Safe staffing for adult inpatients in acute care

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A guide to help standardise staffing decisions in adult inpatient wards in acute hospitals.

Appendices PDF, 360.4 KB

Evidence review (completed by University of Southampton) PDF, 822.7 KB

Flexible nurse staffing in hospital wards | shift work in hospitals | nurse staffing levels

This resource is based on the National Quality Board’s expectations that to ensure safe, effective, caring, responsive and well-led care, trusts will employ the right staff with the right skills in the right place and at the right time. 

We've designed this to be used by everyone involved in clinical establishment setting, approval and deployment – from the ward manager to the board of directors.   

The resource: 

  • outlines a systematic approach for identifying the organisational, managerial and ward factors that support safe staffing
  • makes recommendations for monitoring and taking action if not enough staff are available on the ward to meet patients’ needs
  • builds on NICE guidelines on safe staffing for nursing in adult inpatient care in acute wards 

Next steps

Thank you for your feedback on these draft resources. We are now reviewing your comments which will help to shape the final document and we’ll publish these shortly.

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    • nhsi
    • 24 Jan

    resource was opened for discussion.

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