Shifts on Patchwork can be escalated by using Patchwork's rate escalation tool. Most Trusts escalate shifts when bank shifts are hard to fill. Depending upon account permissions and authorisation levels - some accounts will be able to escalate shifts as and when needed.

If you are in one of the following Trust please follow the process below:

  • Aintree University Hospital

  • Aneurin Bevan Universtiy Health Board

  • Southport & Ormskirk Hospital NHS Trust

  • Tees, Esk and Wear Valleys NHS Foundation Trust

  • West London NHS Trust

  • York Teaching Hospital NHS Foundation Trust.

1) Select the shift you want to escalate.

Find shift > Open shift modal (the 6-digit shift ID) > Select Rate escalation

2) Input new rates

In the menu select request escalation > Input core rate > Input Unsocial Rate > Input Reason

You can choose a different amount for core and unsocial. If the shift is just core, don't worry, just type in the same amount for unsocial. (you can do the same for Unsocial)

Inputting a rate request reason will help the authoriser understand the nature of importance of the escalation.

3) Select authoriser for the escalation > save changes

The shift has now been escalated and the shift list view will then automatically update with the new rates in red. The authoriser will also be sent an email receipt to confirm the new shift rate has been authorised in their name.

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