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Operational Implications
May 9th 2017
What’s the critical question?
Operationally where are your biggest pressures?
How often does ‘the rota’ get the blame for service issues?
How long do you spend rectifying operational errors/moving people?
Roster
Owner
Workforce
Business
Manager
OPD
Theatre
Ward
SWITCH
EDUCTION
LEADS
Key relationships
Drama triangle
• Rostering staff are key members of the operational team
• E-rostering is the tool they need to do the job efficiently
• They have three roles
Ownership
Saying ‘NO’ to requests
It’s an impossible task
I’ll find cover (but it will
take me a few hours)
1) Fixing on calls
Saved 4 specialty clinics per 12 week rota
2) I’ve done more/less than everyone else…..
Takes moments to respond to hours spent counting on spreadsheets
3) Maintaining ward cover in 6 week blocks
Advance rostering around leave requests
Simple Things Work
4) Provide read only access to EVERYONE
Its surprising who can benefit from knowing the plan from switch to
portering and
5) Facilitate Hot/Cold working
Able to plan for the downsides to team based working
6) Communication – everyone knows simultaneously. Facilitate the
RIGHT conversations and avoid errors
Simple Things Work
• Takes a little time but visibility and forward planning earns trust
• The rota may not cycle as expected or may seem ‘odd’ for a period
but there is confidence in the overall equity of the rota
• Communication is absolutely vital
Trust
?
What would you like to see?

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Effective Management of the Clinical Workforce - National Rostering Conference 2017

  • 2. What’s the critical question? Operationally where are your biggest pressures? How often does ‘the rota’ get the blame for service issues? How long do you spend rectifying operational errors/moving people?
  • 5. • Rostering staff are key members of the operational team • E-rostering is the tool they need to do the job efficiently • They have three roles Ownership Saying ‘NO’ to requests It’s an impossible task I’ll find cover (but it will take me a few hours)
  • 6. 1) Fixing on calls Saved 4 specialty clinics per 12 week rota 2) I’ve done more/less than everyone else….. Takes moments to respond to hours spent counting on spreadsheets 3) Maintaining ward cover in 6 week blocks Advance rostering around leave requests Simple Things Work
  • 7. 4) Provide read only access to EVERYONE Its surprising who can benefit from knowing the plan from switch to portering and 5) Facilitate Hot/Cold working Able to plan for the downsides to team based working 6) Communication – everyone knows simultaneously. Facilitate the RIGHT conversations and avoid errors Simple Things Work
  • 8. • Takes a little time but visibility and forward planning earns trust • The rota may not cycle as expected or may seem ‘odd’ for a period but there is confidence in the overall equity of the rota • Communication is absolutely vital Trust
  • 9. ? What would you like to see?

Editor's Notes

  1. I doubt the stories I tell you or the scenarios I describe are unique and I hope you can all relate – what I want to tell you about is how to break the mould, get out of the mire and do something different – don’t fall down the holes and pitfalls I have