The Medical Staffing Challenge:
Making Monitoring work
 
Monitoring should be a positive for both Trusts and doctors... Unfortunately the practicalities of Monitoring mean that the benefits are often lost.

To discuss your Monitoring issues, please contact Henry.
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020 8946 8199



  Monitoring should be a positive for both Trusts and doctors: it gives Trusts the ability to benchmark their plans against reality and an opportunity to cut the excess costs of wrong bandings in rotas. Simultaneously it gives doctors their opportunity to communicate what they are doing, and when they are doing it, to ensure that they are paid correctly.

Unfortunately the practicalities of Monitoring mean that the benefits are often lost. Many Trusts conduct their Monitoring by creating paper diary cards and distributing them for doctors to fill in. By placing special return 'bins' around the Trust, the Medical Staffing teams create an easy route for doctors to return their completed diary cards. However, problems can quickly occur with this process.

The most commonly encountered problem with Monitoring is that too few diary cards are returned. With 75% return rates required for each exercise to be complete, this results in an expensive and time-consuming rerun of the exercise which can also create issues with the doctors concerned. In our work we have seen return rates ranging from 10% up to 95%.

The second biggest issue for Trusts today is diary cards being returned too late. Successful Monitoring relies on the quick return of data so that Medical Staffing can respond to the information and take action if necessary. Late diary cards can create impotent Monitoring exercises where the exercise is completed but the benefits can't be realised. In our experience we have encountered diary cards being returned immediately and up to 2 months later!

The third major issue of Monitoring is the time and expense involved in collecting, translating and entering the data from the diary cards. We have seen the Medical Staffing time required for each Monitoring exercise vary from 7 days to 21 days.

To see how we have worked with Trusts up and down the country to solve these issues click here.