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Team composition and productivity: evidence from nursing teams in the English NHS.

Tuesday 30 November 2021, 1.00PM to 2:00pm

Speaker(s): Elaine Kelly (Health Foundation and IFS )

Abstract: Elaine Kelly, Carol Propper and Ben Zaranko

We study the impact of team composition on productivity in setting where team production is particularly important: nursing teams in the English NHS. Composition is measured both in terms of the quantity of staff, and the quality of staff, as measured by qualifications, rank and experience. We use a panel dataset that links daily staffing rotas with two measures of patient outcomes - deaths and falls - for a single NHS Trust that includes 3 large hospitals and 50 wards. Our results suggest that the probability of a patient death or fall is lower for teams with a greater number of qualified nursing staff, but find no statiTeam composition and productivity: evidence from nursing teams in the English NHS.stically significant impacts of increased numbers of support staff or agency workers. There are returns to experience for qualified staff, with a lower probability of a patient death in teams where nurses have more experience the Trust, and returns to team-specific experience, with a lower probability of death for patients treated by staff who regularly work together. We also find evidence of the value of bosses, with higher rates of patient death when there is an unexpected absence of a senior nurse who leads the team. 

Host: Nigel Rice

Location: Zoom - details to follow

Admission: All welcome