic staff and personal social care • • Healthcare science • • All other staff, including emergency, admin and support services • • Psychology • • Child and Adolescent Mental Health Services • Trend information (1996-2007) • Overall staff in post summary • Medical and dental information, including; • - Staff in post • - Hospital, Community and public health services (HCHS) • - Consultants, including vacancies • - Consultant contract • - Drs in training – compliance with new deal • • Nursing and Midwifery, including; • - Staff in post • - Vacancies • - Student intake • - Clinical nurse specialists • - Agency and bank usage
Workforce Data Sources – types of data available • Non Medical Workforce • Individual Bands (1 to 9) • Band Groupings (1 to 4 and 5+) • Age (5 year age bands) • Contract type (Part time or Whole time) • Gender (Male and Female) • NHS Board • NHS Region Head Count & Whole Time Equivalent
Workforce Data Sources – types of data available • Medical Workforce • Year • Age (5 year age bands) • Gender (Male and Female) • Contract type (Part time or Whole time) • Specialty • Grade • Country of qualification • NHS Board • NHS Region Head Count & Whole Time Equivalent Note not all of the above is available for all staff groups
Uses Made of data (Workforce) • Used to answer • Information Requests (approx 200 per year) • Parliamentary Questions (approx 100 per year) • Monitor HEAT Targets • Help to Inform policy • Better health, better care • Planning tomorrows workforce today • Force for improvement • NMWWPP
Sickness Absence • Heat Target - NHS Boards to achieve a sickness absence rate of 4% from 31 March 2009 Uses Made of data (Workforce)
Usage of Bank and Agency Nurses Uses Made of data (Workforce) Agency Staff 2006/07 - £8m saving (31%) 2007/08 - £6m saving (34%) Bank staff 2006/07 - £9m increase 2007/08 - £11m increase (14%)
Have I got news for you… Sharp rise _____ ___ in agency nursing costs BBC News Online, Wed 27 Aug 2003 ____ ____ on agency nurses forces leading firm into the red The Herald, Wed 09 April 2008 NHS curb
Working populations • Increasing Scottish population over next 20 years (+4.1%), (2008:- 5.2m, 2028:- 5.4m) • Decreasing working population over next 20 years (-5.4%), (2008:- 3.4m, 2028:- 3.2m) • The retiring population (ages 65+) set to increase over the next 20 years by 49.9%. Uses Made of data (Workforce)
Uses Made of data (Workforce) • Working populations • Across NHS Scotland, 12.2% of current nurses will reach retirement age (65) in 10 years time. • Across NHS Scotland, 41.5% of current nurses will reach retirement age (65) in 20 years time.
Uses Made of data (Workforce) • Working populations • Across NHS Scotland, 9.3% of current AHPs will reach retirement age (65) in 10 years time. • Across NHS Scotland, 34.7% of current AHPs will reach retirement age (65) in 20 years time.
Uses Made of data (Workforce) • Recent Requests • Parliamentary Questions (PQs) • How many Nurses and AHPs currently employed by NHS Scotland will have reached retirement age of 60 from each year from 2005 to 2020 • How many physiotherapists are employed in the NHS and how many were employed in May 2000 and May 2007 • How many cleaning staff are employed by NHS Greater Glasgow and Clyde and, in particular, at the a) Vale of Leven and b) Royal Alexandra hospitals • Information Requests (IRs) • Minimum and Maximum salary by age and staff group(s) • Number of School Nurses • Information supplied for inclusion in ‘Health for All’ and ‘Eurostat’
Importance of capturing accurate information • Workforce Planning Community Profile • Visible Accessible Integrated Care (VAIC) • Welsh Model • Scottish Government Projection Templates
Importance of capturing accurate information • Workforce Planning Community Profile
Importance of capturing accurate information • Assimilation Process - Nursing and Midwifery for Scotland at September 2005 - District Nursing
Importance of capturing accurate information • Assimilation Process – Allied Health Professionals for Scotland at September 2005 - Dietetics
Importance of capturing accurate information • Assimilation Process – Allied Health Professionals for Scotland at September 2005 - Physiotherapists
Importance of capturing accurate information • Medical and Dental Staff in Post
Importance of capturing accurate information • Scottish Government Projection Templates
Importance of capturing accurate information Scottish Government Projection Templates (Nursing – Mental Health) 2009 demand – 2,807.6 (wte) ISD 2008 Baseline – 1,904.6 (wte) NHS Board 2008 Baseline – 2,832.6 (wte) Diff +903 (wte) Diff -25 (wte)
?Flow of Data? Projections Template ISD SWISS NHS Board Payroll NHS Board HR
?Flow of Data? NHS Board HR NHS Board Payroll SWISS ISD Projections Template
DQ Bus Future - Working Together and the Benefits • Uses made of the data • Inform and shape policy and • Workforce planning cycle • Importance of capturing accurate information (Benefits) • Leads to a robust Workforce planning cycle • Informs service redesign • Supply and demand • Data Quality (Working together) • – it’s a journey or several years!