Nursing schedules have an overlap of unproductive time in the afternoon.  75 hours a fortnight are worked.  A change to to 5 shorter morning and 5 longer afternoon shifts over two weeks eliminating all but the necessary hand over time will produce greater productivity.

I made this change while I was the Hospital Director of Princess Grace private hospital and we reduced the number of agency nurses by rewarding the permanent staff.

The reward was to pay a premium for the afternoon shift – ONLY IF WORKED, i.e. not while off sick or on holiday.  

Why is this idea important?

Directly employed nurses are a valuable asset and need to be rewarded for their skills, agency nurses are not committed in the same way and generally give much lower productivity

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