Menu
Timewise Foundation Logo

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.

Can schools accommodate part-time and flexible jobs?

It’s the Timewise view that no profession is un-flex-able. Yes, it’s much more complex in shift-based environments, or those offering a 24 hour service. That’s why we created our Innovation Unit, through which we tackle these hard-to-fix sectors. But impossible? No.

Yet when it comes to teaching, there is a commonly held view that it is just too complicated, particularly because of timetabling. There’s also a concern around the potential cost; Laura McInerney’s much-read 2018 piece suggested that making more part-time teaching jobs available is unaffordable, because of the extra teachers it would require. And, as in many professions, there is inevitably some resistance from leaders and colleagues.

Certainly, there are constraints within teaching that make introducing part-time and flexible roles less straightforward. But my response to the comment that we can’t afford to offer more part-time and flexible teaching roles is this: we can’t afford not to. Our new report, published in association with Now Teach , explains why, and offers some first steps to help secondary schools create viable solutions.

Flexible working can help schools find and keep brilliant teachers

It’s no secret that the profession is struggling to find and keep its teachers. The government has admitted that it has missed its targets for teacher recruitment for six years running. And when people do join the profession, they often don’t stick around long; government figures have also indicated that a third of NQTs leave the profession within five years. Increases to teacher workloads certainly haven’t helped.

Of course, there are limits to what schools can offer current and potential teachers. They will never be able to match corporate salaries, for example. But one thing they can do is try and give their staff more control over their time and work-life balance.

what is flexible working

There’s no doubt that flexible working is becoming an established part of the HR strategy for forward-looking companies. Employers are becoming increasingly vocal about how it benefits their business, and 9 in 10 employees say they want it. What’s more, it has been shown to help tackle a wide range of issues, from talent attraction and retention to the gender pay gap.

But the term ‘flexible working’ is a broad one, which means different things to different people. To add to the confusion, some people and companies use different phrases to describe it, such as ‘agile working’ or ‘smart working’. So here’s our quick guide to what flexible working actually is, how to make it work, and what it could do for you.

The Timewise definition of flexible working

At Timewise, we use the term ‘flexible working’ to describe any kind of working pattern that doesn’t fit into the traditional 9-5, five day week. We also believe that flexible roles should be quality, permanent ones which benefit employers and employees alike. So we don’t include zero hours or temping contracts.

What is flexible working

Karen Mattison MBE, Co-Founder Timewise

It feels as if the Timewise Power 50 has finally come of age. Launched seven years ago to bring senior part-timers out of the shadows, it has evolved over time to become a high profile celebration of the art of the possible.

What’s changed, and how has it happened? Well, in the intervening years, the debate about flexible working has undergone a big shift. Critically, there’s an increasing acceptance that it benefits companies as much as it does their employees; the business case is no longer in doubt. So instead of talking about WHY we need it, the conversation has moved on to HOW to make it work.

The most varied group of winners to date

As this year’s winners show, there are many different ways to do so. They are the most varied group that we have ever seen, coming from a wide range of organisations of all shapes and sizes. Where else would you see a security chief sharing the limelight with a pair of West-End performers? Or a consultant anaesthetist being celebrated alongside the head of a music label?

And their motivations are equally varied. Some of our winners work flexibly to care for relatives; others do so to write books and musicals. Or to pursue a side-hustle, to dedicate time to not-for-profit projects, or to look after their mental and physical health. The career choices they’ve made are supporting them to live and work in the way they want to, and helping to bust some myths around flexible working on the way.

Retail

Over the years, as we’ve been working to bring about more, better flexible working, we have created a core set of principles on which successful flexible job design should be based. As a top line – though of course, it’s a far more in-depth process – this involves looking at where, when and how much people want or need to work, and using this as a base to create roles which suit both employers and employees.

But when it comes to shift-based environments, such as retail, healthcare, warehousing or hospitality, these variables can’t be applied in the same way. The where is often a fixed location – a hospital, for example, or a restaurant. The how much is often problematic because of the low wages associated with many of these roles; for some, a part-time minimum wage isn’t enough to get by. And the when can be too driven by the employer’s requirements – such as needing a full, balanced team to cover each shift – to take employee needs into account.

Does that mean it’s impossible to deliver a good work-life balance for shift-based employees? No. But it does mean we need a different set of principles, and a different way of talking about flexible working, from which to build the change process. So here it is.

We’ve developed a UK model for Shift-Life Balance 

Drawing on the work of USA-based academic Sue Lambert, as well as our work in tough-to-crack sectors, we have identified the principles which improve work-life balance for shift workers in the UK. And we’ve used them as a basis for a Shift-Life Balance model for the home market.

Shift-Life Balance: a model for change

Shift-Life Balance: a model for change

The first, overarching principle is about the size and volume of work: does the individual want to work full-time or part-time? Once this has been defined, employers then need to consider:

  • Input into the schedule: Enabling the employee to influence or express a level of preference into their shift pattern.
  • Advance notice of the schedule: Giving the employee fair warning of their shift pattern.
  • Stability of the schedule: Offering the employee a regular pattern from week to week or month to month.

The aim of these principles is to help employees manage their responsibilities outside of work, make plans and organise the rest of their lives.

Now the real work starts: testing and applying the model

Of course, as with all types of flexible job design, identifying the principles that make up this Shift-Life Balance model is just the beginning. The extent to which an employer is willing or able to tackle one or more of them will vary case by case.

And it’s not just a case of making a few tweaks. These principles are fundamental to the way that rosters and shift patterns are created. So any changes need to be tried and tested to ensure that they deliver. That’s where we come in.

We are already using this model in a range of pilots which we’re carrying out through our Innovation Unit, from nursing and retail to teaching, and we’ll share the outcomes as they develop. If you’d be interested in hearing more about what we’re doing, or supporting one of our projects, do please get in touch.

It’s complex but it’s critical, for all of us

In shift-based environments, the structures and cultures we need to tackle are deeply-embedded, and in some cases, resistant to change. That’s why this work hasn’t been done already – and why it needs the level of expertise that our Innovation Unit can bring.

But if we don’t tackle these challenging sectors, and flexible working remains a white-collar, office-based privilege, what will the impact be? Put simply, we’ll be failing the millions of employees, often in lower paid jobs, who are struggling to balance their work and home lives. And these jobs matter – not just to the people who work in them, but to all of us.

For example, there are an estimated 40,000 nursing vacancies in the UK; the lack of flexible working options has been identified as one of the reasons. Similarly, the construction industry needs 157,000 new recruits by 2021 to keep up with demand. And more than 47,000 new secondary school teachers are needed over the next six years. In total, 5.5 million workers in the UK work shifts – that’s a sixth of the working population.

Workers in these sectors need predictability and control over when they work – just as much as those in office-based jobs. And employers need to find a way to make this happen if they are to motivate and engage their existing employees and, crucially, attract new ones. We believe we can crack these challenging sectors, and that’s why we’re rolling up our sleeves and getting on with this complex work. It’s a prize worth aiming for, for all of us.

Published February 2019

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
Download full research report

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

Download full research report

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

Download full research report

By Karen Mattison MBE, Co-Founder

Excuded at workHere at Timewise, we are known for our robust research into the headline issues around part-time and flexible working. Our findings around who wants to flex, and the impact of doing so on pay and progression, are widely quoted and are helping to drive mindset and culture change all over the UK.

So when we heard anecdotal evidence that part-time employees feel they are missing out on opportunities because they aren’t treated as full members of the team, we considered that this too was worth investigating. While it may sound like a softer issue, we suspected that it could have a serious impact, not just on part-timers’ wellbeing, but also their ability to deliver their roles successfully, and therefore on business performance.

Business is affected when part-timers aren’t included

The resulting research, and subsequent report, Part-Time Work: The Exclusion Zone? shows that we were right to be concerned. Amongst the headline findings are that two-thirds of part-timers feel isolated at work and struggle to make connections, and a similar number feel less up-to-date with team developments. More than half also feel they have fallen behind their full-time colleagues in terms of skills and knowledge.

And while that’s not great for the employees themselves, it also has implications for employers, who are failing to capitalise on the talent and potential that their part-time workers have to offer. Which, as we know only too well, can create extra challenges around issues such as board diversity and the gender pay gap.

Employers who tackle part-time isolation stand to reap the rewards

The good news is that this workplace ‘flexism’ can be tackled relatively easily. Simply by taking part-time schedules into account when planning team meetings, client events and social opportunities, employers stand to maximise the impact that these employers can have on the business.

They’ll also be better placed to upskill and progress their part-time workers by considering them more carefully when planning training and other development opportunities. And inevitably, that will allow them to hold onto these talented employees for longer.

Our new PowerFlex Network will help flexible workers connect

We’re responding to this research ourselves, by launching the Timewise PowerFlex Network, the UK’s first-ever cross-business network to support middle and senior management part-time and flexible workers.

Designed to offer a dynamic mix of networking opportunities, inspirational speakers and bespoke training, it will be scheduled to help part-time and flexible workers enjoy the kind of opportunities that their full-time colleagues take for granted. If you’d be interested in hosting an event, or would like to know more, do please get in touch.

The future is flexible – let’s make it work better for all

Part-time workers don’t expect the world to revolve around them. As their responses made clear, they fully accept that they can’t be present for every single meeting or event, and that there are times when they will need to be flexible in return.

But given that 9 in 10 employees say they would prefer to work part-time or flexibly, there’s no room for flexism in today’s workplace. This issue needs to be addressed if employers are to reap the rewards of an increasingly flexible workforce; if you need any support, we’ll be happy to help.

Published December 2018

Flexability in Nursing - Team based rosteringWe’re now at a particularly exciting point in our FlexAbility in Nursing project, a piece of action research into how flexible working could bring about the change the profession needs.

Having explored the issues with the existing system, and subsequently identified team-based rostering as the preferred approach, we’re now part-way through the pilot stage. Our team have been working with over 100 staff across three wards at Birmingham Women & Children’s Hospital to build their first rosters.

Applying team-based rostering to nursing

Team-based rostering has already been shown to work in a number of similar sectors, such as social care, but the need to have a fully staffed ward at all times required a bespoke approach for nursing.
We have therefore designed a new way of creating each roster, using a ‘lead team’ on each ward, each of whom represents a group of colleagues. The lead team members are responsible for liaising with their colleagues to populate a draft roster, based on individual preferences and requirements, and then collaborating with them further to negotiate an agreed version.

Key findings

• Improved engagement and personal responsibility

Our aim was that the new system would create much higher engagement from individual team members, and that has proved to be the case. Personal communication about work-life needs and preferences is more adaptable than the previous system of requests being input into a ‘system’ each month.

The feedback we’ve received so far is that individual nurses feel empowered by their ability to get involved, and are taking more responsibility for managing any changes. For example, one ward manager told us:

“I got a text this week saying ‘I need to change my shift, but don’t worry, I’ve already done it.’ Before, this request would have come through to me to sort out; instead, the nurse has worked with her team to find a solution. That’s a great result.”

• A sense that the system is fairer to all

The pilot has also indicated that the nursing staff see team-based rostering as a fairer system which gives everyone a chance to have some flexibility in their schedules, rather than just those on formal flexible working arrangements (FWAs) which are often only granted to those with childcare responsibilities.

For example, one junior sister explained that, under the previous system, she ended up taking on a disproportionate amount of unpopular shifts, because she didn’t have any specific caring responsibilities or a FWA.

The new system has created an understanding that everyone has to take their fair share of the less popular shifts, and that other responsibilities and preferences (such as being a Brownie leader, taking care of one’s own health, or attending a weekly class) are equally valid.

• Better understanding of the rostering process

A third major benefit of the new system is that people have grasped how complicated it is to put a nursing roster together. As a result of working as a team to find the best solution, the nurses now appreciate the effort required to account for all the skills mixes and working requests, and are more prepared to be flexible themselves.

A few challenges

However, as we expected, the pilot has also highlighted some challenges which we need to address as we move forward to the next stage. These include:

• Skills needed by lead team members

In most cases, the lead team members didn’t have any previous experience in leading 1:1 conversations, and were unsure about how to discuss work-life balance and working preferences. Some felt they just needed to write down the shifts people wanted rather than having a dialogue. Others weren’t sure how to handle talking to their colleagues about their personal circumstances.

As a result, we’ve been spending individual time with lead team members who need support to develop these skills, and role playing conversations they can have as they negotiate their next roster.

• Time taken to create the rosters

There were real differences in the length of time that lead team members took to create the draft roster, ranging from 30 minutes to three hours.

This time will reduce as the nurses become more proficient at using the roster technology, but for the future pilots, we plan to incorporate additional training on the most efficient way to create a roster, prior to the first ones being built.

• Scheduling team conversations

For some groups, such as clinical support workers, who work in small teams which don’t tend to overlap, it was difficult for lead team members to get face to face time with their colleagues to discuss their preferences.

For the purposes of the first pilot, this was tackled using technology such as WhatsApp, and by fitting in meetings just before or just after their shifts. However, we will talk to the team about alternative ways to manage this issue before the next stage.

• Managing colleagues’ expectations

Some of the participants took a while to understand the collective nature of team-based rostering – that is, it isn’t just about what you want, but about working as a team for the best overall outcome.
We’ve tackled this by making sure we restate the principles throughout the process, and working particularly closely with individuals who are more resistant to change.

Next Steps

The pilot runs until June, and will cover the creation of four rosters for our three wards. We will continue to measure the impact of the new system, using a range of data, and to assess and refine our approach. We will then make final recommendations for a second round of pilots at Nottingham University Hospital and University Hospital Southampton, which are due to start in the summer.

We’re delighted with the progress that we’re making, and the lessons we’re learning from this project; we can already see the potential for building a fairer, more sustainable system that will help tackle the shortages in the nursing sector. We’ll continue to share our findings with you at every stage.

To find out more about the innovative research opportunities we offer, contact info@timewise.co.uk or call 020 7633 4444.

Published March 2018

Share
FacebookTwitterLinkedIn