BCH Nursing Staffing: Nursing Workforce Summary Monthly Ave:Act vs. PlanAcuitySkill MixVacancyAnnual LeaveMat LeaveSickness May %92.4%79.2% %5.5%7.0% Jun %89.4%78.8% %6.7%6.0% Jul %92.0%77.6% %6.8%7.0% Capacity: In July’15 we saw a reduction in patient acuity and dependency and a reduction in ED attendances. Therefore, we were able to return to normal summer capacity and flex down surgical inpatient beds. Staffing: Sickness levels in July’15 saw a 1% increase from the previous month. Annual leave taken in July’15 was higher than previous 3 months as would be expected. Temporary Staffing: Bank spend in July ’15 saw a reduction in nursing bank spend Band 5 staff nurse vacancies was the main reason for booking bank shifts. During July’15 there was 1 red shift on the Burn ward a member of staff was sent home sick at midnight which left one staff nurse and 1 CSW appropriate allocation of staff was taken to manage patient care.

Nursing Workforce July 2015 Nursing Workforce Dashboard: Ward Nursing Staffing Actual vs Planned Patient Acuity Level Planned Resources Unplanned: Actual & Response July 15 RegisteredCare StaffRegisteredCare StaffTotal No of Green shifts No of Amber shifts No of Red shifts Registered Skill Mix% Unfilled Roster% Actual hours vs Staff in Post Vacancy WTE Leave% Mat Leave % Non Clinical % Sickness Bank Fill % Bank Used No of Times Raised to HoN Day Night Actual vs Planned % Burns 90.3%83.2%88.0%91.7%88.7% %27.4%63% %6%5%10%42.9%2%0 Neonatal Surgical 96.9%93.1%98.5%96.0%97.0% %5.6%70% %3%7%5%57.6%2%0 Ward %95.6%103.0%N/A99.6% %9.4%77% %2%6%5%71.4%2%0 Ward %104.9%82.2%96.8%90.8% %24.3%55% %12%2%10%67.6%10%0 Ward %162.2%95.5%118.8%104.2% %25.9%71% %8% 5%47.1%2%0 Ward %97.9%100.8%90.5%94.4% %5.3%63% %3%5%6%81.3%3%0 ED 106.9%89.7%87.9%83.9%95.4% %10.1%70% %7%14%11%67.3%9%0 PAU 93.5%86.4%99.8%116.1%96.4% %5.3%63% %3%6%4%61.1%3%0 Ward %86.5%96.1%89.8%90.2% %22.8%68% %10%6%10%64.3%8%0 Ward %98.7%89.8%130.4%94.9% %15.0%68% %4% 9%63.7%14%0 MHDU 95.3%N/A93.2%N/A94.3% %5.5%78% %5%20%1%33.3%2%0 Ward %95.7%93.7%123.2%93.0% %25.1%67% %5%6%8%66.9%9%0 ODC* 91.4%87.2%N/A 90.4% %31.6%64% %24%5%8%n/a0%0 Ward %187.1%96.9%121.4%104.7% %21.0%71% %8%5%8%72.7%2%0 Ward %109.6%100.8%95.7%98.7% %5.1%70% %3%4%5%57.1%1%0 Ward %104.2%96.1%95.7%99.4% %11.8%74% %6%7%2%40.0%0%0 PICU 91.8%189.1%93.4%163.5%95.3% %44.9%59% %8%12%4%46.7%10%0 MDC* 78.9%97.0%N/A 82.1% %32.2%67% %8%7%4%n/a0%0 SDC* 97.5%85.4%N/A 94.1% %30.0%70% %9%2%3%97.5%10%0 Ashfield 108.8%100.6%96.1%104.7%103.5% %25.9%67% %7%12%2%76.5%3%0 Heathlands 120.7%91.6%110.2%101.5%107.6% %30.7%65% %0%8%16%88.0%5%0 Irwin 92.3%95.8%139.3%116.7%104.9% % 34.2%63% %9% 90.9%3%0 Trust Average: 95.2%106.7%98.0%108.0%96.3% %20.4%67.4% %6.8%7.3%7%64.7%4.5% 0 * Excluded from National Upload 107.1%112.7%

Nursing, Midwifery and Care Staff Staffing July 2015 Submission to NHS England Only complete sites your organisation is accountable for DayNightDayNight Ward name Main 2 Specialties on each wardRegistered midwives/nursesCare StaffRegistered midwives/nursesCare Staff Average fill rate - registered nurses/midwive s (%) Average fill rate - care staff (%) Average fill rate - registered nurses/midwive s (%) Average fill rate - care staff (%) Specialty 1Specialty 2 Total monthly planned staff hours Total monthly actual staff hours Total monthly planned staff hours Total monthly actual staff hours Total monthly planned staff hours Total monthly actual staff hours Total monthly planned staff hours Total monthly actual staff hours Burns PAEDIATRIC SURGERY PLASTIC SURGERY %83.2%88.0%91.7% Neonatal Surgical PAEDIATRIC SURGERY %93.1%98.5%96% Ward PAEDIATRIC SURGERY NEPHROLOGY %95.6%103.0%N/A Ward PAEDIATRIC SURGERY GENERAL SURGERY %104.9%82.2%96.8% Ward PAEDIATRIC SURGERY GENERAL SURGERY %162.2%95.5%118.8% Ward PAEDIATRIC SURGERY NEUROSURGERY %97.9%100.8%90.5% ED420 - PAEDIATRICS ACCIDENT & EMERGENCY %89.7%87.9%83.9% PAU420 - PAEDIATRICS300 - GENERAL MEDICINE %86.4%99.8%116.1% Ward PAEDIATRICS300 - GENERAL MEDICINE %86.5%96.1%89.8% Ward PAEDIATRICS300 - GENERAL MEDICINE %98.7%89.8%130.4% MHDU420 - PAEDIATRICS CRITICAL CARE MEDICINE %N/A93.2%N/A Ward PAEDIATRICS CLINICAL HAEMATOLOGY %95.7%93.7%123.2% Ward PAEDIATRICS PAEDIATRIC SURGERY %187.1%96.9%121.4% Ward PAEDIATRIC CARDIOLOGY CARDIOTHORACIC SURGERY %109.6%100.8%95.7% Ward PAEDIATRIC CARDIOLOGY CARDIOTHORACIC SURGERY %104.2%96.1%95.7% PICU420 - PAEDIATRICS CRITICAL CARE MEDICINE %189.1%93.4%163.5% Ashfield 711- CHILD and ADOLESCENT PSYCHIATRY %100.6%96.1%104.7% Heathlands 711- CHILD and ADOLESCENT PSYCHIATRY %91.6%110.2%101.5% Irwin 711- CHILD and ADOLESCENT PSYCHIATRY %95.8%139.3%116.7%