Case Number 6605
Request Date 06/03/2019
Completion Date 02/04/2019

 

Details of the Request

I am writing to you under the Freedom of Information Act 2000 to request the following information regarding the organisation of the Clinical Haematology department at your NHS Trust. Responses to this survey will be anonymised and form the basis of the British Society for Haematology workforce census.

 

HOSPITAL ENVIRONMENT

1. Choosing between ‘district general,’ and ‘specialist / tertiary care hospital,’ in which type of hospital do you work? Please note that this question is about the hospital specifically, and not about its services. Please tick one option as appropriate.

  • District general hospital
  • Specialist / tertiary care hospital
  • Other (please specify)

 

2. In total, how many beds did the hospital have for patients as of 30 September 2018? Please provide information on the total number of available and filled beds, with a breakdown for the number of haematology beds. Please fill in the below table with the number of beds.

  • Number of beds
  • Total number of beds as of 30 September 2018.
  • Number of filled beds as of 30 September 2018.
  • Number of available beds as of 30 September 2018.
  • Total number of patient beds in the hospital
  • Beds allocated to haematology patients in the hospital

 

3. In total, how many outpatients were treated between 30 September 2017 and 30 September 2018? Please fill in the below box with the number of outpatients.

 

4. Is the hospital in which you work overspent, underspent or on budget? Please tick one option as appropriate.

  • Underspent
  • On budget
  • Overspent

 

WORKFORCE

5. In total, how many full time equivalent employees were employed within the Clinical Haematology department of your NHS Trust as of 30 September 2016 and as of 30 September 2018? If roles are shared with other departments, please use the percentage of each employee’s time spent working with the Clinical Haematology department to work out a total number of full time equivalent employees.

  • Total number of full time equivalent Clinical Haematology employees as of 30 September 2016
  • Total number of full time equivalent Clinical Haematology employees as of 30 September 2018

 

6. Please provide the number of full time equivalent employees within the Haematology department at your NHS Trust, split according the roles below. Please provide these numbers as they existed on 30 September 2016 and 30 September 2018.

For 30 September 2018 only, please give details of how many full time equivalent employees in the Clinical Haematology department were within five years of retirement on this date.

If roles are shared with other departments, please use the percentage of each employee’s time spent working with the Clinical Haematology department to work out a total number of full time equivalent employees. Please fill out this information in the table on the following page.

  • Job role (full time equivalent employees)
  • Number of full time equivalent employees at your NHS Trust as of 30 Sept 2016
  • Number of full time equivalent employees at your NHS Trust as of 30 Sept 2018
  • Number of full time equivalent employees at your NHS Trust within 5 years of retirement age as of 30 Sept 2018

 

Medical roles:

  • Consultant Clinical Haematologist
  • Haematology SpR/StR (or equivalent)
  • Haematology Core Medical Trainee / Foundation Year Doctor
  • Other medical haematology role (Associate Specialist, Trust Grade staff, etc.)
  • Haematology Physicians’ Associate / Physicians’ Assistant

 

Nursing roles:

  • Haematology Clinical Nurse Specialist
  • Other haematology nursing roles – Note: this applies only to haematology roles, not generalist roles

 

Pharmacist roles:

  • Haematology Consultant Clinical Pharmacist
  • Other haematology pharmacist role

 

Laboratory roles:

  • Haematology Clinical Scientist (Band 8 and above)
  • Haematology Clinical Scientist (all other bands)
  • Haematology Biomedical Scientist (Band 8 or above)
  • Haematology Biomedical Scientist (Band 7)
  • Haematology Biomedical Scientist (Band 6)
  • Haematology Biomedical Scientist (Band 5)
  • Haematology Associate Practitioner / MTO (Band 4)
  • Haematology Medical Laboratory Assistant (Band 3)
  • Other haematology laboratory role (please specify)

 

Management / support roles:

  • Haematology Management Staff (all roles)
  • Haematology Data Manager
  • Haematology Clerical Staff (all roles)
  • Haematology Secretarial Staff (all roles)

 

7. As of 30 September 2017 and 30 September 2018, how many full time equivalent vacancies did your NHS Trust have advertised for the each of the job roles specified below within the Haematology department? Please fill in the table as appropriate.

If certain vacancies are for roles shared with other departments, please use the percentage of each employee’s time spent working with the Clinical Haematology department to work out a total number of full time equivalent employees. Please fill out this information in the table on the following page.

  • Job role (full time equivalent employees)
  • Number of full time equivalent employees at your NHS Trust as of 30 Sept 2016
  • Number of full time equivalent employees at your NHS Trust as of 30 Sept 2018
  • Number of full time equivalent employees at your NHS Trust within 5 years of retirement age as of 30 Sept 2018

 

Medical roles:

  • Consultant Clinical Haematologist
  • Haematology SpR/StR (or equivalent)
  • Haematology Core Medical Trainee / Foundation Year Doctor
  • Other medical haematology role (Associate Specialist, Trust Grade staff, etc.)
  • Haematology Physicians’ Associate / Physicians’ Assistant

 

Nursing roles:

  • Haematology Clinical Nurse Specialist
  • Other haematology nursing roles – Note: this applies only to haematology roles, not generalist roles

 

Pharmacist roles:

  • Haematology Consultant Clinical Pharmacist
  • Other haematology pharmacist role

 

Laboratory roles:

  • Haematology Clinical Scientist (Band 8 and above)
  • Haematology Clinical Scientist (all other bands)
  • Haematology Biomedical Scientist (Band 8 or above)
  • Haematology Biomedical Scientist (Band 7)
  • Haematology Biomedical Scientist (Band 6)
  • Haematology Biomedical Scientist (Band 5)
  • Haematology Associate Practitioner / MTO (Band 4)
  • Haematology Medical Laboratory Assistant (Band 3)
  • Other haematology laboratory role (please specify)

 

8. During the period from 30 September 2017 to 30 September 2018, how many days of sick leave were taken by Clinical Haematology staff? (Please give one figure for all staff combined)

As supplementary information (if available), how many of these days of sick leave were due to stress, depression, or other mental health conditions?

How many days of sick leave did Clinical Haematology staff take between 30 September 2017 and 30 September 2018?

How many days of sick leave due to stress, depression or other mental health conditions did Clinical Haematology staff take between 30 September 2017 and 30 September 2018?

If you do not have access to this data, provide a description below on how you believe absences due to sick leave (especially due to stress, depression of other mental health conditions) amongst the clinical haematology staff compare to those of staff within the rest of your NHS Trust.

 

9. Please outline which multidisciplinary teams involving clinical haematology staff were in existence at your NHS Trust as of 30 September 2018.

For each team please also indicate how frequently the teams meet. This includes both virtual and face-to-face meetings.

Multidisciplinary teams in the following areas: Do multidisciplinary teams in the below areas operate at your hospital? If so, how often do they meet? Please tick as appropriate.

  • More than once per week
  • Weekly
  • Monthly Less than once each month
  • Does not operate
  • Blood transfusion
  • General Haematology
  • Haemoglobinopathy
  • Thrombosis and Haemostasis
  • Laboratory

 

Malignant:

  • Bone Marrow Transplant
  • Lymphoma
  • Leukaemia
  • Myeloma
  • Other

 

Paediatric:

  • Haemato-oncology
  • Bone Marrow Transplant
  • Haemoglobinopathy
  • Thrombosis and Haemostasis
  • Laboratory
  • Other (please specify below):

 

WAYS OF WORKING / ROTAS

10. As of 30 September 2018, what percentage of their working hours (on average) did Consultant Clinical Haematology staff at your NHS Trust devote to non-clinical duties? These duties can be either:

  • Within the NHS Trust (e.g. managerial/leadership roles); or
  • Outside the NHS Trust (e.g. Royal College roles, Examining responsibilities, British Society for Haematology roles, or other professional roles at a national / international level). This does not have to be a precise figure, but rather your sense as to the average proportion of time spent by Consultant Clinical Haematologist staff at your NHS Trust on non-clinical duties.
  • Consultant Clinical Haematology staff spend the following proportion of their working hours on non-clinical duties within the NHS Trust: % of working hours
  • Consultant Clinical Haematology staff spend the following proportion of their working hours on non-clinical duties outside the NHS Trust: % of working hours

 

11. Between 30 September 2017 and 30 September 2018, how often did Clinical Haematology staff have to miss, postpone or complete outside of working hours the following due to their workload? Please note that here, ‘Clinical Haematology staff’ refers to medical clinicians.

  • Mandatory scheduled training (e.g. fire training, blood transfusion training, etc);
  • CPD sessions;
  • Job planning and appraisal procedures.

Please give an estimate of how often this occurred (considering the clinical haematology team as a whole) by ticking one box per row. This does not have to be a precise figure, but rather your sense as to how often (if at all) this happened.

 

How often did clinical haematology staff miss the below activities due to their workload? Not at all Less than once every 2 months Once every 2 months Once per month Once per week More than once per week

  • Mandatory training
  • CPD sessions
  • Job planning and appraisal
  • Other (please specify)

 

CLINICAL QUALITY

12. Between 30 September 2017 and 30 September 2018, were any cases of External Quality Assessment (EQA) failure or peer review failure logged at your NHS Trust relating to Clinical Haematology procedures / activities / units? E.g. external accreditation of a unit such as ‘bone marrow transplantation,’ ‘haemophilia,’ etc.

If yes, please give the number of EQA and peer review failures in the box below. If not, please enter ‘0’ in the box below

  • EQA failures were recorded
  • peer review failures were recorded

 

FUTURE CHALLENGES

13. What do you regard as the most pressing challenges facing your Clinical Haematology department in the next 5-10 years?

Please tick no more than three boxes and prioritise your answers in order of importance (1-3) with (1) being most important.

Most pressing challenges for your clinical haematology department in the next 5-10 years

Ranking: (1)-(3), with (1) being the most important. Please rank no more than three challenges.

  • Workforce going into retirement
  • Difficulties in staff recruitment
  • Difficulties in staff retention
  • Lack of funding for new positions
  • Inadequate training capabilities
  • Staff leaving the NHS for private institutions
  • Increasing demands on Haematology staff beyond their current role(s)
  • Fewer medical graduates choosing to specialise in Haematology
  • Low morale / sickness absence
  • Other – please specify

 

14. Please share any other comments on the challenges that you predict will face your Clinical Haematology department in the next 5-10 years.

 

Details of the Response

Hospital Environment

1) In which type of hospital do you work?

District general hospital

 

2) Number of beds

Total number of beds as of 30 September 2018 508
Number of filled beds as of 30 September 2018 440
Number of available beds as of 30 September 2018 508

Please note: The Trust has counted all beds excluding Critical Care beds and Day Case beds, and has shown the occupied bed numbers at midnight of 30/09/2018.

 

3) Number of outpatients treated between 30 September 2017 and 30 September 2018

No answer provided.

 

4) Is the hospital in which you work overspent, underspent or on budget?

Underspent

 

Workforce

5) Employees in Clinical Haematology

Total number of full time equivalent Clinical Haematology employees as of 30 September 2016 20.4 employees
Total number of full time equivalent Clinical Haematology employees as of 30 September 2018 23.1 employees

 

6) Employees in Haematology split by role

Please note: The Trust has provided data on staff who are coded to working in the Haematology department. If there are staff who do Haematology work but are budgeted to different departments, e.g. Pharmacy, or management, it cannot identify them from the information within the ESR system.  

 

Medical roles:

Job role (full time equivalent employees) Number of full time equivalent employees at your NHS Trust as of 30 Sept 2016 Number of full time equivalent employees at your NHS Trust as of 30 Sept 2018
Consultant Clinical Haematologist 4 2.5
Haematology SpR/StR (or equivalent) - -
Haematology Core Medical Trainee / Foundation Year Doctor - -
Other medical haematology role (Associate Specialist, Trust Grade staff, etc.) 1 1
Haematology Physicians’ Associate / Physicians’ Assistant - -

 

Nursing roles:

Job role (full time equivalent employees) Number of full time equivalent employees at your NHS Trust as of 30 Sept 2016 Number of full time equivalent employees at your NHS Trust as of 30 Sept 2018
Haematology Clinical Nurse Specialist 2 2
Other haematology nursing roles – Note: this applies only to haematology roles, not generalist roles 2 2

 

Pharmacist roles:

Job role (full time equivalent employees) Number of full time equivalent employees at your NHS Trust as of 30 Sept 2016 Number of full time equivalent employees at your NHS Trust as of 30 Sept 2018
Haematology Consultant Clinical Pharmacist - -
Other haematology pharmacist role - -

 

Laboratory roles:

Job role (full time equivalent employees) Number of full time equivalent employees at your NHS Trust as of 30 Sept 2016 Number of full time equivalent employees at your NHS Trust as of 30 Sept 2018
Haematology Clinical Scientist (Band 8 and above) - -
Haematology Clinical Scientist (all other bands) - -
Haematology Biomedical Scientist (Band 8 or above) 1 1
Haematology Biomedical Scientist (Band 7) 2 2
Haematology Biomedical Scientist (Band 6) 4 7
Haematology Biomedical Scientist (Band 5) - 1
Haematology Associate Practitioner / MTO (Band 4) - -
Haematology Medical Laboratory Assistant (Band 3) - -
Other haematology laboratory role (please specify) Band 2 4.4 4.6

 

Management / support roles:

Job role (full time equivalent employees) Number of full time equivalent employees at your NHS Trust as of 30 Sept 2016 Number of full time equivalent employees at your NHS Trust as of 30 Sept 2018
Haematology Management Staff (all roles) - -
Haematology Data Manager - -
Haematology Clerical Staff (all roles) - 1
Haematology Secretarial Staff (all roles) - 1.8

 

7) Vacancies within Haematology

Information is not recorded, however the Trust can estimate the following for the current period: 

Job role (full time equivalent employees) Number of full time / full time equivalent vacancies advertised as of 30 Sept 2017 at your NHS Trust Number of full time / full time equivalent vacancies advertised as of 30 Sept 2018 at your NHS Trust
Medical roles - Consultant Clinical Haematologist - 2
Other haematology nursing roles – Note: this applies only to haematology roles, not generalist roles - Band 6 x 1
Band 5 x 1

 

8) Sick Leave in Clinical Haematology

How many days of sick leave did Clinical Haematology staff take between 30 September 2017 and 30 September 2018? Negligible
How many days of sick leave due to stress, depression or other mental health conditions did Clinical Haematology staff take between 30 September 2017 and 30 September 2018? Negligible

 

9) MDTs involving Clinical Haematology as of 30th September 2018

Malignant - weekly:

  • Bone Marrow Transplant
  • Lymphoma
  • Leukaemia
  • Myeloma
  • Other

 

Paediatric - does not operate:

  • Haemato-oncology
  • Bone Marrow Transplant
  • Haemoglobinopathy
  • Thrombosis and Haemostasis
  • Laboratory

 

Ways of Working / Rotas

10) % of duties spent on non-clinical duties

Consultant Clinical Haematology staff spend the following proportion of their working hours on non-clinical duties within the NHS Trust: 20% of working hours
Consultant Clinical Haematology staff spend the following proportion of their working hours on non-clinical duties outside the NHS Trust: 0% of working hours

 

11) Staff missing activities due to workload

  • Mandatory training = Not at all
  • CPD sessions = Not at all
  • Job planning and appraisal = Not at all

 

Clinical Quality

12) Cases of External Quality Assessment (EQA) failure or peer review failure relating to Clinical Haematology procedures / activities / units.

None

 

Future Challenges

13) What do you regard as the most pressing challenges facing your Clinical Haematology department in the next 5-10 years?

This question is asking for an opinion, the FOI Act covers any recorded information that is held by a public authority. Therefore we are unable to respond.

 

14. Please share any other comments on the challenges that you predict will face your Clinical Haematology department in the next 5-10 years.

This question is asking for an opinion, the FOI Act covers any recorded information that is held by a public authority. Therefore we are unable to respond.