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Agenda and supporting papers - Plymouth Hospitals NHS Trust

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Item 9<br />

Discretionary pay (Section E1 of Performance Dashboard)<br />

5.2 Discretionary pay has reduced by £373k in Month 2 to £1.38m. This is principally due<br />

to a large reduction in nursing bank <strong>and</strong> agency.<br />

Training <strong>and</strong> Appraisals (Section E2 of Performance Dashboard)<br />

5.3 The completion of m<strong>and</strong>atory essential skills training has remained static in Month 2<br />

at 95%. Child protection has also remained static at 97%. Manual h<strong>and</strong>ling <strong>and</strong> basic<br />

life support have both decreased slightly by 1% to 92% <strong>and</strong> 87% respectively.<br />

Appraisal completion rates (for non-medical staff) have remained static in Month 2 at<br />

82%.<br />

Sickness Absence (Section E3 of Performance Dashboard)<br />

5.4 Sickness absence has decreased in Month 2 from 4.34% to 3.63%, with the 12 month<br />

average sickness absence rate also continuing to decrease to 4.44%.<br />

In terms of sickness absence rates within staff groups, the staff groups with combined<br />

short <strong>and</strong> long term absence of more than 4% are Estates (5.42%) <strong>and</strong> Additional<br />

Clinical Services (6.13%).<br />

More robust management of poor attendance is being implemented alongside a<br />

range of prevention <strong>and</strong> wellbeing initiatives.<br />

A number of interventions have been put in place to support the health <strong>and</strong> wellbeing<br />

of staff <strong>and</strong> increase their resilience. The Occupational Health <strong>and</strong> Wellbeing<br />

Department’s Employee Assistance Service provide counselling, mediation, mental<br />

health advice <strong>and</strong> a range of education <strong>and</strong> training including:<br />

• Preventing Stress<br />

• Underst<strong>and</strong>ing Stress<br />

• Promoting Positive Manager Behaviour (which is run for managers)<br />

• Building Resilience (which is available for all staff, as well as a group intervention)<br />

• Self-Care course (to help staff focus on their own individual health <strong>and</strong> wellbeing).<br />

Alongside the implementation of a new Sickness Absence Policy, the contracts of<br />

employment of 17 individuals having been terminated in the past 6 months, following<br />

persistent absence associated with health issues.<br />

6 Compliance with Monitor’s Requirements<br />

Governance Risk Rating (Section F1 of Performance Dashboard)<br />

Continued failure of the A&E 4 hour target <strong>and</strong> 62 day cancer st<strong>and</strong>ards in addition to<br />

the failure of RTT admitted <strong>and</strong> incomplete pathways have resulted in a ‘Red’ rating<br />

for May. We anticipate a final Q1 position of 4.0 (Red), with the same four st<strong>and</strong>ards<br />

failing the quarter.<br />

9

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