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Improving nurses’ work-life balance with team-based rostering

In a pilot with three hospitals, and supported by the Burdett Trust for Nursing, Timewise explored whether a team-based approach to the roster could give nurses greater control of their working patterns. The goal was to improve nurses’ work-life balance, with a view to alleviating the NHS staffing crisis.

Nurses team based rostering

Getting and keeping staff is now the number one challenge for the NHS. And the NHS Long Term Plan recognises that poor work-life balance is a key underlying reason.

From our work across many sectors, Timewise knows that work-life balance is a key element of any ‘great place to work’. But how can hard-pressed ward managers, trying to provide 24-hour patient care with limited resources and at the same time satisfy clinical requirements for particular skills on particular shifts, also facilitate work-life balance for nurses?

Timewise set up a pilot to explore one way of addressing this problem. We worked with 240 nurses in seven wards in three hospitals, to test whether a team-based rostering system could improve nurses’ work-life balance. The aim was to increase nurses’ input into their own working patterns.

Building flexibility into secondary schools

The education profession is in crisis. Long hours, constantly changing workloads, and better paid opportunities elsewhere, are all factors that are making recruitment and retention an ever increasing challenge.

While flexible working cannot tackle all of these issues, it has a big role to play in improving work-life balance for teachers. It can help make the profession (one dominated by women) more accessible to those with other commitments such as family.

This project explored how to create part-time and flexible pathways in secondary schools. Key points are summarised below.

Part-time employees isolated

In the 12 years that Timewise has been focusing on the flexible jobs market, we have heard anecdotal evidence of a key barrier facing part-time employees: a sense of not being fully part of the team.

This research survey set out to quantify the problem. It found that many part-time workers do indeed say they miss out on key meetings, on professional development events and training, and on networking opportunities.

Key findings

Among the part-time workers who responded to our survey:

  • 59% feel their skills and knowledge have fallen behind those of their full-time colleagues
  • 61% feel less up-to-date with team developments
  • 65% feel less connected to their team due to missing out on social time
  • 59% feel they are missing out on networking opportunities and have lost connections
  • 68% feel so grateful to be allowed to work part-time that they accept career compromises.

What does this mean for employers?

If part-time workers are missing out in these ways, they are unlikely to progress as well as their full-time colleagues. Not only is this a waste of their potential, it could also have a negative impact on their organisation’s gender pay gap. By failing to take part-time workers’ schedules into account when planning important meetings and events, employers are making it harder for these employees to deliver their role to the highest standards, and creating operational inefficiencies.

Employers who really want to benefit from the skills and talents of their part-time workers, need to start thinking differently about the best way to support them.

So, what can employers do to help?

In simple terms, employers need to think differently. They need to challenge the assumption that, just because something has always been done in a certain way – such as entertaining clients after work, or having team meetings on the same day and time each week – that’s the only way to do it.

By thinking creatively and innovatively about how things are done, employers can deliver a workplace culture and working week that is as inclusive of part-time workers as their full-time colleagues – and benefit from the results.

Specific suggestions, made by the part-time workers in our survey include:

  • schedule team meetings, social events and client lunches on days when part-time workers are in (rotating the days of the week if needed, to give everyone a chance to attend)
  • try peer-to-peer networking opportunities for part-time workers
  • offer part-time workers access to training budgets and opportunities to upskill
  • introduce tactics to help teams connect more easily – eg catch-up Skype calls, a WhatsApp group
  • foster top down acceptance of the valuable contribution that part-time workers make to the business.

Published September 2018

NHS doctor
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The staffing crisis in the NHS has the organisation close to breaking point. Large numbers of staff are leaving, with many citing work-life balance as their main reason. And recruitment is challenging, with huge numbers of unfilled vacancies. As a result, agency costs for locums and temporary staff are spiralling.

Flexibility could help to tackle these issues, yet there is no clear definition of what flexible working means within the NHS. The organisation currently tends to operate on a request-response model, in which flexibility is seen as a problem to be accommodated rather than a way to meet the non-work needs of their staff. The variety of roles and ways of working in the NHS adds further complexity, with different solutions needed for shift-based working.

Timewise research into flexible working with the NHS

In the last year, Timewise has begun working with a range of NHS Trusts to scope how flexible working can enhance their ability to retain staff. We are also conducting an action research project to help NHS Trusts retain nurses within a 24/7 workplace.

Three part action plan

Timewise recommends that the NHS implements a three-part Action Plan for Flexibility, to drive sustainable change

1. Define what flexibility means

The NHS needs to develop a clear definition and vision for flexible working

2. Design flexible job roles

The next step is to create flexible job design options for each profession, job role and specialty.

3. Develop a flexible culture

Organisational cultures which drive and promote flexible working at team level will be essential for the changes to be successful.

In this report, we recommend a fresh approach to redesigning NHS jobs and working practices, taking into account the specific clinical and operational constraints in each profession, job role and specialty. This innovative approach to flexible job design will create role-specific flexible options, for staff at all levels, and will help the NHS to:

  • Reduce the number of people leaving
  • Reduce the amount spent on agency staff
  • Attract new staff
  • Improve the gender pay gap and help women progress
  • Promote local workforce inclusion and become an anchor institution.

The potential impact on the NHS staffing crisis

Flexible working, done well, could help the NHS to deliver a 24/7 environment which works for all their staff, whatever their other responsibilities. The result would be a dramatic increase in the organisation’s ability to attract, nurture, develop and keep its hard working, talented people.


Published July 2018

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Microphone - manifesto for change

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Our enduring social aim at Timewise is to enable women and men to find the flexibility they need in their careers without reducing their value in the workplace.

Professional services firm Deloitte also shares this aim – providing a working environment where everyone is able to enjoy a successful career alongside a fulfilling life outside work. It is this shared aim that led Timewise and Deloitte to produce our Manifesto for Change.

To prepare our manifesto, a research survey was conducted amongst 1800 professionals working in the UK. The survey was followed up by qualitative research interviews with 12 business leaders.

Key findings from the research are shown below:

BARRIERS

The survey identified several perceived barriers to flexible working, including outdated workplace cultures and attitudes that perpetuate the ‘flexibility stigma’. It’s clear that even when business leaders want to accommodate the flexible working needs of their employees, there is a gap between what is said at the top and how that translates to everyday working life.

SOLUTION

Because the barriers to embedding flexible working are primarily cultural, success must go beyond a programmatic approach. Both the survey respondents and our interviewees told us that real change only comes when leaders challenge workplace culture and dismantle practices that are no longer fit for purpose.

Manifesto 2

OUR MANIFESTO FOR CHANGE

Based on the survey results, we developed a Manifesto for Change. We want this to be a blueprint for attitudes and actions across UK organisations. We want business leaders to recognise that getting flexible working right will drive success in their business. We want them to share best practice and be brave in trying new approaches.

The following five manifesto actions are what we believe will accelerate workplace change, making it fit for today’s flexible workforce:

  1. Leaders must provoke cultural change – challenge the status quo
  2. Flexible working to be gender neutral – emphasise the value of male and female role models
  3. Design flexibility into jobs as standard – ask “why not” rather than “why”
  4. Influence the attitudes and actions of managers – provide them with permission and support
  5. Collect the data – measure the success of flexible working

Published May 2018

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RetailDownload full research report

Flexibility in working hours is one of the most important reasons cited for choosing to work in retail1. And yet employees who need flexibility all too often become trapped in shop-floor roles by the lack of opportunities to work part-time or flexibly at store management level.

Following an initial pilot with Pets at Home, Timewise launched our Retail Pioneer Programme in 2017, developed with the BRC and five pioneer partners: B&Q, Cook, Dixons Carphone, Tesco and the John Lewis Partnership.

We set out to understand what was getting in the way of offering flexible working at store management level. Through in-depth research with each of the five retailers, we interrogated and challenged the cultural and operational barriers to flexibility. We then identified key changes needed to break down the barriers, so that employees who need flexibility can progress their careers and employers can make the best use of their talent.

KEY FINDINGS

Current take-up of flexible working at the five Retail Pioneers’ stores

  • 50%-75% of all store staff work part-time
  • 1%-23% of supervisors or managers work part-time
  • Only 6%-25% of promotions are awarded to part-time staff

How retail staff feel about current practice

  • 36% are dissatisfied with current flexibility or work life balance
  • 52% are interested in promotion if they can keep their current working arrangement
  • 40% believe they would need to work full-time to achieve promotion
  • 49% think part-time managers have full-time workloads

STAFFING PROBLEMS CAUSED BY CURRENT PRACTICE

Under-utilisation of skills
Talented people who need flexibility are being underdeveloped because of the lack of flexible career progression. This might encourage them to leave the industry, and deter others from joining it.

Diversity issues and the gender pay gap
For some of the five retailers, attracting female talent to their stores was a particular challenge. Other retailers had a diverse gender mix at shop floor level, but this reduced dramatically at supervisor or manager roles. As flexible working is disproportionately attractive to women, there is a real opportunity for flexible career pathways to have a positive impact on the gender pay gap for retailers.

TAKING ACTION TO DESIGN JOBS DIFFERENTLY

Our research points to the need for a 2 step change process:

1   Redesign existing part-time managerial jobs to make them achievable and attractive, supporting management teams to explore how they can redesign workloads and schedules collaboratively.

2   Open up all roles to flex, promoting and hiring people flexibly into managerial roles.

Based on the insights revealed by our research, we worked closely with each of the five retailers to develop tailored action plans containing our recommended job design options. We have been delighted with the responses from the Pioneers, who are taking a variety of approaches, depending on their particular findings and their business priorities.

1 Retail 2020, What Our People Think, May 2016, BRC


Published May 2018

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Apprenticeship, civil engineers
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An ambitious government programme is underway to raise the quality and quantity of apprenticeships, funded in part by the new Apprenticeship Levy. It has catapulted apprenticeships to the top of the agenda for many businesses. The benefits to apprentices, to businesses and to our wider economy and society are considerable.

However, access to high quality apprenticeships is uneven. Gender segregation is entrenched, mirroring the inequalities in the labour market that see women over-represented in low paid, low skilled jobs.

Timewise holds that one root cause of this gender inequality is the lack of part-time or flexible apprenticeships. Just one in ten apprentices are contracted for less than 30 hours per week, leaving the training out of reach for many who are unable to work full-time – particularly women, people with caring responsibilities, disabled people and young people leaving the care system.

Research objective

This report investigates the feasibility of part-time and flexible models of apprenticeships. It is based on research conducted by Learning and Work Institute and Timewise, supported by the Young Women’s Trust and Trust for London.

Key findings

The research suggests that part-time and flexible apprenticeships can increase access to skills and allow businesses to reach a broader, more diverse candidate pool. An effective programme would include the following critical success factors:

  • Working with employers to understand their workforce needs and where part-time and flexible apprenticeships may be beneficial.
  • Resolving misunderstandings around demand and supply of part-time and flexible apprenticeships. Currently, apprenticeship providers do not perceive a demand from employers, and employers do not think providers offer them.
  • Focusing initially on sectors and occupations where some degree of part-time or flexible working is already established, in order to establish a model for success.
  • Engaging the managers who oversee the apprentices in decisions about how work and study can be organised, with the terms of hours and flexibility agreed upfront.
  • Ensuring the level of apprenticeships offered are appropriate for the individual, of a high quality, and offer real progression opportunities and wage returns.
  • Ensuring that apprentices taking up part-time and flexible opportunities are paid at least the Living Wage or London Living Wage.
  • Improving use of online and distance learning approaches to facilitate part-time and flexible apprenticeship models, while retaining the benefits of face-to-face and peer group learning.

What next?

Timewise are now developing a part-time and flexible apprenticeship model which we intend to pilot later this year. Our goal is to build an evidence base to support a scalable part-time and flexible apprenticeship offer.


Published February 2018

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Tutor roleAcross the UK, policy makers with ambitious plans for regeneration and growth are keen to ensure that no one in their community is left behind. But the lack of good flexible jobs means that key groups of people (such as parents and carers, people with disabilities or older workers) are often trapped in low-paid roles or locked out of the jobs market altogether.

Timewise has been commissioned by some of the UK’s most forward-looking local authorities and policy makers to report on the availability of flexible roles within their regions. The research we’ve carried out so far has shown clearly that the demand for flexible roles dramatically outstrips the supply, and has provided the evidence to support the creation of strategies for systemic change.

However, gathering the evidence is just the first step. We’re also working closely with local leaders to bring these strategies to life, unlock their jobs markets to quality flexible roles, and so tackle issues of social mobility, gender and diversity, as well as a lack of career progression.

We are currently partnering with over 25 councils and other major public sector employers, who are acting as champions for change, both as employers and influencers. We’re also working with metro mayors and anchor institutions to support the drive for more flexible jobs, through social consultancy and job design programmes.

As the Social Mobility Commission highlighted in their recent report, local leaders have a key role to play in building routes out of low-paying roles and into higher, skilled positions, by thinking creatively about interventions that could help address career progression. The lack of good, flexible jobs is holding communities back; if you are a regional policy maker who is looking to develop an innovative strategy for inclusive growth, please get in touch.

Download our latest Regional Flexible Jobs Index, for West Yorkshire

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  • 63% of full-time employees already work flexibly in some way.
  • 87% of all full-time employees either work flexibly already, or say they want to
  • The preference for flexible working is strong for both sexes: 84% of male full-time employees either work flexibly already, or say they want to. For women this rises to 91%.
  • Younger workers want it most: 92% either work flexibly or say they want to.
  • Amongst the different types of flexible working patterns, 1 in 4 (25%) of all full-time employees would specifically prefer to work part-time for part-time wages.
  • 93% of non-workers who want a job would prefer to work either part-time, or flexibly in a full-time role.
  • And among self-employed people, 89% work flexibly.
  • People are most likely to say their reason for wanting to work flexibly is work/life balance, or it being generally useful or convenient. Other key reasons include commuting issues, leisure or study interests, and caring responsibilities.

What do we mean by ‘flexible working’?

Flexible working means different things to different people. Our research focuses on the following types of flexibility, which are generally seen as favourable for the employee:

  • Flexible working hours (sometimes called ‘flexi-time’)
  • Working from home or remotely (for some or all of the working week)
  • Shift work (with the ability to choose favourable shifts)
  • Term time or seasonal work
  • Part-time hours

Our respondents included full-time workers who might be working flexibly now (or not), and may have told us they would prefer to work part-time or to work full-time but with flexibility in their working pattern.

Implications for employers

BUSINESS IMPERATIVE TO HAVE A PROACTIVE STRATEGY FOR FLEXIBLE WORKING

  • Our research finds that the UK appetite for flexible working has been grossly underestimated. The proportion of full-time workers who are already working flexibly (63%) far surpasses previous estimates, let alone the proportion of people who would prefer to (87%).
  • The research also confounds the idea that flexible working is only of business interest as a solution to diversity and inclusion problems. It may well help to solve those problems, but the demand for flexible working goes much further – cutting across all ages and genders.
  • To attract the best talent, it is clearly no longer sufficient to have a flexible working policy in place, offering flexibility only to existing employees on request. Employers must build a proactive flexible working strategy that makes it part of ‘the norm’, and opens it up to all employees equally, rather than targeting it at specific groups.

THE NEED TO OFFER FLEXIBLE WORKING IN THE RECRUITMENT PROCESS

  • When 87% of UK employees either work flexibly already, or would prefer to, it makes no sense at all that fewer than 1 in 10 job adverts offer flexible working as an employee benefit 
  • Candidates who need flexibility are worried about applying for roles that don’t specifically mention it.
  • The result is that many excellent candidates get stuck in their flexible jobs, preferring to stay in place even if it means they miss out on career progression. The impact of down-skilling is huge – for example, 1.5 million people are trapped in low-paid, part-time jobs below their skill level, because they can’t find an appropriate new job with the working pattern they need7.
  • ‘Flexible hiring’ is lagging far behind the take-up of flexible working in the UK. Greater transparency is urgently needed in job adverts, followed through with much more open conversations around flexible working during the recruitment process.

Methodology

Timewise commissioned the survey from ComRes, who interviewed 3,001 UK adults online between 13th and 26th June 2017. Within these sub-samples: 1,250 full-time employees; 750 part-time employees; 500 self-employed people; 501 people who were not working but wanted to work. All participants were aged 18+. The data for full-time employees and for part time employees was weighted to be representative of the UK working population for those employment types; other data were unweighted.


Published September 2017

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Staffing crisis in the social care sectorDownload full research report

Social care has a reputation for offering flexible working to suit those with personal caring responsibilities and indeed 53% of the care workforce work less than full-time. But equally, it requires unsociable hours – early mornings, evenings and weekends. Up to 60% of workers in domiciliary care are on zero hours contracts: in theory, such contracts enable carers to choose both the schedule of hours they work, and the amount of work they do each week. But does the rhetoric of flexibility and family-friendly match the reality of carers’ jobs?

Timewise, with the support of the JPMorgan Chase Foundation, set out to explore how care providers manage the challenge of delivering a high quality service to people who need care, whilst enabling carers – 82% of whom are women – to find the flexibility they need to manage their own non-work responsibilities.

Key findings from qualitative research with carers, managers and sector experts

  • We found great confusion about what flexible working means in social care, and who it’s supposed to benefit – employers or employees. Domiciliary care has a reputation for being a local, ‘family-friendly’ job, which attracts many women to consider the sector. However, the reality is very different. Many carers have very short careers, with a high proportion failing to make it even through the induction and training period, once the reality of the scheduling becomes clear.
  • We identified five formidable structural constraints on providing jobs which are compatible with non-work responsibilities: the unpredictability of rotas, the absence of slack in the system, unsociable hours, downtime in the middle of the working day, and the need to travel long distances between clients. These factors make it difficult for employers to offer carers a stable or attractive schedule, and many have given up on even attempting to help their carers to achieve work-life balance. Instead, care managers and schedule coordinators are forced to focus on ‘filling the gaps’ in the schedule.
  • However, rather than giving up on work-life balance for carers, Timewise believes there is another way. We identified three potential ways to create compatible scheduling for carers: reducing the volatility of the schedule from week to week, increasing advance notice of the schedule, and maximising carers’ input into schedules.
  • We also found that care providers were making special, individualised ‘family-friendly’ working arrangements for some carers, which disadvantaged other carers and were perceived as unfair. A team-based approach might solve this problem.

Key findings of a six-month pilot with Rathbone, a community support provider

The purpose of the pilot phase of our research was to test whether a geographical team-based approach to scheduling could stabilise and enhance jobs in care. The pilot showed that:

  • The team-based approach gave carers greater control and input into their working times. There was also an improvement in the perceived fairness of the schedules.
  • Reducing travel time by clustering support workers in a particular geographical area enabled the scheduling of a weekly team meeting. This was a forum for negotiating work-life needs, but also served to reduce isolation, improve teamwork and peer support, and increase team members’ knowledge about service users and their needs. We identified a seven-step process which other care providers can use to implement this approach.
  • The pilot has highlighted the need for further research on how to tackle the other two ways of improving compatible scheduling for carers – the volatility of each carer’s schedule from week to week, and the amount of advance notice of the schedule. We know that there are multiple causes of schedule unpredictability, but we need to understand the relative importance of the various factors and then to develop strategies for reducing it. This is the critical next step in designing jobs which are more compatible with carers’ non-work responsibilities – jobs which will attract and retain carers in the sector. While there has been a wealth of reports into the state of the social care sector, there has so far been little focus on practical actions to improve the compatibility of carers’ jobs with their non-work responsibilities. The structure of the social care industry, with thousands of small care providers operating on extremely tight margins, suggests that change needs to come from sector-wide initiatives. There is a strong business case for policy makers and commissioners to review job design in social care, as well as a strong social and moral case to enable carers to raise their living standards through secure employment which is compatible with their non-work lives. We recommend that the commissioning of care will need to change to enable the redesign of jobs in this way.

Published May 2017

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