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To enquire about using the SNCT, please email: manish.patel@imperial.ac.uk


The Children’s & Young People’s Safer Nursing Care Tool (SNCT) is built on the principles of the original Safer Nursing Care Tool for adult inpatient wards which was developed in 2006 and updated in 2013. It has been developed to help NHS hospitals make evidence-based decisions on staffing in Children’s and Young People’s in-patient wards in line with the NQB’s expectations using patient acuity and dependency to inform these decisions.

The Children’s & Young People’s Safer Nursing Care Tool (SNCT) completed validation in early 2018 and it is now available for licence.      

  • Decision support tool, developed by the Shelford Group

  • Evidence-based: tested in Teaching and District General Hospitals in England, to confirm tool is robust and easy to use

  • Aligned to a staffing multiplier (whole time equivalent (WTE) nurse staffing) to provide a recommended establishment based on the actual needs of the patients


¨ Appropriate for use in any Acute children and young people in patient wards in acute and childrens hospitals within England (although further work is underway to adapt the tool for use in other clinical setting and other countries)

¨ Used in conjunction with Nurse Sensitive Indicators (NSIs); patient and staff outcomes  that can be linked to nurse staffing such as patient falls and pressure ulcer incidence

¨ Able to support benchmarking activity in organisations when used across Trusts. This will guide consistent decision making in setting safe and sustainable nurse establishments in line with agreed standards across similar care settings in England.


For more information, please download the product spec sheet on the Files tab above


Other specialist SNCTs are available for:

Adult inpatient wards

Acute Assessment Units


Mental Health Optimal Staffing Tool



Safer Nursing Care Tool (SNCT): C&YP Inpatient Wards

Evidence-based tool which enables nursing staff to assess the acuity and dependency of C&YP to support establishment setting

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