Build 26325971

The biggest management update yet. Your hospital now runs on people, money, reputation and risk, and they all affect each other.

SHIFTS & STAFFING
- Day, Mid and Night shift presets on the schedule board
- Staff hand over their patients at shift change, and the handover report goes on the chart
- Warnings two hours before a department runs short of staff
- Staff can turn up late or not at all, and colleagues can swap shifts

HIRING & KEEPING STAFF
- Set the wage for each role and see who applies, with their experience, qualifications and personality
- Four rival hospitals compete for your staff. Underpaid or overworked people start looking, then hand in their notice
- Answer raise requests, match a rival's offer, or fix what's making them unhappy

NEW OFFICES (all run from the office computer)
- HR Office: workplace friendships and quarrels, complaints, investigations, mediation and workshops
- Marketing: seven ad channels that build awareness over time, so more patients come
- Compliance: privacy and emergency policies, staff training, incidents and inspections every two weeks
- Risk: clinical incidents judged on what really happened. Harm can become a malpractice claim, which you settle or defend in court. Insurance and a quality programme soften the blow
- Each office can run by hand, with suggestions, or by itself once you hire its manager

A HOSPITAL THAT HANGS TOGETHER
- Tired or overworked staff make more mistakes
- Your accreditation affects who applies for jobs and how well adverts work
- Bad news makes adverts work less for two weeks
- Your reputation now reflects how you've been doing lately
- A daily heads-up when things are building up: staff leaving, burnout, an inspection coming with problems still open, a claim about to be decided without you
- The end-of-day card now shows what happened in the offices

PATIENTS IN DANGER COME FIRST
- Critical patients jump to the top of the care queue and the patient lists
- They no longer wander off to the toilet or cafeteria
- If one is found in a waiting room, staff take them to an emergency, treatment or ICU bed by stretcher or wheelchair

FIXES
- The game now starts in DirectX 11, which fixes a crash on launch on some graphics cards. To try DirectX 12, choose "Play with DirectX 12" when you press Play, or add -force-d3d12 to the launch options
- Fixed a rare freeze when a patient transfer had no wheelchair free
- Many save and stability fixes for long games

KNOWN ISSUES
- A patient who collapses in a waiting room can end up under the bench
- Patients in danger need a stretcher or wheelchair to be moved: place at least one

Found a bug? Press F8 in game, type what happened, and it comes straight to us. Thank you for testing the alpha!