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. 2020 Mar 26;30(1):7–16. doi: 10.1136/bmjqs-2019-010569

Table 4.

Understaffed/overstaffed patient shifts and costs by temporary staff availability for different baseline staffing levels

Baseline staffing Low Standard High Low Standard High Low Standard High Low Standard High
Flexible staffing option Patient shifts Understaffed patient shifts Overstaffed patient shifts Cost per patient-day
n n n % % % % % % £ £ £
Unlimited availability 2 924 099 2 923 561 2 923 896 17.1 8.0 4.4 0.7 4.5 9.9 145 147 152
Higher availability 2 923 631 2 924 193 2 923 489 41.1 18.2 11.5 0.7 4.4 9.9 135 142 148
Empirical availability 2 924 006 2 923 614 2 924 087 65.4 31.8 21.2 0.7 4.4 9.9 120 135 142
No temporary staff or redeployments 2 923 940 2 923 668 2 923 786 86.0 46.6 33.8 1.0 5.8 12.4 100 124 135

Calculated from average results across 10 runs of the simulation model for each hospital.