A refreshing, modern approach to rostering

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A refreshing, modern approach to rostering#clarityiscomingThibault Laurentjoye Head of Analytics, SkillstreamGeorge Lewis Sales Director, Skillstream

A refreshing, modern approach to rostering

Introduction: The invariants of rosteringI: What difficulties do NHS trusts face by not using technology in workforce management?II: What does a high quality approach to e-rostering look like? III: What are the benefits of an enhanced approach to e-rostering?

The invariants of rostering

Quick mental experiment: compare rostering with carsCars: motor, wheels, seatsEvolution of features over timeGoogle/Tesla carsModern rostering: Still demand and supplyIncreased precisionIncreased flexibility

The invariants of rostering

I

What difficulties do NHS Trusts face by not using technology in workforce management?


A lack of grip on staff shifts/hours and costs associated:Limited recording of actual hours workedContracted hours not fully rostered

Poor rostering can lead to an increase in the number of last minute elective operations cancellations


The lack of flexibility is one of the contributing factors to staff going to agenciesIt also drives people into other professionsStaff are feeling under pressure and this is impacting on their wellbeing, patient care, and performancePublic Health England estimates cost to the NHS of staff absence due to poor health is 2.4bn per year

II

What does a high quality approach to e-rostering look like ?

What does a high quality approach to e-rostering look like?

OperationalFacilitates management and recycling of hours over timeIntuitive features: assignment, swap, redeploymentPeoples acceptance of technology has increased, expectations have formed due to everyday use of internet and mobile apps

Management InformationReal time visualisation via 3rd party systems: reoccurring shortfalls and cost overruns are made immediately visible


Auto-rosteringOngoing algorithmic revolution(s): big data analysis/science/miningPreferences input on both supply and demand sidesDynamic adjustment of constraints: rule revaluation over time

Solving processMeta-heuristics based on local search algorithmCustomisable level of autorostering






III

What are the benefits ofan enhanced approach to e-rostering?

What are the benefits of an enhanced approach to e-rostering?

For staffFlexibility a human need in an increasingly fast moving world is a key need for many NHS workers. This will help to ensure a career in the NHS becomes more attractive

During a period where staff morale has suffered, this technology can significantly improve motivation and job satisfaction long-term this in turn will result in patients benefitting from a happier and higher performing workforce

Easy to use by being fast, intuitive, nimble and simple this will encourage take-up of the system


For patientsPatients will benefit from receiving care from the right people, in the right place, at the right time

A shift to demand-led rostering will ensure staffing levels are appropriate and safe. Long waiting times and cancellations at short notice will be better avoided with higher quality e-rostering

This new tool ensures that services are designed and run around the patient, which is crucial for delivering the best and most appropriate care



For trustsBoards and senior management can achieve their objectives it is crucial they show strong leadership on workforce management, and a new approach to e-rostering presents an invaluable opportunity

Demand-led e-rostering will help to deal with fluctuating demand which is crucial as needs change during the year

Trusts face severe financial pressure we are confident hospitals can achieve savings by embracing e-rostering and reducing the dependency on agency workers.


Creation of medical staff banks and clusters across areas

Better rostering will reduce the number of late fills which are labour intensive and costly

A modern approach greatly reduces staff required to deliver roster capability with a commensurate reduction in back office headcount cost

Trust boards will be able to ensure the Electronic Staff Record (ESR) is reconciled to the financial ledger on a weekly basis, with a minimum reconciliation of 95% from January 2017

Conclusion

Using this new type of system will significantly improve trust wide communication and pave the way for a culture change through:

Better grip/understanding

More flexibility/empowerment

More transparency/clarity

A refreshing, modern approach to rostering

Healthcare

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