1. Inpatient staffing levels review Ray Walker,Executive Director HSS/Nursing Helena McCourt, Deputy Director of Nursing Mersey Care NHS Trust

2. Introductions Who we are What we do

3. Background Mid- Staffordshire inquiry/Francis 2 NHS Constitution (2009) CQC standards Professional bodies Monitor Winterbourne Publications

4. Background (cont) CE/DoN objective setting SNLT concerns Budget setting process- timing/quality Board assurance

5. Methodology Telford Model of Professional Judgement Trust Data Incidents Staff attendance Use of additional staffing

6. Process Director of Nursing Senior Leadership team Clinical team/Ward Manger Modern Matron Independent senior nurse Support -Workforce lead/Finance lead CBU Leaders presentation/ET Board presentation Sept 2012

7. Findings Safe staffing levels maintained Variance per CBU/clinical area 80 WTE Registered/ un registered

8. Next Steps Impact on Quality (Dashboard) Support CBUs – CIP discussions – Annual review – Skill mix review – Community staffing review

9. WWW Engagement Opportunity to celebrate positives Share initiatives Peer support The Nursing voice Partnership working