medishift

How to create a rota step by step

Cover first, names second, and the rest gap checked before anyone agrees to it. Here is the order to create a rota in, the two places a hand-drawn week quietly breaks, and a free tool to build it in.

  • The order to work in, from the cover the week needs to the names on it
  • Where the Working Time Regulations 1998 catch a rota drawn by hand
  • Create a rota free for up to ten people, then print it or send it to their phones
A week being built in medishift, with one shift still showing as uncovered

More than 100 practices already trust medishift

  • Hausarzt Dortmund – Dr. Kara & Kollegen
  • Klüt Praxis
  • Hafenstadt Praxis
  • Hausarztpraxis Wengedorff
  • MVZ – Ihre Zahnärzte im Norden
  • Mühlendamm Zahnarztpraxis
  • Gesundheitszentrum Health Hub Rudolstadt

Create a rota in five passes, in this order

  1. Step 01 · Cover

    Write down the week before you write down the people

    A ward week is a grid before a single name goes on it: a long day from 08:00 to 20:00, a night from 20:00 to 08:00, twilight cover from 16:00 to 22:00 for the busiest hours of the evening. In a surgery it is opening times, the phone lines and the Saturday clinic. Get those blocks down, with how many people each one takes, and half the rota is already decided.

    • List the shifts the week needs, not the people you have
    • Put a headcount on each one before anybody is assigned
  2. Step 02 · The fixed facts

    Everything that is already decided goes on next

    Contracted hours, leave that is already booked, the days somebody has said they cannot work. These are not preferences to be balanced later; they are constraints that were settled weeks ago. Putting them in before the flexible part is the difference between a rota you adjust and a rota you redo.

    • Booked leave and stated unavailability belong in before the names
    • Contracted hours per weekday sit with the person, not in a second file
  3. Step 03 · Rest

    Eleven hours is where a hand-drawn rota breaks

    Under the Working Time Regulations 1998, most adult workers in Great Britain are entitled to eleven consecutive hours off in each 24-hour period, with separate rules for young workers. Twilight cover ending at 22:00 followed by an 08:00 start leaves ten. On paper nobody spots it, because nobody is doing that subtraction at eleven at night. medishift gives no legal advice: you set the minimum gap for your own site and shifts below it are flagged.

    • Check the gap between the end of one shift and the start of the next
    • A ceiling on daily hours, and on how many days in a row, is worth setting too
  4. Step 04 · Filling

    Now the names go on, and the gaps stay visible

    With the shape and the constraints in place, assigning people is quick, and what is left over is genuinely left over rather than forgotten. An uncovered shift stays marked as uncovered instead of looking like empty space, which is the difference between a gap you can see and a gap you find out about on the morning.

    • What is still unfilled stays flagged as unfilled, not left looking blank
    • A week you are happy with can be saved as a template and reused
  5. Step 05 · Publishing

    Nothing reaches a phone until you release it

    Shifts stay in draft while you work, so a half-finished rota never goes out. When you publish, the version everyone sees is the one you meant to send, and a change after that reaches them too instead of leaving a printout on the wall to go quietly out of date.

    • Draft while you work, published when you say so
    • A later change reaches the team rather than the noticeboard

Two ways to build the same week

Name by name, on a spreadsheet

  • You start from the people you have and hope the cover works out.
  • Booked leave lives in a second file nobody cross-checks.
  • Rest gaps are worked out in someone's head, late in the evening.
  • The half-finished version gets photographed and sent round.
  • A change means printing it again and hoping everyone looks.

Cover first, checked as you go

  • You start from the shifts the week needs and fill them.
  • Leave and unavailability are part of the same picture.
  • The gap below your rest limit is flagged while you assign.
  • Nothing leaves draft until you publish it.
  • A change reaches every phone at once.

Which rota are you creating?

  • Hospital wards

    Earlies, lates and nights, where the rest gap between two of them is the thing that actually constrains the week.

  • GP surgeries

    Opening times, the phone lines and the Saturday clinic, and one afternoon a week that obeys none of them.

  • Dental practices

    Surgeries running in parallel, each needing a nurse alongside the dentist, and a hygienist list that moves week to week.

  • Physiotherapy with home visits

    Appointments on the road rather than in one treatment room, where travel sits between two patients and the rota has to account for it.

The fixed facts are already in the picture

Step two only works if the leave is where you can see it. Booked holiday, training days and sickness sit in the same week as the shifts, so an assignment onto a day somebody is away is caught while you are making it rather than on the morning it matters.

  • Booked leave is part of the week you are building, not a second file.
  • Stated unavailability counts as a fixed fact too, and is checked the same way.
  • What is left is genuinely what is free, so filling the week is quick.
How leave gets booked and approved
Booked leave and sickness for the same week the shifts are built in

Build it once, keep it right all month

Creating the rota is one evening; the month is the rest of it. Move a shift to another day or another person and the warnings work themselves out again. Tell Kira somebody is off sick all week and it books the absence, lifts them out of their shifts and names the colleagues who could cover, with the reason each one can or cannot.

  • A change after publishing reaches the phone, not the noticeboard.
  • Kira books the absence and suggests the cover when you ask it to.
  • Whoever cannot make a shift asks colleagues for cover without waiting on you.
The published rota on a phone, the version the team actually reads

Build next week's rota with us, in 30 minutes

Bring the week you are wrestling with at the moment. We will put it together with you, in the order above, and stop wherever it gets interesting. Thirty minutes, and you keep whatever we built.

  • 30 minutes
  • Via Google Meet
  • Free and without obligation

1. Pick a slot

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Saturday 17 October

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How to create a rota: common questions

Cover first, names second. List the shifts the week needs and how many people each one takes, then place staff against contracted hours, booked leave and the rest gap. Do it the other way round and you get the rota that has to be redone on Monday.

Under the Working Time Regulations 1998, most adult workers in Great Britain are entitled to eleven consecutive hours off in each 24-hour period, with separate rules for young workers. medishift gives no legal advice: you set the minimum rest gap for your own site, and shifts below it are flagged while you assign.

Yes. A team of ten or fewer pays nothing, permanently and without card details, and that covers the rota itself, leave planning and the app your staff use. Past ten the price is per person and the pricing page states it.

It helps while you are still settling the shape of the week, and a simple grid on paper or in a spreadsheet does that job well. After that the spreadsheet costs you the checking: it cannot tell you somebody is on leave, double-booked or short of rest.

Shifts stay in draft until you publish, and the team then sees the current version in the mobile app. A change you make afterwards reaches them there as well, rather than leaving the printout on the wall to go out of date.

Far enough that people can plan around it, and in most healthcare teams that means four weeks. There is no statutory notice period for a rota in Great Britain, so what binds you is your own contracts of employment and any collective agreement. medishift gives no legal advice. What software changes is the cost of a late change: the corrected week reaches phones instead of needing a new sheet on the wall.