1. BCH Nursing Staffing: Nursing Workforce Summary Monthly Ave:Act vs. PlanAcuitySkill MixVacancyAnnual LeaveMat LeaveSickness May-1599.7%92.4%79.2%0.115.8%5.5%7.0% Jun-1594.8%89.4%78.8%0.115.9%6.7%6.0% Jul-1596.3%92.0%77.6%0.118.9%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.

2. 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%911177.4%27.4%63% 0.1 18%6%5%10%42.9%2%0 Neonatal Surgical 96.9%93.1%98.5%96.0%97.0%858081.3%5.6%70% 0.1 19%3%7%5%57.6%2%0 Ward 1 97.0%95.6%103.0%N/A99.6%8211083.9%9.4%77% 0.1 26%2%6%5%71.4%2%0 Ward 5 88.8%104.9%82.2%96.8%90.8%912068.3%24.3%55% 0.1 17%12%2%10%67.6%10%0 Ward 9 93.9%162.2%95.5%118.8%104.2%894068.1%25.9%71% 0.0 19%8% 5%47.1%2%0 Ward 10 89.7%97.9%100.8%90.5%94.4%930083.1%5.3%63% 0.2 21%3%5%6%81.3%3%0 ED 106.9%89.7%87.9%83.9%95.4%7914076.7%10.1%70% 0.1 20%7%14%11%67.3%9%0 PAU 93.5%86.4%99.8%116.1%96.4%849082.3%5.3%63% 0.2 23%3%6%4%61.1%3%0 Ward 2 87.7%86.5%96.1%89.8%90.2%6429075.5%22.8%68% 0.1 16%10%6%10%64.3%8%0 Ward 7 92.0%98.7%89.8%130.4%94.9%8211079.7%15.0%68% 0.1 21%4% 9%63.7%14%0 MHDU 95.3%N/A93.2%N/A94.3%8670100.0%5.5%78% 0.2 23%5%20%1%33.3%2%0 Ward 15 89.7%95.7%93.7%123.2%93.0%867080.2%25.1%67% 0.1 22%5%6%8%66.9%9%0 ODC* 91.4%87.2%N/A 90.4%690075.0%31.6%64% 0.1 14%24%5%8%n/a0%0 Ward 8 94.3%187.1%96.9%121.4%104.7%921078.4%21.0%71% 0.1 16%8%5%8%72.7%2%0 Ward 11 96.0%109.6%100.8%95.7%98.7%867084.0%5.1%70% 0.1 19%3%4%5%57.1%1%0 Ward 12 101.2%104.2%96.1%95.7%99.4%876080.7%11.8%74% 0.1 12%6%7%2%40.0%0%0 PICU 91.8%189.1%93.4%163.5%95.3%7023088.0%44.9%59% 0.3 20%8%12%4%46.7%10%0 MDC* 78.9%97.0%N/A 82.1%654086.7%32.2%67% 0.2 19%8%7%4%n/a0%0 SDC* 97.5%85.4%N/A 94.1%672073.2%30.0%70% 0.0 17%9%2%3%97.5%10%0 Ashfield 108.8%100.6%96.1%104.7%103.5%885072.7%25.9%67% 0.1 18%7%12%2%76.5%3%0 Heathlands 120.7%91.6%110.2%101.5%107.6%903063.3%30.7%65% 0.0 14%0%8%16%88.0%5%0 Irwin 92.3%95.8%139.3%116.7%104.9%9120 48.6% 34.2%63% -0.1 21%9% 90.9%3%0 Trust Average: 95.2%106.7%98.0%108.0%96.3% 1817156177.60%20.4%67.4%0.118.9%6.8%7.3%7%64.7%4.5% 0 * Excluded from National Upload 107.1%112.7%

3. 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 171 - PAEDIATRIC SURGERY 160 - PLASTIC SURGERY 1456131535829891380313212190.3%83.2%88.0%91.7% Neonatal Surgical 171 - PAEDIATRIC SURGERY 208020154033751496147455052896.9%93.1%98.5%96% Ward 1 171 - PAEDIATRIC SURGERY 361 - NEPHROLOGY 132012803393241100113301197.0%95.6%103.0%N/A Ward 5 171 - PAEDIATRIC SURGERY 100 - GENERAL SURGERY 194417279439891364112234133088.8%104.9%82.2%96.8% Ward 9 171 - PAEDIATRIC SURGERY 100 - GENERAL SURGERY 187917634236861166111335241893.9%162.2%95.5%118.8% Ward 10 171 - PAEDIATRIC SURGERY 150 - NEUROSURGERY 202818195405281331134223120989.7%97.9%100.8%90.5% ED420 - PAEDIATRICS 180 - ACCIDENT & EMERGENCY 24442613107396223872099341286106.9%89.7%87.9%83.9% PAU420 - PAEDIATRICS300 - GENERAL MEDICINE 200918785404661364136134139693.5%86.4%99.8%116.1% Ward 2420 - PAEDIATRICS300 - GENERAL MEDICINE 208718317286301397134264958387.7%86.5%96.1%89.8% Ward 7420 - PAEDIATRICS300 - GENERAL MEDICINE 156714424884811276114625333092.0%98.7%89.8%130.4% MHDU420 - PAEDIATRICS 192 - CRITICAL CARE MEDICINE 120911520010239530095.3%N/A93.2%N/A Ward 15420 - PAEDIATRICS 303 - CLINICAL HAEMATOLOGY 37643378120311512981279223128589.7%95.7%93.7%123.2% Ward 8420 - PAEDIATRICS 171 - PAEDIATRIC SURGERY 210019793386331430138630837494.3%187.1%96.9%121.4% Ward 11 321 - PAEDIATRIC CARDIOLOGY 170 - CARDIOTHORACIC SURGERY 221021213383711452146325324296.0%109.6%100.8%95.7% Ward 12 321 - PAEDIATRIC CARDIOLOGY 170 - CARDIOTHORACIC SURGERY 2061208541643413751321253242101.2%104.2%96.1%95.7% PICU420 - PAEDIATRICS 192 - CRITICAL CARE MEDICINE 1329912203442836112531051537461291.8%189.1%93.4%163.5% Ashfield 711- CHILD and ADOLESCENT PSYCHIATRY 14821613442445968931495519108.8%100.6%96.1%104.7% Heathlands 711- CHILD and ADOLESCENT PSYCHIATRY 9361130728667649716363369120.7%91.6%110.2%101.5% Irwin 711- CHILD and ADOLESCENT PSYCHIATRY 83276878775434147550659192.3%95.8%139.3%116.7%