The review teams that visited the 14 trusts found inadequate numbers of nursing staff in a number of ward areas, particularly out of hours – night and at the weekend. This was compounded by over-reliance on unregistered support staff and temporary staff.
The Keogh Report highlights the following action in response to these concerns. The report states: "As set out in the Compassion in Practice, directors of nursing in NHS organisations should use evidence-based tools to determine appropriate staffing levels for all clinical areas on a shift-by-shift basis. Boards should sign off and publish evidence-based staffing levels at least every six months providing assurance about the impact on quality of care.