1. BCH Nursing Staffing: Nursing Workforce Summary Monthly Ave:Act vs. PlanAcuitySkill MixVacancyAnnual LeaveMat LeaveSickness Aug-1597.6%94.4%77.8%0.120.9%6.0%7.0% Sep-1596.4%92.0%76.5%0.118.1%6.3%5.5% Oct-1598.5%91.5% 77.9%0.114.3%6.3%5.4% Capacity: In October’15 additional bed capacity was flexed in response to patient acuity and demand during the last week of October saw a seasonal reduction in activity due to half term PICU demand remains high. Staffing: Sickness levels decreased in October’15 the overall vacancy level didn’t change annual leave taken in October’15 decreased. Temporary Staffing: Bank spend in October‘15 remained consistent with the previous month main reason for bank spend was vacancy and sickness cover. Bank spend should decrease over the next month due to the number of NQN’s starting in the Trust to fill Band 5 vacancies. There were no reported red shifts in this period.

2. Nursing Workforce October 2015 Nursing Workforce Dashboard: Ward Nursing Staffing Actual vs Planned Patient Acuity Level Planned Resources Unplanned: Actual & Response October 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 103.0%134.2%107.1%108.4%108.6% 8760 70.4%22.2%62% 0.1 13%8% 4%57.9%14%0 Neonatal Surgical 100.5%95.3%105.0%85.0%99.1% 8760 79.6%6.0%70% 0.1 11%3%4% 9%95.5%8%0 Ward 1 107.2%91.3%99.1%33.3%100.7% 9210 81.0%15.6%76% 0.1 19%9%3% 2%83.3%1%0 Ward 5 99.4%91.3%99.6%122.6%99.3% 76170 72.6%26.4%59% 0.1 17%8%4% 14%76.3%15%0 Ward 9 90.9%112.6%108.6%107.2%100.3% 69240 70.8%20.7%60% 0.1 10%11%17% 3%66.0%14%0 Ward 10 109.8%100.0%100.8%92.0%104.6% 8940 84.3%5.2%71% 0.1 12%3%4% 25.0%0%0 ED 108.6%100.9%90.5%100.0%100.1% 75180 75.8%14.7%66% 0.1 17%4%11% 8%61.5%7%0 PAU 108.9%60.1%109.4%76.0%101.9% 8490 89.2%13.0%64% 0.3 7%5%8% 10%66.7%2%0 Ward 2 88.2%81.4%98.4%85.5%89.5% 74190 74.7%22.0%67% 0.1 15%6%12% 4%73.0%11%0 Ward 7 107.5%92.2%100.0%106.7%102.3% 8670 81.1%7.7%79% 0.0 16%0%8% 2%83.3%3%0 MHDU 113.2%N/A107.5%N/A110.6% 9300 100.0%2.4%82% 0.2 13%0%6% 3%100.0%1%0 Ward 15 97.6%85.6%99.5%129.4%96.9% 8670 82.1%16.3%71% -0.7 15%3%6% 5%61.8%4%0 ODC* 103.0%68.1%N/A 94.4% 6600 74.6%38.2%59% -0.6 19%23%2% 8%100.0%1%0 Ward 8 90.2%178.3%103.8%95.5%101.9% 9210 82.4%13.2%75% 0.1 15%4% 1%100.0%0%0 Ward 11 97.9%79.4%97.7%104.5%97.0% 8850 88.0%6.2%65% 0.2 11%8% 5%93.3%4%0 Ward 12 91.8%93.7%96.3%88.3%93.5% 83100 87.4%13.7%59% 0.3 16%6%12% 5%69.0%6%0 PICU 91.7%138.7%90.2%165.5%94.3% 83100 86.5%40.6%56% -0.6 17%7%11% 5%96.3%9%0 MDC* 76.1%82.0%N/A 77.0% 6420 85.5%26.2%68% 0.2 17%8%9% 5%n/a0%0 SDC* 88.7%76.4%N/A 85.1% 6600 75.0%36.3%63% 0.1 17%4%2% 9%87.0%7%0 Ashfield 103.7%104.4%97.6%94.8%100.8% 8940 69.7%9.7%72% -0.7 9%11%10% 3%92.6%6%0 Heathlands 109.2%89.1%108.6%123.8%104.4% 8940 58.6%23.6%54% -0.5 14%3%5% 6%100.0%8%0 Irwin 94.6%109.2%101.9%119.6%105.4% 9300 44.7% 24.2%80% -0.8 14%4%9% 4%100.0%1%0 Trust Average: 99.2%98.3%101.1%102.1%98.5% 18111540 77.91%18.4%67.2%0.114.3%6.3%7.4% 5.4%80.4%5.5% 0 * Excluded from National Upload 107.1%112.7%

3. Nursing, Midwifery and Care Staff Staffing October2015 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 171 - PAEDIATRIC SURGERY 160 - PLASTIC SURGERY 13001339338454748801275298103.0%134.3%107.1%108.4% Neonatal Surgical 171 - PAEDIATRIC SURGERY 2015202540338413751444671572100.5%95.3%105.0%85.2% Ward 1 171 - PAEDIATRIC SURGERY 361 - NEPHROLOGY 123513314163921067105711 107.8%94.2%99.1%100.0% Ward 5 171 - PAEDIATRIC SURGERY 100 - GENERAL SURGERY 2009199610609671364135934141899.4%91.2%99.6%122.6% Ward 9 171 - PAEDIATRIC SURGERY 100 - GENERAL SURGERY 191117365406081133123031934290.8%112.6%108.6%107.2% Ward 10 171 - PAEDIATRIC SURGERY 150 - NEUROSURGERY 19962192429 12981309275253109.8%100.0%100.8%92.0% ED420 - PAEDIATRICS 180 - ACCIDENT & EMERGENCY 258728091287129923872159341 108.6%100.9%90.4%100.0% PAU420 - PAEDIATRICS300 - GENERAL MEDICINE 2093228037722714081540363276108.9%60.2%109.4%76.0% Ward 2420 - PAEDIATRICS300 - GENERAL MEDICINE 200917718066561364134268258388.2%81.4%98.4%85.5% Ward 7420 - PAEDIATRICS300 - GENERAL MEDICINE 154116565725271221 165176107.5%92.1%100.0%106.7% MHDU420 - PAEDIATRICS 192 - CRITICAL CARE MEDICINE 12091368001023110000113.2%-107.5%- Ward 15420 - PAEDIATRICS 303 - CLINICAL HAEMATOLOGY 38813789147612633047303318724297.6%85.6%99.5%129.4% Ward 8420 - PAEDIATRICS 171 - PAEDIATRIC SURGERY 230120753386031452150724223190.2%178.4%103.8%95.5% Ward 11 321 - PAEDIATRIC CARDIOLOGY 170 - CARDIOTHORACIC SURGERY 226222152802221463143024225397.9%79.3%97.7%104.5% Ward 12 321 - PAEDIATRIC CARDIOLOGY 170 - CARDIOTHORACIC SURGERY 206118933513291375132513211791.8%93.7%96.4%88.6% PICU420 - PAEDIATRICS 192 - CRITICAL CARE MEDICINE 13130120387541046110669986638105691.7%138.7%90.2%165.5% Ashfield 711- CHILD and ADOLESCENT PSYCHIATRY 1313136167670610451020473449103.7%104.4%97.6%94.9% Heathlands 711- CHILD and ADOLESCENT PSYCHIATRY 9951086923822682741341422109.1%89.1%108.7%123.8% Irwin 711- CHILD and ADOLESCENT PSYCHIATRY 8978491021111548449352863294.6%109.2%101.9%119.7%