Supporting NHS providers: right skills, right staff, right place, right time


This updated set of expectations for nursing and midwifery care staff will help NHS provider boards make local decisions that support the delivery of high-quality care for patients.

This resource:

  • sets out the key principles and tools that provider boards should use to measure and improve their use of staffing resources, to ensure safe, sustainable and productive service, including introducing the care hours per patient day (CHPPD) metric
  • identifies three updated National Quality Board expectations, forming a ‘triangulated’ approach to staffing decisions
  • offers guidance for local providers on using other measures of quality, alongside CHPPD, to understand how staff capacity may affect the quality of care.

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