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Ending the two-tier workforce

This 12 month research programme, supported by abrdn Financial Fairness Trust, looked at improving access to flexible and predictable work for frontline employees

A Timewise report - Ending the two-tier workforce: towards a greater control and more predictable work for frontline workers

Access to part-time and flexible working is highly valued and far more easily available to those in office based and higher earning jobs. Site-based and shift-based workers, such as medical staff, transport workers, nurses, cleaners, retail assistants and construction workers, who all make up our everyday economy, typically have little or no flexibility in their roles, resulting in a ‘two-tier workforce’.

In partnership with abrdn Financial Fairness Trust, we set out to understand the potential for improving access to quality flexible work in four sectors that have a high proportion of shift and site-based work. Our research focused on frontline employees’ autonomy and control over the hours they work, and when and where they work, in health and care, retail, construction, and transport and logistics. We chose to focus on these sectors for the following reasons:

  • they each have high levels of shift-based and site-based work
  • they have between 13% to 49% of workers who are low paid
  • they have between 11% to 29% of workers on an insecure contract or volatile hours

These four industries make up more than a third of UK employee jobs, so provided a representative test of whether and how the new legislation will improve work-life balance for site-based and shift-based workers.

What did we do?

We engaged with employers, workers, experts and sector representatives over 12 months, starting with in-depth industry research. This included a review of literature and interviews with HR and senior operational leads across the four sectors.

This was to understand:

  • their response to legislation relating to workers’ rights
  • their workforce demands for flexible and secure working patterns
  • their approach to implementing flexible and secure work for their frontline staff including their operational challenges and opportunities for greater impact across their organisation and sector

Then we further tested and refined our findings with sector stakeholders to develop practical strategies to increase the adoption of flexible and secure work in their industries, taking into account the impact for employers, sector bodies and government.

We did this through a number of roundtable discussions with employers, trade unions and sector bodies, chaired by sector leaders including Danny Mortimer, Chief Executive of NHS Employers; Helen Dickinson OBE, Chief Executive of the British Retail Consortium; Kim Sides, Executive Director of BAM Construction; and Kevin Green, Chief People Officer at First Bus and Timewise Chair, as well as focus groups with lower-income workers in site-based roles.

Our findings

It was clear that a different set of principles and ways of talking about how work is designed is needed to encourage frontline employers to be able to change the way that rosters and shift patterns are created. Our ‘Shift-Life Balance Model’ recognises that it’s key to understand the size and volume of work first of all, then consider employees’ input into their schedule, fair notice of shift patterns as well as regular work patterns.

A common vision for secure and flexible work in frontline sectors
Our engagement with employers, sector bodies and workers revealed that, with the right sectoral strategies, incentives and support, is it possible to implement flexible and secure work in frontline sectors of the economy. Insights from the industry panels suggested three building blocks for making progress on this good practice vision:

  1. Resetting the narrative around flexible and predictable work – a key starting point is to shift industry perceptions and understandings of what flexible and predictable work actually is.
  1. Testing and trialling new practice and sharing learning – challenging existing practice with data-led evidence, pilots and exploring how wider factors can enable access to flexible work.
  1. Shifting cultures and systems towards flexible working as the default – setting flexibility as the ‘default’ across an entire business requires longer term shifts in culture, processes and systems.

Challenges

Whilst there are a few examples of excellent practice, there is still a long way to go to establish secure and flexible working cultures more broadly. Workers are concerned about flexibility that favours employers, but doesn’t give them any input, control or security themselves.

Worker voices: Quote 1, They think that they give you flexibility then the company will get out of control. A domino effect. Quote 2, I wouldn't be brave enough to ask [for flexible working] for fear it might damage my career.

Our research revealed some complex barriers to realising flexible and predictable working models, including:

  • Operational and capacity constraints
  • Lack of sectoral coordination and collective action
  • Resistance to cultural and management change

The core challenge is to drive the good practice by a small number of individual organisations towards a more cross-sector approach, mainstreaming predictable and flexible working cultures across industries.

Policy implications and recommendations

Our research has shown that a stronger statutory framework alone will not produce the workplace culture, business and operational shifts needed to tackle ‘one-sided flexibility’ in favour of employers, particularly for those in shift or site-based roles in frontline sectors. We have identified two key weaknesses (detailed in the report) and believe that a sector-based approach is essential for real change to take place.

We have established a coalition of leading employers, sector bodies and union representatives who are calling for government to work in partnership with industry and workers to ensure legislative proposals in the Employment Rights Bill can be successfully implemented.

This is urgently needed to give workers in the ‘everyday economy’ greater control and predictability and to realise the government’s wider goals on workforce participation, reducing economic inactivity and achieving inclusive economic growth.

Sector Guides

Four ‘sector guides’ are published alongside this report offering sector-specific recommendations for employers and sector bodies on improving access to flexible and predictable work for frontline employees.

Published January 2025

By Nicola Pease, Principal Consultant, Timewise

We can all agree that any functioning society needs an excellent system of early years and childcare provision. At present, our high quality early years educators are managing to provide a great service, but many are stressed, exhausted and have little to no work-life balance. In short, it’s an early years system on the edge.

While issues around pay and progression loom large with no immediate resolution in sight, let’s look to what we can fix. Building on recent successes in other shift-based, site-based sectors such as nursing, construction and retail, Timewise launched a report following an in-depth two-year project in the early years and childcare sector. Thanks to support from JPMorganChase we were able to partner with two leading childcare providers: the Early Years Alliance and the London Early Years Foundation, and get close to childcare staff, in settings.

We analysed the industry’s challenges and assessed its potential with regards to improving staff wellbeing through changes to working patterns. Sometimes, even the smallest changes can make an enormous difference. We conducted all our research and analysis whilst keeping the experiences of children and parents front of mind. If this is going to work: it has to work for everyone.

We held a packed event in Westminster, with support from the Early Education and Childcare Coalition,  to launch our subsequent report, Building the early years and childcare workforce of the future, with early years providers, policymakers and local and national government representatives. We collaborated on ideas and sharing ‘what works’ at settings across the UK. All with the experience of children and quality of education and care, front and centre of our thinking. Read on, to find out more…

The case for change

The early years sector is facing a perfect storm – the expansion of 30 hours funded childcare will require an additional 35,000 staff across the UK, yet 78% of providers in a recent survey said they are already struggling to attract people to a sector that is not competitive on pay or working conditions. 62% of the workforce earn less than the living wage, with pay rates similar to roles in retail and hospitality, that are ​arguably less physically and emotionally demanding – and sometimes offer more flexibility in terms of what shifts and hours people can work.​

There is also an increasing number of pressures on our early years educators which is driving up their workload and making the job harder. For example a growth in the demand for longer-hours provision to meet the needs of parents and (as was raised numerous times at our event), a hugely increased number of children presenting with SEND.  All this notches up the pressure gauge.

Given the operational constraints, what could a more flexible approach to working patterns achieve?

The research found that nearly two-thirds of staff in group-based settings have said they do not have good work-life balance.

Part-time work across the sector has fallen in the majority of settings since 2018-19 with flexible working options generally achieved through the use of casual, agency or bank staff.

Managers recognised the potential benefits of offering flexible working but were concerned about continuity of care, maintaining staff-child ratios, meeting training standards, ensuring fairness and managing team dynamics. As one person described life in a nursery, “It’s a constant jigsaw.”

At the roundtable we heard a clear call to value those working in Early Years more highly, recognising that, “It’s not just about numbers, it’s about ensuring those who care and educate are energised, valued and motivated to do so.” There was an acknowledgement that emotional resilience is key in a workplace that demands a high level of emotional investment in children’s development and needs. And a sense that there is a need to better balance the workloads and schedules of those in such an intense working environment, to better support physical, mental and emotional wellbeing.

Increasing access and opportunity for the sector is a challenge, but through the research and numerous examples of good practice, it was proven to be possible within the operating constraints of the sector – all with the voice of the child front and centre. Innovative work practices included split-shift patterns (read Ruth’s story on page 11 of the report) and recruiting lunchtime assistants (page 18 of the report), housekeepers or tea-time assistants who enable flexibility across the wider teams. As Neil Leitch, Chief Executive of the Early Years Alliance put it, “You have to be creative. Continuity is critical but that does not mean you need always to see the same person.”

And it can also be used to enhance an organisation’s management capabilities. As June O’Sullivan OBE, the Chief Executive of LEYF said, “We need to think creatively about flexibility, in its wider context. For example, think flexibly about how you think about succession planning. It can help planning the next steps for staff or an experienced manager phase their retirement slowly, while helping a new manager to build their skills and knowledge.”

What needs to change?

At a national level, Timewise is calling for a workforce plan that includes flexible working as a key strategic pillar. We estimate that a recruitment drive based around part-time and flexible working could attract staff to fill the equivalent of 17,850 full-time vacancies. That’s half the 35,000 shortfall the UK currently faces, to meet the expansion of 30hrs/week funded support.  

Locally, we need authorities to bring networks of childcare providers together to share learnings, consider challenges and how to overcome them by exploring innovative practices such as sharing of bank staff. There was real momentum at our event around this idea – clearly they have a real ‘binding’ role to play. And for childcare providers themselves, we need to see a shift away from an individualised request-response model of flexibility towards a more pro-active whole-setting approach that encourages creativity and innovation and enables staff input into working patterns. To support this, Timewise have created a series of toolkits and resources for managers, which can be found here.

There is no magic wand with which to fix the staff and people problems that the early years sector is facing. But creating good standards of flexible working, in an industry where 98% of employees are women, many of whom have their own caring responsibilities, is not just good business sense. It’s a way to improve wellbeing and the lives of those playing the vital role of nurturing our future generations.

Published December 2024

Despite being a critically important sector for the UK’s economy and society, childcare providers are struggling to recruit and retain staff. Delivering good quality early childhood education and care is key to enabling parents to work and contribute to economic growth, yet staff are facing longer hours and lower pay than comparable occupations for what can be more emotionally and physically demanding work.

This is not sustainable and action must be taken to improve staff satisfaction and to make those working in early years education feel more valued and supported. The pressure on the sector will only increase further as the government rolls out the funded childcare entitlement expansion over the next year, forecasting that an additional 35,000 new places for zero to two-year olds will be needed by September 2025.

The Timewise Childcare Pioneers project explored how proactive flexible working cultures could improve staff wellbeing and engagement and attract a more diverse pool of candidates – such as older workers and those with caring and health responsibilities.

Our approach

We worked with the Early Years Alliance, representing 14,00 members, and the London Early Years Foundation, representing 40 nurseries, to explore the role improved flexible working could play in tackling the current workforce crisis facing the sector, and to understand what improvements are possible without compromising the quality of education and care that meets the needs of parent and children.

Then we designed and delivered a set of activities and tools to support nurseries to be more consistent in their approach to flexible working, and to help them to consider and trial new approaches to increase the availability of quality flexible work.

Our thanks to JPMorganChase and Trust for London for supporting this project.

Our findings

Our initial diagnostic work found that part-time and flexible working is relatively common in childcare provider settings, and steps had been taken by both nursery providers to improve the information and support available to nursery managers to help them respond to flexible working requests fairly and consistently. However, staff felt that these arrangements were sometimes rationed, and their requests were not always seen as significant. They also felt that many managers set shift patterns without their input, and organisational needs were considered above staff needs, leaving them feeling less valued and less able to balance work and life commitments.

Head office staff and nursery managers highlighted that flexible working could make it harder to meet statutory staff-child ratios, recommended training standards, parents’ needs for flexible care, and provide continuity of care for the children. Managers are under pressure to juggle all these factors when setting schedules and are concerned that having more part-time staff and enabling flexible working patterns for some individuals would negatively impact others’ workloads.

“It’s really difficult because everything that we do is planned around ratios. And if you’ve already got a certain number of children and you’ve hit your maximum number of children with the staff that you’ve got, being flexible isn’t always possible.”
Nursery manager

“Flexible work works better in some types of settings than others. It depends very much on types of funding and types of hours parents need… More affluent areas means less availability of the 15 hour entitlement for two-year-olds, with an increasing focus on parents working three long days a week and wanting Monday and Friday off. Staff say Tuesday to Thursday are very mixed days and then Friday is half empty and Monday mixed. This has particular implications [for nurseries] as often the parents who want this have babies, and baby care needs high ratios and consistent care. Nannies and grandparents are also in the mix in different proportions in different settings.”
Director, nursery group

We found that leaders, managers and staff in nursery settings were keen to make improvements to their flexible working offering to help retain and attract staff, provided operational challenges could be overcome. With limited capacity to pilot new approaches due to high workloads and staff shortages, our project focused on improving the confidence, skills and knowledge gaps of nursery managers with a set of resources and tools.

Our recommendations for providers

  • Move from a reactive to an open, proactive, whole-setting approach to flexible working. This starts by engaging with employees to better understand their preferences and enable them to input into the scheduling process, with shared responsibility for ensuring organisational needs are met.
  • Better understand and increase the scope for flexible working patterns by analysing the impact of childcare demand in their setting on employee needs.  This should provide understanding of quiet times over a day and a week, and in doing so open up scope for staggered start and finish times, term-time only and part-time hours, among others.
  • Explore models that maintain high quality and continuity of care while facilitating more flexible working – such as having a second key person per child, with time allocated for staff handovers and communication across the whole setting and models of practice that ensure strong communication with parents outside of handovers.
  • Larger nursery groups should seek to role model good practice by developing progressive organisational policies and sharing their findings to enable other smaller providers to replicate and learn from their example.

Our recommendations for local government

  • Local authorities should make flexible working a focus of their continuous professional development (CPD) offer for local early childhood education and care providers. Many councils seek to promote quality by providing CPD for local providers. Councils should promote approaches that improve access to flexible working for all staff, rather than increase the use of casualised staff, by disseminating evidence, guidance and case studies. Our project also suggests the value of bringing managers from different settings together to explore the benefits of flexible working and how to overcome barriers to change.

Our recommendations to national government

  • Timewise is calling for a recruitment drive based around part-time and flexible working to help attract new talent to early years sector – as well as stemming the existing talent drain. The Government’s planned review of the early childhood education and care provision and workforce and resulting plan should include improving access to flexible working as a key strategic pillar and consult extensively with the sector on how to achieve this. In doing so, the Department for Education should draw on the example of the NHS Long-term Workforce Plan and the NHS People Promise which sets out a commitment to flexible working, stating: ‘We do not have to sacrifice our family, our friends or our interests for work’.   
  • The DfE must help ensure the early education and childcare sector has a comprehensive package of support (training, funding and guidance materials) to ensure it is prepared to implement new employment law reforms, including ‘flexible working by default’. Innovation funding could help to enable providers to pilot models of practice that support improvements in flexible working for staff while maintaining high levels of quality for parents and children.
  • The Department for Education should develop more consistent evidence and resources to support providers to enable improvements in flexible working without compromising children’s wellbeing – by establishing a new survey of the childcare workforce and investing in research on children’s attachments at different ages and for children with SEN.
  • Future funding reforms should consider the need for some ‘slack’ in staffing levels to be built into provider rates to facilitate innovation and create more space for staff training and development – and to do so without reducing staff-child ratios.

What’s next?

The project showed that it is possible to improve flexible working in the childcare sector, and that this can be one part of a solution to current workforce challenges. However, it also highlighted the need for practical support to help employers implement changes in a sector where funding constraints and acute staff shortages are limiting the capacity for innovation.

If flexible working is to be adopted more widely across the sector, it is clear that concerted action is needed at both local and national level.

RESOURCES

Managing Flexibility in Early Years – A Guide

Working Flexibly in Early Years – A Guide for Nursery Staff

What is Flexible Working in Early Years – A Guide for Nursery Managers

WEBINAR

Building the Early Years & Childcare Workforce of the Future

How to attract and retain talent through enhanced flexibility for the workforce

Published November 2024

By Dr Sarah Dauncey, Head of Partnerships and Insight, Timewise

Since the pandemic, numerous studies have highlighted the benefits of hybrid and remote working for employees. Hybrid working models have been found to have positive impacts on workers, especially in relation to health and happiness. While it’s great to see this evidence showing the value of place-based flexibility, what about the millions of workers who can’t access it? The majority of the workforce (60%) are site-based and shouldn’t miss out on the advantages associated with having autonomy and control over working patterns, including improved health and work-life balance.

Tackling inequity in access to flexible working   

For too long, the UK workforce has been divided between those who can access flexibility and those who can’t. This divide was amplified through the pandemic, and we’re still reeling from the effects of this – with high levels of sickness absence and rising economic inactivity largely attributed to poor health.

For frontline and site-based workers, there has been limited coordinated action to redress workplace inequalities. And with the new government promising to make flexible working the default from day one, it’s critical we understand how to do this in site-based roles and build the evidence to incentivise employers to take action.

Piloting a new approach for frontline workers

In 2022, we initiated a programme to address this inequity in access to flexible working by partnering with the Institute for Employment Studies and with the backing of Impact on Urban Health. We approached three employers who we knew were committed to taking their flexible working agenda forward, Guy’s and St Thomas’ NHS Foundation Trust, Sir Robert McAlpine and Wickes. Over the course of the programme, Timewise supported each employer to introduce greater flexibility into frontline roles and the Institute for Employment Studies tracked the effect of these interventions. We wanted to test whether good quality work would improve employee health and wellbeing, and lead to benefits for employers, such as improved retention.

The institute of Employment Studies led an independent evaluation of the work and found that flexibility gave rise to a number of positive outcomes.

  • Before the pilot, around half of employees surveyed agreed with the statement: ‘My current working arrangements allow me to maintain a good level of personal health and wellbeing’ (51%). At the end of the pilot, 82% of pilot participants agreed. 
  • There was a notable increase in work-life balance among participants. In response to the statement, ‘I have a good balance between my working and non-working life’, we observed an increase from 52% (of all survey respondents at baseline) to 78% (of pilot participants at endline).
  • There was a strong sense of ‘no going back’. The pilots revealed a latent demand for increased flexibility and returning to old ways was not considered viable. 84% of participants agreed that their new working arrangement is central to how they want to work in the future.

But perhaps the best way to demonstrate the impact of the programme is through the voices of those involved:

A Store Manager from Wickes, said: “The trial has made me appreciate my job more, and (if possible) has made me even more loyal to Wickes, as I have the best work-life balance I have ever had in all the years I have been at Wickes.”

While a Quantity Surveyor from Sir Robert McAlpine, said: If I hadnt been given this opportunity, I think the conversation would have been about going part-time. I couldnt cope with balancing childcare and a full-time job. Financially that would have had a very negative impact on me. I wouldn’t have been in a good place mentally and I probably wouldn’t be as productive.”

Importance of workplace innovation for health equity 

Through our programme and its evaluation, we’ve gained some valuable insights for other organisations looking to introduce flexibility for frontline and site-based employees.

  • Senior leadership commitment is critical to give managers and teams the confidence to experiment with new ways of working.
  • In a shift-based environment, it may be more appropriate to talk about giving people input and choice over their working patterns, rather than ‘flexibility’. It helps to make clear it’s for everyone, not just for those who may need a formal flexible working arrangement.
  • Listen to employees and ensure they are central to designing new ways of working. 
  • Start small and design change programmes that are manageable and scaleable.
  • Robust evaluation can inform decision making and provide evidence to engage managers in the need for change.

The future of work is flexible for all

For our participating organisations, there’s no going back to former ways of working. They’ve embraced the changes and are scaling up to ensure that everyone can benefit through increased input and control over their working pattern. For example, since participating in the programme, Wickes has widenened access to flexible options to all their store managers across the UK

All three employers demonstrated that listening to employees and taking the initiative to increase flexible working opportunities – despite the operational challenges of doing so – delivers rewards. They are vanguards of flexible working in critical sectors, offering learnings for other organisations to benefit from.

Our programme provides much needed evidence to drive action among employers and improve workplace and health equity for frontline and site-based workers. Flexible working is not just an option for knowledge workers – it’s a way of working that should be and can be available to all.

Published July 2024

The pandemic amplified existing labour market inequalities in access to flexible working and we’re still reeling from the effects of this, especially in the context of health. While half of working adults were able to work from home at times during the pandemic, others weren’t given this option due to the location-based nature of their work.

The reality of a two-tier workforce – the ‘flexible haves and have nots’ – became starkly apparent along with the implications for worker health and wellbeing.

Emerging from the pandemic, workers given home-based options have expressed a strong interest in maintaining them. Many employers have responded to this demand by developing hybrid policies and practice, recognising its value for attraction and retention. Yet there’s been limited coordinated action to redress workplace inequalities by investing in innovation and design to organise work differently for frontline and site-based employees.  

So, supported by Impact on Urban Health, Timewise joined with the Institute for Employment Studies (IES) and three trailblazing employers – Guy’s and St Thomas’ NHS Foundation Trust, Sir Robert McAlpine and Wickes – in a two-year long action research programme to introduce flexibility into frontline roles and evaluate its impact, on both the individual and the organisation. Our report outlines the findings from our journey together and shares learnings to make access to flexible working more equitable.

What did we do?

We tested the idea that good quality flexible work improves employee health and wellbeing, leading to benefits for employers, such as improved retention. Timewise co-designed activity with each of the three participating employers to give site-based workers greater input and control over their working patterns. Then in collaboration with IES, we considered the impact of increased flexibility on individuals from the point of view of their experience of health and wellbeing, work-life balance and job satisfaction, and on organisations from the perspective of levels of engagement, attendance and retention.

What was our impact?

Our programme shows that flexibility is both central to how people want to work in the future and is practically possible even in ‘hard to flex’ roles. Where flexibility is introduced with the support of senior leaders, and is driven by teams at a local level, it results in positive impacts for both individuals and organisations. Workers report improvements to health and wellbeing, work-life balance, and a desire to stay longer with their employer. For employers, this means higher levels of employee engagement, lower levels of sickness absence and increased staff retention.

For the organisations involved in this programme, there’s no going back to former ways of working. They’ve embraced the changes and are moving forward with plans to scale up to ensure all are able to benefit through increased input and control over their working pattern. 

Key findings

  • Benefits for frontline and site-based workers
    Increasing flexibility in frontline and site-based roles improved health and wellbeing, work-life balance, and raised levels of job satisfaction.
  • Benefits for organisations
    Offering opportunities for increased flexibility resulted in organisational level benefits. We found evidence of reduced sickness absence, increased organisational loyalty and improved performance.
  • Cultural change
    All participating organisations experienced a change process that prompted a cultural shift in the way work is done. Good practice change management processes emerged as highly relevant to implementing these flexible working policies successfully (such as piloting, monitoring change and internal advocacy).
  • Autonomy
    Individual autonomy was central to accruing benefit from the flexibilities on offer. Where employees were empowered to choose approaches that worked for them and their team, they were better able to balance their work commitments with their personal priorities.
  • Latent demand
    Our research found a strong demand for flexible options among employees. Managers need to be encouraged to take a proactive approach to ensuring that employees in all roles are afforded flexibility.

Watch the webinar

Published July 2024

Lewisham and Greenwich NHS Trust are an accredited Timewise Trust – an accolade that is awarded to Trusts that demonstrate commitment to enabling flexible working for their teams  Part of this is developing creative and innovative approaches to working patterns and arrangements.

Any Hours is an example of such innovation. The immediate post-pandemic period inspired ‘Any Hours’, the brainchild of Susanne Chatterley, Associate Director of Midwifery & Neonatal services at Lewisham and Greenwich NHS Trust. More than 300 midwives work across the Trust, delivering 5,000 – 7,000 babies a year.

Explaining the system

A standard shift in midwifery is 12.5 hours and is set at 8.00am – 8.30pm, or 8.00pm – 8.30am.  

A full time job requires working 13 shifts across a month – 3 weeks of 3 x shifts and 1 week of 4 x shifts. There are typically unfilled shifts within any NHS roster. The Nuffield Trust estimates that there around and around 8,000 to 12,000 unfilled nursing vacancies on a given day in England. In many cases, existing staff try to take on extra shifts where they can, or else agency staff are used. Traditionally in the NHS taking on an extra shift requires commitment to the full 12.5 hour day.

Susanne realised she could boost capacity by challenging the ’12.5hrs only’ mindset, when it came to filling vacant shifts.

She says: “In 2022, we had just gone through the second significant bout of Covid. I recognised that we had one group of experienced midwives who routinely picked up one or two extra 12.5 hour shifts a week – and these were the staff who were burning out. There was also a second group, with just as much experience, but who simply couldn’t pick up such lengthy additional shifts. They wanted to help their colleagues – but had young children to pick up from school, or elderly relatives to look after in their day. I thought to myself – how do I unlock this group, and how can I help the staff experiencing burnout? Then I thought – what if staff could choose their extra hours? What if they could stipulate how much extra time they could give – 3, 4, 8 hours, whatever it is – and choose when to work them?”

Susanne had a conversation with the midwifery team and followed with a survey to see if they’d like to work extra paid shifts and what hours they would pick if it was up to them. The results came back showing a strong desire to work more, especially against the background of the cost of living crisis, but that for many midwives, an extra 12.5 hour shift was too long. Susanne says: “All I had to do, was make it work.”

That was two years ago. The scheme has been an outstanding success. Wherever there are shifts that are unfilled, Any Hours allows midwives to choose  the number of additional hours they want to work, and when they would like to work them.  Lewisham and Greenwich NHS Trust data shows that since the Any Hours Scheme was enacted, it has it has enabled, on average, 300 hours of shifts to be filled each month, equalling two whole time equivalent midwives. This has reduced reliance on agency staff, and increased satisfaction with the team.

This has been achieved without buying in any additional software or making significant changes to the online rostering system staff already use to book shifts via their phones.

The nitty gritty – how the Trust makes it work

Susanne says: “The key difference is that all unfilled shifts are open to ‘Any hours’ – I let them ask for any additional hours they want, whatever the length and whenever they are. We always end up with a much fuller roster than we have had in previous years.”

“I also have a rule which is ‘hard stop’. We let staff finish their shift exactly when expected. If we start keeping people beyond the agreed shifts then the whole system starts to fall apart. It works because people feel they have autonomy, control and balance.”

“We also worked hard on making sure the extra shifts would work. Patient safety is of course our paramount concern. We spent time with senior clinical colleagues to think about how a 3, 4, or 5 hour extra shift would work. In terms of patient care, we wanted to ensure women have the same person with them as much as possible through their journey.”

“When you start thinking about shorter chunks of time, say a 3 or 4 hour shift rather than a 12.5 hour one, you need to think through – what can you usefully do in that period? It isn’t enough time to start a birthing journey with a patient. But you can support the whole ward and the midwives who are doing that. You can do baby checks so others can go home sooner, you can do the drug rounds, you could maybe host 1 clinic, or do postnatal visits. The key was finding jobs that fit the shorter hours.”

“And what I found was – people got really creative! One midwife comes at 11pm and she stays until 5 or 6am. I would never ask anyone to do that kind of shift routinely, but for her, it means she can work while her own children sleep and she is back for the school run. It fits her life.”

Examples of midwives’ lives improving

  • One midwife comes for 3-4 hours during the day, and provides break relief for the colleagues who are there for 12.5 hours. Her key driver is how people greet her when she comes in – she loves hearing: ‘thank goodness you are here!’. She likes being the support to others.
  • Another on the in-patient ward who has retired, doesn’t want to commit to the 12.5 hour shift – she starts around 11 and goes home around 5 for.
  • One young midwife has little children herself. Her childcare was provided by a family member who sadly fell ill. She was going to leave as she couldn’t afford paid-for childcare. We asked: ‘how can we keep you?’ She now takes the community clinic, which is half a day, whenever she can. If she had left this would have meant failing to clock up the hours needed to maintain her licence to practice, and then facing the ‘return to practice’ hurdle, should she ever want to return. This would take 4 to 6 months, working full time. This way, she keeps building her practice hours and keeps her hand in the game.

Longer term benefits

“We really saw the benefits over the Christmas period. Staffing is always a headache at that time of year, you usually end up redoing the rota 2 or 3 times and invariably end up short of staff.”

“But last year, I crunched the numbers after Christmas and realised we had equal to 4 whole-time equivalents more than usual– the best fill rate we have ever had. All those shifts would have otherwise been unfilled. People came in, working in 3 or 4 hour bursts to help out, and for the extra money at an expensive time of year. I felt all warm and fluffy on the inside when I saw that! I spoke to colleagues – they said they would never have come in to work a full extra shift because it would have interfered with their plans. What’s brilliant is – we are retaining staff known to us, with experience and skill who knows the service inside out, rather than having to just use agency staff.”

“The scheme has been going for two years now, and is well established. I don’t think I have ever turned anyone down – we are always able to offer what people want. The key has been flexibility and handing over a sense of control. People now have their regular patterns they have fallen into. Patterns that suit their lives.”

“What’s exciting is that Any Hours is completely replicable across the board. It works within the existing system. It can work in other departments, and for other Trusts.”

Any Hours is a part of Susanne’s doctorate, focusing on midwives who take up and use the offer, and colleagues who work with them. Susanne is completing a DBA in Business Administration at Aston University; Business School in Birmingham. 

The future?

Susanne is already working on her next innovation project: ‘Any Speciality’, aiming to retain midwives who are 5 years + qualified (though those who are less qualified can also take part).

Any Speciality is a programme that encourages all midwives to spend 15 hours a month, or two days, in a different speciality of their choice. This allows colleagues to improve the competencies and skills needed to help their career progression, or even to directly apply for a specialist midwife role at the trust. To date, speciality teams have recruited nine midwives following Any Speciality contact at Lewisham and Greenwich NHS Trust.

Susanne says: “The opportunity is to ‘try before you buy’, when looking at another speciality as a possibility. I took one of the many of vacancies I had and chopped it up into 10 pieces, which leaves you with 15 hours a month (one tenth of a full time job). We offer this to anyone who has an interest in another speciality. The jump between core to speciality midwife is really big nowadays. And often, when someone makes the jump they don’t realise what they are signing up to – and they drop out or move on quickly if the role is not what they expected it to be.”

“Any Speciality is available for 1 year after that time – you may realise you hate it! That’s ok – you have tried it. You aren’t locked in. Or you just might love it. When the right job comes up, you can apply for it as you have the lived experience.”

Published July 2024

Background

UCLH is a large teaching hospital, part of the Shelford Group, which has over 10,000 staff working across 10 London sites. The leadership team is keen to create a work environment in which staff feel valued, encouraged and supported, and as part of this, has sought to explore how to improve work-life balance.

The challenge

Like many organisations, UCLH implemented remote and hybrid working for office-based staff during and after the pandemic. However, there are unique operational constraints in some patient-facing and clinical areas, mainly wards and teams delivering 24-hour services. Hybrid working was not a viable flexible working option for ward staff and the leadership team felt it was important to find other ways to offer flexibility for these teams. This was reinforced by a survey in 2021, which revealed that 51% of staff felt they had a good balance between work and home life, and just 48% felt that UCLH was committed to helping them balance these two elements.

Following this feedback, UCLH launched a new flexible working policy in 2022, which offered a more proactive approach to flexible working. This included the implementation of a new electronic rostering system, which in turn opened up opportunities to explore innovative approaches for ward-based staff.

However, the team felt they needed to bolster local resources with dedicated external expertise to drive the project forward, including the support of someone with experience in delivery. A member of UCLH worked with Timewise on a previous project at another NHS Trust and approached us to provide support for the self-rostering project.

The solution

Our team worked with UCLH to pilot a self-rostering approach, which allows staff to select their preferred shift arrangements and days off. These requests build a draft roster, which is then reviewed and adjusted (if necessary) by the ward manager / senior nurse. On completion the roster is 1st level approved by the ward manager followed by a 2nd level approval by the matron. It gives staff more input and control into the shifts they work, and makes the rostering process easier, and quicker, for the ward managers.

We agreed to pilot this approach with four wards of varying sizes, which were spread across two sites, and represented different clinical divisions and ward size. Approximately 152 staff were involved.

The process

Working closely with the UCLH team, an integrated project team was created. We began with a research phase that looked at existing workforce data, and explored how the staff on the four wards were currently using the system. We then brought representatives from each ward together to work with us to design the pilot, setting out the principles and etiquette that would allow self-rostering to run smoothly.

We also sought to engage directly with the ward managers and matrons from each ward, knowing that they would be responsible for managing the new roster on a day-to-day basis, and for fielding questions about how to use it. And we created a range of resources for the UCLH intranet, which set out the parameters of the project, explained how to use the roster and answered common questions.

Having sought to get everyone on board, we then ran the pilot across the four wards for three months. Feedback was gathered through ward visits and surveys, and fed into a formal evaluation of the pilot, which could be used to steer a potential wider rollout.

Learnings and outcomes

We identified potential challenges before we began the pilot, such as the technology limitations, and the ‘first-come-first-served’ nature of the system being potentially contentious. However, the roster team provided the necessary training to ensure the rostering technology could be used effectively. The project team presented and communicated clearly the ‘etiquette’ involved in this new approach to rostering – encouraging staff to consider the impact of the shifts they were selecting on the wider team, by drawing on the Trust values. This helped mitigate these potential problems, none of which turned out to be issues during the pilot itself.

We did encounter some implementation challenges as the pilot developed. For example, although self-rostering should be used to book shifts or days off, some staff began using their allocations as a way to book time off work, instead of going through the annual leave process. Similarly, while each shift needed a senior nurse to select the nurse in charge shift some staff were not booking into these shifts. This impacted the overall shape of the roster and so the issues were addressed, and both of these were quickly overcome through conversations at a local level.

In terms of outcomes, we sought to evaluate how many staff were using the new roster approach to input their preferred shifts, and how many were approved. By the end of the pilot:

  • 60% of staff were using self-rostering – we know anecdotally that in some hospitals, the uptake for self-rostering is as low as 20%, so this is an excellent outcome.
  • Approval rates were at 86% – which demonstrates that staff understood the new approach and were able to use it successfully. This rate increased during the pilot, indicating that any misunderstandings about how to use the new system were dealt with swiftly and effectively.

Critically, this new way of rostering was used by all staff groups, though slightly less by the unregistered staff. Positively, the ward managers reported they saved time, due to a large proportion of the roster already being populated before they got involved and had fewer swap shift requests after roster publication.

The UCLH team provided a detailed evaluation of the pilot, and approval was obtained to rollout self rostering across the nursing teams within the Trust.

Roll out Trust-wide

Following the successful pilot, self rostering has been rolled out to the nursing teams in a further 43 wards across two hospital sites. The only exceptions are the emergency and critical care units (three wards) who had recently established their own specialist rostering arrangements including rolling rosters.

In order to enable roll out at this scale, the 43 wards were grouped into six cohorts, who went live with self rostering in a phased pattern across a period of six months. Timewise supported the UCLH project team and steering group to agree the roll out approach, standardise roster rules and get the engagement, training and comms right, building on our learning from the pilot. A valuable addition for the roll out was the appointment of a ward advocate for each ward, whose role was to support the project team and the ward managers by liaising with nursing colleagues, ensuring people understood the new approach, and flagging any issues or concerns early so that the roll out could progress smoothly. The steering group met monthly to monitor progress, measuring take-up and approval rates and ensuring they were in line with the high levels achieved in the pilot.

The nursing roll out is now complete, and some non-nursing teams across the Trust are starting to express interest in this way of working and exploring the benefits it could have for them also – watch this space!

Advice for other organisations

Claire Stranack, HR Business Partner at UCLH, has this advice for anyone considering a similar project:

  • Make sure you get representatives from all wards involved in the process from the very beginning. Not only will it help them feel ownership of the project, but it will also help you identify potential problems and solutions before they arise.
  • Engagement with ward managers is key. They are the ones who have to say yes or no to the initial roster, and see the process through, so it’s important to have them as champions, and give them all the information they need to reassure staff, act as fairly as possible, and answer any questions.
  • Use as many different methods of communication as possible to make sure everyone involved understands what is happening and why. You need to reach people where they are, and cover all bases. We were really surprised, for example, by the high turnout at virtual briefing sessions.
  • Check in regularly during the pilot itself – this will help you pick up any issues early, so you have time to adapt your plans to match.

Inge Cordner, Lead Nurse for Nursing & Midwifery Workforce, has some additional suggestions from the frontline:

  • Pay attention to laying the foundation and be as detailed as possible. Make the objective clear, and ensure to communicate the purpose, the process, timelines and measures from the beginning. Be aware that no two areas are the same, so though you adhere to the principles of self-rostering, allow room for flexibility and adjustments throughout the process.
  • For self-rostering to work well, buy-in from the ward managers is central. It is important as Project Leads to be available to answer questions outside of project meetings, attend ward team meetings as necessary, and be physically available for the pilot areas. Know the roster dates and creation periods so you can reach out at critical times and respond and advise in a timely manner. I found that this showed that we were also fully invested and committed to the self-rostering initiative working.
  • Have a dedicated member of the rostering team as part of the project team and attending project meetings throughout. This helps with awareness of system capabilities, timely resolving of system issues or staff access and data extraction when analysing uptake etc.
  • Staff and their well-being remain a priority in providing patient care. Self-rostering provides a means for staff to have more control over scheduling and shows that the Trust is committed to supporting their work-life balance. It improves morale, nurtures team cooperation and generates a great team spirit!

The client’s view

Timewise brought a huge amount of experience and resources and supported us at every stage of the process. They acted as a critical friend, supporting and facilitating design and engagement sessions, and driving the project forward at a pace we could not have achieved alone. There is no way we could have delivered this pilot within this timescale without Timewise’s involvement.

Claire Stranack, Human Resources Business Partner at UCLH

Often working in the NHS we have so many competing priorities that you can often be pulled in many directions. Someone outside of that space, supporting with external expertise, as provided by Timewise, meant we were able to hit the ground running whilst being able to build our own organisational knowledge at the same time. The project was well managed and enabled us to use our time efficiently. Thank you, Amy!

Inge Cordner, Lead Nurse for Nursing & Midwifery Workforce, UCLH

Published June 2024, updated May 2025

As of 6th April, employers will be legally required to consider requests to work flexibly from day one of employment – effectively extending current flexible working rights from existing to new staff.

The new legislation is just one of a series of measures on the horizon seeking to improve the control workers have over the hours they work. Later this year people working irregular hours will gain a new right to request predictable working patterns. And if Labour wins the next election, the party have pledged to convert these ‘rights to request’ into default rights for all workers and end the use of zero-hours contracts, among other measures.

If successful, these measures could help reduce the well-documented gap between the high number of people seeking to work flexibly, and the limited number of high quality, part-time and flexible jobs in the economy. They could help achieve wider goals such as boosting employment rates, and helping parents, older people and those with health conditions and disabilities to participate in work.

But these potential benefits will only be realised if the new legislative framework leads to meaningful improvements in staff input and control over their working patterns.

In advance of the new legislation ‘Day One Flex’ legislation coming into effect soon, Timewise is conducting interviews with employers in construction, transport and logistics, retail and health and social care. Our findings so far suggest that, without further action, this legislation will make little difference to staff in the frontline sectors and roles where most low-to-middle income earners work.

Each of these sectors faces genuine complexities when it comes to scheduling – from the need to provide the right capacity and skills to ensure safety on hospital wards and construction sites, to the operational challenges associated with responding to fluctuations in demand in retail, transport and social care. But there are also entrenched cultural patterns that have prioritised employers’ needs for flexibility over those of staff. Cost control measures in these sectors focus primarily on controlling staff costs, rather than the operational efficiencies and improvements that can come from a motivated, well-trained and engaged workforce.

Those we are speaking to argued that greater awareness & understanding of the legislation would be needed for genuine improvements in access to flexible work.

Without this, few of those we are interviewing think the new right to request flexible working would have a significant impact on employers not already engaged in these issues. Interviewees cite the relatively low numbers of formal requests they currently receive, and the ability to reject requests on a broad range of business needs, whether for new or existing staff.

Employers highlight the wider structural constraints they have little control over. In construction, for example, cost and staff assumptions are usually set by developers in the tender phase. These organisations are several steps removed from the sub-contractors that have to deliver site-based works with the minimum number of staff and little room for the inevitable delays.

Similarly, acute budget constraints and staff shortages in the NHS and social care mean there is little ‘slack’ in the system, making it harder for managers to enable staff to request or change their working patterns.

Yet the research is also starting to show that this situation is not inevitable.

In all these sectors there are employers that are bucking the trend, often driven by difficulties recruiting or retaining good staff, as well as a real commitment to staff wellbeing. Some retailers we are speaking to are choosing to offer regular, stable shifts, provided well in advance. One construction company has created two teams on each project to enable compressed hours and the option to start or finish early, while still providing the supervision and skills required to operate safely and tackle any problems.

The most transformative approaches are seeking to organise work and schedules in ways that enable ‘Shift-Life Balance’, providing greater input, advance notice and stability for all staff and teams. This is in contrast to case-by-case approaches to flexible working arrangements, which employers feel could lead to unfairness and inconsistency, and limit the overall scope for shift-life balance. This view is supported by pilots Timewise has conducted with employers in nursing, construction and social care to test team-based rostering, where staff collectively set schedules through a participatory forum. Employers saw significant improvements in staff engagement, recruitment and retention as a result.

The challenge is how to get beyond good practice examples and embed these approaches across frontline roles and sectors.

The research is suggesting that this will require sector-wide interventions to ensure all parts of the system coordinate to enable more flexible working. And it needs training and support to build the capacity and knowledge for change among employers, particularly smaller employers. If we can achieve this, it could not only help tackle some of our biggest national social and economic challenges, but also significantly improve quality of life for millions of workers.

Published March 2024

By Emma Stewart, Co-Founder

It’s almost a year since Timewise reported on ways to increase flexible working in the film and TV industry. Our conclusion back then was that the biggest challenge for people who work in this sector is not so much a lack of flexibility, as simply its long hours’ culture.

With 10+ hours hard-wired into daily film schedules, the problem is structural. And with management fears of additional costs to change the approach, coupled with the absence of any detailed analysis of how to make this work, the working model is in a stalemate situation.

So this latest project has assessed the viability of a shorter working day of 8 hours. We looked at working models in other countries, polled over 800 UK crew members, and shadowed two productions to explore the likely impact of a shorter day on the filming process and its budget.

The result is a blueprint for an 8 hour filming day, with guidelines on how to implement it successfully and projections for the likely additional costs (which turned out to be considerably lower than feared).
The next step? We now hope that our findings will encourage the commissioning of a future drama production on a shorter day model, and are talking with a number of commissioners and funders to take this forward. If successful, the idea is to share the results of the pilot across the industry to drive top down change for the benefit of all who work in this creative but stressful sector.

Published February 2024

By Emma Stewart, Co-Founder, Timewise

Is it a given that working in a creative industry means working all hours? It doesn’t seem right, but it’s certainly the reality of life on set for film and TV crews, where 10+ hour days are not just the norm, they’re hard-wired into production schedules.

And while this has long been the case, things have got worse in recent years. The pandemic and its fallout put significant pressure on people in the industry – 86% of whom experience mental ill-health – and made it harder than ever to hang on to experienced crew. More recently, strikes have caused work to dry up again – and as things are starting to go back to normal, long hours are too. All of which is creating a growing perception that the status quo isn’t sustainable.

I can speak from experience, as one of the thousands of people who left a career in film and TV due to the impossibility of combining the job I loved with the needs of my young family. So I leapt at the chance to explore the options for introducing shorter working days for film and TV crews; to quote Jaws: The Revenge, “This time, it’s personal.” And our findings are now available in our new report.

Creating a blueprint for a shorter working day

We began our work in this field in 2022, with an action research project that explored potential opportunities to improve flexible working within the industry. The project was carried out in partnership with BECTU Vision and Screen Scotland, and it indicated that the main challenge was the length of the working day.

So in April 2023 we embarked upon a second phase, supported by BBC Drama Commissioning and The Film and TV Charity as well as our original partners, which set out to see whether productions based on shorter days could be commercially and logistically viable. The question we set ourselves was, Is it possible to go from a 10-hour working day to an eight-hour one, without a detrimental effect on budgets and schedules? (Spoiler alert – yes, it is.)

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