Table 1

Staffing levels in sample hospital wards during analysis period

All nursing staffHealthcare support workersRegistered nurses
Rostered hours193.489.652.930.6140.590.8
Actual hours worked185.488.549.829.0135.790.0
Unfilled hours7.910.
Rostered hours per patient day15.
Hours worked per patient day14.614.33.53.811.113.0
Unfilled hours per patient day0.
Fill-rate, of which:95.75.494.611.296.45.8
 Local/Regular staff (%)68.315.864.326.570.816.9
 Bank staff (%)20.412.728.323.916.212.7
 Agency staff (%)
 Band 2 staff (%)23.814.577.725.6
 Band 3 staff (%)3.85.516.023.7
 Band 4 staff (%)
 Band 5 staff (%)47.211.568.415.7
 Band 6 staff (%)17.012.422.813.3
 Bands 7 and 8 staff (%)
Staffing below target by at least:
 4 hours0.510.500.250.440.360.48
 8 hours0.470.500.230.420.330.47
 12 hours0.360.480.170.370.220.41
 16 hours0.200.400.
 20 hours0.150.360.
 24 hours0.
Observations19 28719 28719 287
Hospital wards535353
  • Unit of analysis is the hospital ward-day. Fill-rate is defined as the number of actual hours worked divided by the number of rostered hours. The fill-rate for local, bank and agency staff, and for each NHS pay band, is calculated as the number of hours worked by staff of that type divided by the number of rostered hours. Target staffing is defined as the number of rostered hours in a given ward on a given day. Hours per patient day is defined as the number of staff hours divided by the patient census at midnight (as per the English NHS definition of care hours per patient day).

  • NHS, National Health Service.