TOIL requests for healthcare staff in TimeTally

TOIL Management for Healthcare Teams

Track time off in lieu for doctors, nurses, clinical support staff, and administrators. Manage TOIL from on-call shifts, bank holiday cover, and winter pressure overtime — accurately and automatically.

TimeTally keeps TOIL tracking alongside sick leave and annual leave in one system — so clinical managers have a complete picture of team availability at all times.

No credit card
TOIL + leave in one tool

TOIL challenges unique to healthcare

Clinical environments create TOIL complexities that general HR systems aren't built to handle.

1

On-call hours that convert to TOIL aren't tracked

Callouts during on-call shifts generate TOIL entitlements — but without a system, these are logged informally and often forgotten entirely.

2

Balances spike during winter pressures

Doctors and nurses work significant extra hours during busy periods, accruing TOIL they cannot realistically take until pressures ease. By then, the records are unclear.

3

TOIL clashes with minimum staffing requirements

Taking TOIL off is only possible when minimum clinical cover is maintained. Approving TOIL without checking staffing levels can create patient safety risks.

4

Locum and bank staff TOIL gets muddled with permanent staff

Different rules apply to different employment types. Without clear records per person, TOIL entitlements get confused across the team.

5

Working Time Regulation compliance is difficult to evidence

Demonstrating that clinical staff are not regularly exceeding 48-hour weekly averages requires accurate records — something spreadsheets cannot reliably provide.

6

Rotation changes mean TOIL records start from scratch

When junior doctors or nurses rotate every few months, TOIL records built up in informal systems get lost. New managers have no visibility of what was owed.

Clinical staff request TOIL from their phone

Healthcare workers check their TOIL balance and submit requests through the TimeTally app between patients or after a shift. Managers receive the request instantly and can approve or decline with a note — no paperwork, no chasing.

  • Available between shifts

    Clinical staff don't need to find a computer to manage their leave — the iOS app handles everything

  • Manager approval with staffing in mind

    Managers can check the team calendar for clinical coverage before approving TOIL requests

  • Complete records for every employee

    Every TOIL accrual, request, and approval is stored permanently — useful for HR and compliance records

TOIL request approval for healthcare staff in TimeTally

TOIL, leave, and clinical cover on one calendar

See TOIL bookings, annual leave, and sick leave together on the team calendar. Before approving a TOIL request, managers can check clinical staffing levels — preventing any day falling below safe minimum cover.

All absence types together

TOIL, annual leave, sick leave, and study leave all on one calendar for a complete picture

Check cover before approving

Managers see how many clinical staff are already off before approving more TOIL requests

Exportable for compliance

Export absence data for HR records, WTR compliance reporting, or payroll processing

Team calendar showing TOIL and absence for healthcare staff in TimeTally
Configure TOIL policy for healthcare in TimeTally

Configure TOIL rules for your clinical environment

Set your TOIL accrual rate, maximum balance cap, and expiry period once — and TimeTally applies them consistently across every clinical and non-clinical employee. No more inconsistent application of TOIL rules across departments.

Pair TOIL management with on-call tracking and healthcare rota software for a complete workforce management solution.

Useful for healthcare teams: Create separate TOIL types for on-call callouts (1.5:1) and regular overtime (1:1) — each with their own colour so managers can see at a glance what was earned and why.

Simple, Transparent Pricing

One price. Every feature. No surprises.

£2/employee/month

Billed monthly. Cancel anytime.

TOIL tracking — accrual, requests, approvals, and balances
Annual leave and sick leave management included
On-call and overtime timesheet tracking
Team calendar — full absence visibility
Payroll exports — CSV, Xero, QuickBooks

No credit card required

Frequently Asked Questions

How does TOIL work for on-call hours in healthcare?

On-call hours that result in active work can be logged as overtime in TimeTally's timesheet, and the resulting TOIL accrual approved by a manager. You set the accrual rate in your TOIL policy settings — for example, 1:1 for standard on-call callouts or 1.5:1 for unsocial hours — and balances update automatically.

Can TimeTally help with Working Time Regulations compliance?

TimeTally's timesheet tracking gives you a record of hours worked per employee, which is useful for monitoring compliance with the 48-hour weekly average under the Working Time Regulations 1998. You can export this data for HR records or compliance reporting.

How do we manage TOIL when minimum staffing levels are mandatory?

Managers can see who has TOIL booked on the team calendar before approving further requests. This allows you to maintain clinical minimum staffing levels when deciding whether to approve TOIL time off on any given day.

Can locum and bank staff use TimeTally?

Yes. You can add any worker type to TimeTally as an employee. Locum and bank staff can have their own leave entitlements and TOIL tracking, separate from permanent staff, within the same account.

What happens to TOIL accrued during winter pressures?

Balances are recorded accurately throughout the year. When clinical pressures ease, managers can see who has accumulated TOIL and plan time off accordingly. Setting a maximum TOIL cap and expiry period helps prevent unmanageable balances building up.

Is there a minimum team size for TimeTally?

No minimum. TimeTally is used by small GP practices and large clinical teams alike. At £2 per employee per month, it is affordable for any team size.

Accurate TOIL records for every healthcare worker.

Try TimeTally free for 14 days. Track TOIL, annual leave, and sick leave in one system built for clinical teams.

No credit card required · Free 14-day trial · Cancel anytime