Sandwell and West Birmingham Trust is planning to create “ward matrons” in a bid to balance budgets and improve care quality.
Although the position will combine the roles of “ward manager” nurses and matrons, it will be appointed on Agenda for Change pay band 8a – the same as an ordinary matron post.
April board papers say: “Currently ward managers have just one day per week to do their management role. The rest of their time is spent as part of the ward clinical numbers, working to a Band 5/6 level.”
Matrons, meanwhile support ward managers in their leadership role, but also co-ordinate resources, performance monitoring and patient flows across wards.
In the new structure, ward matrons will combine the roles, supported by senior sisters or charge nurses at pay band seven.
Both posts will work throughout the 24 hour period – currently most ward managers and matrons only work during the day from Monday to Friday.
For an average of 34 bed ward, “leadership capacity will increase from a total of 22.5 hours per week to 52.5 hours per week approximately”.
The papers said the proposals are expected to be implemented in full by July.
The total cost of the plan is £676,305. This is to pay for two assistant heads of nursing on pay band 8a, three band three carers, five matrons at band 8a, and 5.9 whole time equivalent staff nurses at band five.