Identifying the activity ‘standard’ and unavailable time
Over the two Rounds consensus was achieved for the tasks which are included in the CPWC and for the staff groups who need to complete them (see Table 3). Table 3 also shows that consensus was less certain for the time the tasks take and the frequency with which they should be done. The ‘national best representative figure’ derived for the timings from the data provided is shown in Table 4. The frequency of tasks for which consensus was not achieved were derived by calculating the mean frequency of activity for an ‘average’ patient from the responses participants provided to the management of exemplar patients questions. This pragmatic approach allowed the development of the CPWC and the strength of the data supporting each element is apparent in the presentation of the tool.
The proportion of each staff group’s employed hours that the Panel identified as being unavailable for clinical/operational duties is shown in Table 5 and forms the ‘unavailable time’ data for the WISN algorithm.