Transplant Centre Staffing Levels Questionnaire

1. Introduction: In this survey we are exploring current staffing levels in transplant centres across the UK and your views on optimum staffing levels. This survey is supported by the BSBMTCT, UK Stem Cell Strategic Forum, NHSBT, Anthony Nolan, BSH and RCPath. The results of this survey will be used to benchmark staffing levels across all transplant units and develop standardised guidance on minimal staffing requirements to match activity levels. The recommendations will be particularly useful when planning for service expansion and business cases to provide adequate staffing, ensuring patient safety, staff effectiveness and the right work-life balance to prevent burnout. This survey will need to be completed by Transplant Centre Directors/Clinical Leads, Matrons, Laboratory and Apheresis Managers. You may also need the support of other members of your team to answer some of the questions. If your unit also provides ATMPs you can provide staffing information for those as well. If you require any support, or need help in completing the survey, please contact Eleni Tholouli on Eleni.Tholouli@mft.nhs.uk.

2. Data Protection: Please refer to our privacy policy ( https://bsbmtct.org/privacy-policy/) for further information on how the BSBMTCT uses and stores your personal information.

There are four parts of this survey, please select the part you are able to fill out, if you are able to fill out more than one area you will have to complete one section of the survey then start the survey again and select the other option. *

Part 1: Please offer some basic information about your transplant centre and the transplantation services you provide. We’ll feedback if you provide information on your TC.

1. Name *

First

Last

2. Position/Role

3. Transplant/Apheresis Centre.

4. Type of Centre

Adult
Paediatric
Both

5 - Type of Transplant.

Autografts
Allografts
Advanced Theraphy Medicinal Products
Immune Effector Cells. **More options are highlighted below if you selected "Immune Effector Cells"

5b. Type of Immune Effector Cells

CAR-T NHSE Commisioned
CAR-T Trials
Gene Therapy Trials

Activity figures; please list out an estimate of annual activity at your centre (procedure numbers) during the last 3 years up to 2021 and fill in the total figure in the free text box available.

6Ai. Activity 2019 - Adult

Auto
Allo
Car-T
Gene Therapy

6Aii. Please enter your total annual activity figure per chosen category, below.

6Bi. Activity 2020 - Adult

Auto
Allo
Car-T
Gene Therapy

6Bii. Please enter your total annual activity figure per chosen category, below.

6Ci. Activity 2021 - Adult

Auto
Allo
Car-T
Gene Therapy

6Cii. Please enter your total annual activity figure per chosen category, below.

6Di. Activity 2019 - Paediatrics

Auto
Allo
Car-T
Gene Therapy

6Dii. Please enter your total annual activity figure per chosen category, below.

6Ei. Activity 2020 - Paediatrics

Auto
Allo
Car-T
Gene Therapy

6Eii. Please enter your total annual activity figure per chosen category, below.

6Fi. Activity 2021 - Paediatrics

Auto
Allo
Car-T
Gene Therapy

6Fii. Please enter your total annual activity figure per chosen category, below.

7A. Do you have a shared care agreement with other centres?

7Ai. If yes, please describe agreement (i.e. autografts infused locally and transferred to referring centre for neutropenic inpatient stay) and proportion of cases managed under shared care:

7B. Do you have bone marrow harvest facilities?

7Bi. If so please state the average number of harvests per year for the past 3 years:

What % of transplants in your centre are ambulatory on average each year in the 3 years up to 2021?

8Ai. Ambulatory 2019: **Please select the combination options that relates to your centre.

Autografts
Allografts
CAR-T
Gene Therapy

8Aii. Kindly state % figures of the options selected below.

8Bi. Ambulatory 2020: **Please select the combination options that relates to your centre.

Autografts
Allografts
CAR-T
Gene Therapy

8Bii. Kindly state % figures of the options selected below.

8C. Ambulatory 2021: **Please select the combination options that relates to your centre.

Autografts
Allografts
CAR-T
Gene Therapy

8Cii. Kindly state % figures of the options selected below.

Part 2: Please state how many of each member of staff you have working in your centre and their time dedicated to the transplant service. If a member of staff works less than full-time on transplant, please estimate the nearest % or WTE.

9A. Consultant Haematologist: **Please indicate the Total number employed in this role above.

9B. What is the average WTE or % of time spent working in Transplant/CAR-T/Gene therapies? **Please list what % or WTE of their time on average is spent working in transplant/CAR-T/Gene therapies.

10A. Middle grade doctor** – covering inpatients and outpatients (not in a BMT Coordinator role). ** Includes Specialty Trainees 3-7, Specialty Doctors and Associate Specialists (SAS) and Clinical Fellows

10B. What is the average WTE or % of time spent working in Transplant/CAR-T/Gene therapies?

11A. Specialty Trainee 1-2 (SHO) / Foundation doctor. **Please indicate the Total number employed in this role.

11B. What is the average WTE or % of time spent working in Transplant/CAR-T/Gene therapies? **Please list what % or WTE of their time on average is spent working in transplant/CAR-T/Gene therapies:

12A. Physician Associate/Assistant. **Please indicate the Total number employed in this role.

12B. What is the average WTE or % of time spent working in Transplant/CAR-T/Gene therapies? **Please list what % or WTE of their time on average is spent working in transplant/CAR-T/Gene therapies.

13. BMT Coordinator - Doctor. **Please indicate the Total number employed in this role.

14. Quality Manager - Quality Manager - What is the WTE employed and what band (payment scale)? Please list out for each of the bands; Band 4, Band 5, Band 6, Band 7, Band 8a, Don't know.

15. Data Manager - What is the WTE or % employed in the highlighted in the description box below? **Please list out for each of the bands mentioned; Band 2, Band 3, Band 4, Band 5, Band 6, Don't know.

16. Pharmacist - What is the WTE or % employed in the highlighted in the description box below? **Please list out for each of the bands mentioned; Band 6, Band 7, Band 8a, Band 8b, Band 8c, Band 8d, Band 9, Don't know.

17. Pharmacy Technician - What is the WTE or % employed in the highlighted in the description box below? **Please list out for each of the bands mentioned; Band 2, Band 3, Band 4, Band 5, Band 6, Band 8a, Band 8b, Band 8c, Band 8d, Don't know.

Part 3 - Additional Staffing.

18A. To maintain current workload, do you require additional staffing within your centre? **Please use the drop down menu to select your answer.

18B. Are some areas worse affected than others? **Please use the drop down menu to select your answer.

Please list the number of staff you would require for each job role listed within Part 2.

18C. Job role categories

i) Consultant Haematologist
ii) **Middle grade doctor** – covering inpatients and outpatients, but not in a Co-ordinator role (** Includes Specialty Trainees 3-7, Specialty Doctors and Associate Specialists (SAS) and Clinical Fellows).
iii) Specialty Trainee 1-2/Foundation doctor.
iv) Physician Associate/Assistant.
v) BMT Co-ordinator – Doctor.
vi) Data Manager.
vii) Quality Manager.
viii) Pharmacist.
ix) Pharmacist Technician.

18D. **Please list the corresponding number of staff required from your chosen job category from 18C.; for example iii = 2staff

19. Please describe the anticipated change in total number of transplant / CAR-T / Gene therapy patients over the next 2 years:

Thinking again about future provision, will you require additional staffing in any of these posts in the next two years?

20A. Job role categories (copy)

i) Consultant Haematologist
ii) **Middle grade doctor** – covering inpatients and outpatients, but not in a Co-ordinator role (** Includes Specialty Trainees 3-7, Specialty Doctors and Associate Specialists (SAS) and Clinical Fellows).
iii) Specialty Trainee 1-2/Foundation doctor.
iv) Physician Associate/Assistant.
v) BMT Co-ordinator – Doctor.
vi) Data Manager.
vii) Quality Manager.
viii) Pharmacist.
ix) Pharmacist Technician.

20B. **Please list the corresponding number of additional staff required for your chosen job category from 20A. For example ii = 5.

21A. In your opinion, how many new transplant / CAR-T / Gene therapy patients should one Consultant specialising in transplantation/cellular therapies be responsible for over a 1-year period? **Please indicate in the box provided.

21B. Please take into consideration other additional roles and specify as appropriate below.

Part 4: What are the biggest challenges your team currently faces?

* For question 22 - To what extent do you agree that the following are the biggest challenges you mostly face: * (strongly agree to strongly disagree: 5-1). Please rate on a scale of 5 - 1 in each itemised criteria for Pre-Covid19 period. **Please slide to select value on a scale of 5 - 1.

22A. Staff Sickness

Selected Value: 1

22B. Level of training / qualifications / skills

Selected Value: 1

22C. Staff time spent on non-clinical work.

Selected Value: 1

22D. Recruitment of staff

Selected Value: 1

22E. Turnover or retention of staff.

Selected Value: 1

22F. High workloads and a lack of work/life balance.

Selected Value: 1

22G. Obtaining funding for new posts.

Selected Value: 1

22H. Obtaining cover for staff leave, such as parental leave or longer-term training.

Selected Value: 1

22I. Work/ life balance.

Selected Value: 1

22J. Staff burnout/ high workload.

Selected Value: 1

23. Other - please specify.

24. How has the COVID-19 Pandemic affected staff capacity?

Increased staff capacity.
Stayed the same.
Reduced staff capacity.

Part 5: What are potentially your biggest future challenges?

25A. How many of your current Consultant body will reach 60 years or over in the next 5 years?

25B. How many of your current Consultant body will reach 60 years or over in the next 10 years?

26. Any other major challenges you foresee over the next 5-10 years?

Part 6: Further information.

27. Are there any other comments you would like to make

28. If you would you be willing to be contacted by the researchers for more information on this subject, please leave contact details below; Email and Phone Number.

4 - Type of Transplant.

Autografts
Allografts
Immune Effector Cells. **More options are highlighted below if you selected "Immune Effector Cells"

4b. Type of Immune Effector Cells (copy)

CAR-T NHSE Commisioned
CAR-T Trials
Gene Therapy Trials

5. For which trusts/hospitals do you provide laboratory services?

6. Does a third party provide your cryopreservation?

7A. Does a third party provide your cell processing?

7B. If yes, please specify who below.

8A. Which of the following services does your laboratory offer?

**Specify other in 8B.

8B. Please specify others:

9A. Do you outsource any of the following to an alternative provider?

Cryopreservation
Processing
Storage
Other

**Specify other in 9B

9B. Please specify other

10A. Does a third party provide your cell storage?

Yes
No

**If yes, please specify who in 10B.

10B. Please specify Who if "Yes" in 10A.

Part 2 - How many staff in total work in transplant and ATMP in your laboratory?

11. How many members of staff work in your stem cell laboratory?

Please state the working time equivalent employed at each grade.

12A. Please list out WTE for Band 2

12B. Please list out WTE for Band 3

12C. Please list out WTE for Band 4

12D. Please list out WTE for Band 5.

12E. Please list out WTE for Band 6.

12F. Please list out WTE for Band 7.

12G. Please list out WTE for Band 8a.

12H. Please list out WTE for Band 8b.

12I. Please list out WTE for Band 8c.

12J. Please list out WTE for Band 8d.

12K. Please list out WTE for Band 9.

12L. Please list out WTE for Unknow band.

Part 3 - What do you foresee as your biggest future challenges?

13A. How many of your current senior highly skilled team will reach 60 years or over in the next 5 years?

13B. How many of your current senior highly skilled team will reach 60 years or over in the next 10 years?

14. Any other challenges you foresee over the next 5-10 years?

**Please specify other foreseeable challenges.

Part 4: Further information

15. Are there any other comments you would like to make?

16. If you would you be willing to be contacted by the researchers for more information on this subject, please leave contact details below; Email and Phone Number.

4A. Name of Trust/Health Board to which collective services are provided.

4B. Does this cover any of the below? Tick as many that applies.

Adult
Paediatrics
Both

5. Do you provide services for Donor registries?

6. Which of these services do you provide? Select all that applies.

Autografts/PBSC
Allografts/DLI
Advanced Theraphy Medicinal Products

7i. Kindly select the category of cell collections for 2019?

PBSC
DLI
ATIMP

7ii. Please enter the average annual number of cell collection for 2019 in the category chosen in question 7i.

7iii. Kindly select the category of cell collections for 2020?

PBSC
DLI
ATIMP

7iv. Please enter the average annual number of cell collection for 2020 in the category chosen in question 7iii.

7v. Kindly select the category of cell collections for 2021

PBSC
DLI
ATIMP

7vi. Please enter the average annual number of cell collection in 2021 for the category chosen in question 7v.

8. What is the average number of ATIMP cell collections in the year 2021?

9. How many apheresis machines are available for stem cell collections?

10. How many slots for a patient are available to be booked on average each week?

Part 2: Workforce.

11. How is medical cover provided to the apheresis unit?

12. Does your facility have dedicated apheresis nurses or do they also work in other areas?

13. How many trained nurses do you have to perform cell collections?

14. What is the WTE or % of total apheresis trained nurses rostered to perform stem cell collections?

Part 3: Challenges.

15A. Does lack of apheresis capacity result in delays in treating patients?

15B. If yes, please specify the average time frame of delays.

16A. What are the main limitations on your service? Please select all that applies.

16B. If other, please specify.

17A. What days of the week does your apheresis and stem cell collection service operate?

Mon - Fri
Mon - Sat
Mon - Sun
Other

17B. If other, please specify.

17C. Are you planning to extend the service into weekend days?

Part 4: Further Information.

18. Are there any other comments you would like to make?

19. If you would you be willing to be contacted by the researchers for more information on this subject, please leave contact details below; Email and Phone Number.

4. Type of Centre.

Adult
Paediatric
Both

5. Type of Transplant. (copy)

Autografts
Allografts
Advanced Theraphy Medicinal Products

6A. Please list the number of dedicated transplant inpatient beds for Adult.

6B. Please list the number of dedicated transplant inpatient beds for Paediatric.

6C. Please list the number of general haematology or haem-oncology inpatient beds for Adult.

6D. Please list the number of general haematology or haem-oncology inpatient beds for Paediatric.

Part 2: Please state how many of each member of staff you have working in your centre and their time dedicated to the transplant service. If a member of staff works less than full-time on transplant, please estimate the nearest WTE. Please also indicate what band these roles are at.

7A. What is the total number of Haematology/Transplant Matrons employed in this role?

7B. What is the % WTE dedicated to Transplant service?

7C. Please list out the total number in each of the following bands: Band 7, Band 8a, Band 8b, Band 8c, Don't know.

8A. What is the total number of BMT Co-ordinator - Nursing employed in this role?

8B. What is the % WTE dedicated to Transplant service?

8C. Please list out the total number in each of the following bands: Band 6, Band 7, Don't know.

9A. What is the total number of Inpatient Ward Manager employed in this role?

9B. What is the % WTE dedicated to Transplant service?

9C. Please list out the total number in each of the following bands: Band 7, Band 8a, Band 8b, Band 8c, Don't know.

10A. What is the total number of Advanced Nurse Practitioner employed in this role?

10B. What is the % WTE dedicated to Transplant service?

10C. Please indicate the number of ANP in outpatient?

10D. Please indicate the number of ANP in inpatient?

10E. Please indicate the number of ANP in training?

10F. Please list out the total number in each of the following bands: Band 7, Band 8a, Band 8b, Band 8c, Don't know.

11A. What is the total number of Clinical Nurse Specialist employed in this role? Including roles such as Leukaemia CNS, CAR-T CNS.

11B. What is the % WTE dedicated to Transplant service?

11C. Please list out the total number in each of the following bands: Band 6, Band 7, Don't know.

12A. What is the total number of Inpatient Ward Nurse Transplant/ ATMP employed in this role?

12B. What is the % WTE dedicated to Transplant service?

12C. Please list out the total number in each of the following bands: Band 5, Band 6, Band 7, Don't know.

13A. What is the total number of Day Unit/Ambulatory Care Manager employed in this role?

13B. What is the % WTE dedicated to Transplant service?

13C. Please list out the total number in each of the following bands: Band 7, Band 8a, Band 8b, Band 8c, Don't know.

14A. What is the total number of Day Unit/Ambulatory Care Nurse employed in this role?

14B. What is the % WTE dedicated to Transplant service?

14C. Please list out the total number in each of the following bands: Band 5, Band 6, Band 7, Don't know.

15A. What is the total number of Healthcare Support Worker/ Nurse Assistant employed in this role?

15B. What is the % WTE dedicated to Transplant service?

15C. Please indicate the number of Healthcare Support Worker/ Nurse Assistant in outpatient?

15D. Please indicate the number of Healthcare Support Worker/ Nurse Assistant in inpatient?

15E. Please list out the total number in each of the following bands: Band 2, Band 3, Band 4, Don't know.

16A. What is the total number of Admin Manager/ Ward Clerk/ Housekeeper employed in this role?

16B. What is the % WTE dedicated to Transplant service?

16C. Please indicate the number of Admin Manager/Ward Clerk/Housekeeper in outpatient?

16D. Please indicate the number of Healthcare Admin Manager/ Ward Clerk/ Housekeeper in inpatient?

16E. Please list out the total number in each of the following bands: Band 2, Band 3, Band 4, Band 5, Band 6, Don't know.

17A. What is the total number of Physiotherapist employed in this role?

17B. What is the % WTE dedicated to Transplant service?

17C. Please indicate the number of Physiotherapist in outpatient?

17D. Please indicate the number of Physiotherapist in inpatient?

17E. Please list out the total number in each of the following bands: Band 5, Band 6, Band 7, Don't know.

18A. What is the total number of Physiotherapy Assistant employed in this role?

18B. What is the % WTE dedicated to Transplant service?

18C. Please indicate the number of Physiotherapy Assistant in outpatient?

18D. Please indicate the number of Physiotherapy Assistant in inpatient?

18E. Please list out the total number in each of the following bands: Band 2, Band 3, Band 4, Don't know.

19A. What is the total number of Dietician employed in this role?

19B. What is the % WTE dedicated to Transplant service?

19C. Please indicate the number of Dietician in outpatient?

19D. Please indicate the number of Dietician in inpatient?

19E. Please list out the total number in each of the following bands: Band 5, Band 6, Band 7, Don't know.

20A. What is the total number of Occupational Therapist employed in this role?

20B. What is the % WTE dedicated to Transplant service?

20C. Please indicate the number of Occupational Therapist in outpatient?

20D. Please indicate the number of Occupational Therapist in inpatient?

20E. Please list out the total number in each of the following bands: Band 5, Band 6, Band 7, Don't know.

21A. What is the total number of Occupational Therapy Assistant employed in this role?

21B. What is the % WTE dedicated to Transplant service?

21C. Please indicate the number of Occupational Therapy Assistant in outpatient?

21D. Please indicate the number of Occupational Therapy Assistant in inpatient?

22A. What is the total number of Psychologist employed in this role?

22B. What is the % WTE dedicated to Transplant service?

22C. Please indicate the number of Psychologist in outpatient?

22D. Please indicate the number of Psychologist in inpatient?

22E. Please list out the total number in each of the following bands: Band 6, Band 7, Band 8a, Band 8b, Band 8c, Band 8d, Band 9, Don't know.

23A. What is the total number of Counsellor/ Psychotherapists employed in this role?

23B. What is the % WTE dedicated to Transplant service?

23C. Please indicate the number of Counsellor/Psychotherapists in outpatient?

23D. Please indicate the number of Counsellor/Psychotherapist in inpatient?

23E. Please list out the total number in each of the following bands: Band 6, Band 7, Band 8a, Band 8b, Band 8c, Band 8d, Band 9, Don't know.

24A. What is the total number of Complementary therapies employed in this role?

24B. What is the % WTE dedicated to Transplant service?

24C. Please specify the role/s you have in this category.

25A. What is the total number of Social worker employed in this role?

25B. What is the % WTE dedicated to Transplant service?

25C. Please list out the total number in each of the following bands: Band 5, Band 6, Band 7, Band 8a, Band 8b, Don't know.

26A. What is the total number of Other roles employed? Please specify other roles/title.

26B. What is the % WTE dedicated to Transplant service?

26C. Please list out the total number and their bands.

27. For Paediatric settings, please list the roles your patients have access to, e.g. Play Assistants, School Teachers and other support staff:

Part 3: Funded and actual nurse-to-patient ratio (in-patients)

28. What is your funded nurse-to-patient ratio on your transplant ward?

29. What is your usual nurse-to-patient ratio on your transplant ward?

30. What is your funded nurse-to-patient ratio on the general haematology ward?

31. What is your usual nurse-to-patient ratio on the general haematology ward? (copy)

32. Does your staff funding take staff sickness into consideration (pre-COVID)?

Part 4: What additional staffing is required?

33A. To maintain current workload, do you require additional staffing within your centre?

33B. Are some areas worse affected than others?

33Ci. Please state how many BMT Co-ordinator – Nursing staff you would require:

33Cii. Please state how many Ward Manager staff you would require:

33Ciii. Please state how many Haematology/ Transplant Matron staff you would require.

33Civ. Please state how many Advanced Nurse Practitioner staff you would require.

33Cv. Please state how many Clinical Nurse Specialist staff you would require.

33Cvi. Please state how many Ward Nurse transplant/ATMP staff you would require.

33Cvii. Please state how many Day Unit/Ambulatory Nurse staff you would require.

33Cviii. Please state how many Healthcare support worker staff you would require.

33Cix. Please state how many Paediatric setting (Play Assistants, School Teachers and similar) staff you would require.

33Cx. Please state how many Physiotherapist staff you would require.

33Cxi. Please state how many Physiotherapist Assistant staff you would require.

33Cxii. Please state how many Dietician staff you would require.

33Cxiii. Please state how many Occupational Therapist staff you would require.

33Cxiv. Please state how many Occupational Therapist Assistant staff you would require.

33Cxv. Please state how many Psychologist staff you would require.

33Cxvi. Please state how many Counsellor/ psychotherapists staff you would require.

33Cxvii. Please state how many Complimentary therapies staff you would require.

33Cxviii. Please state how many Social Worker staff you would require.

33Cxix. Please state how many other (not stated) staff you would require.