Weston General Hospital, Weston-super-Mare

General Services Information

Hospital Questions

• How many single rooms are available to NHS patients? 65

• Of these how many have an ensuite toilet? 25

• Of these how many have an ensuite toilet and shower or bath? 25

• Does this hospital site operate an accident and emergency unit?

• How many specialist palliative care beds do you have available at this site? 0 We have 10 beds at Weston Hospice.

• Are staff scheduled to be on site for a rostered session or full shift every saturday to carry out: Imaging - Magnetic Resonance Imaging:

• If No, are staff scheduled to be on call at home available to come in and perform this test?

• Are staff scheduled to be on site for a rostered session or full shift every saturday to carry out: Imaging - Computed Tomography:

• Are staff scheduled to be on site for a rostered session or full shift every saturday to carry out: Imaging - Non-obstetric ultrasound:

• Are staff scheduled to be on site for a rostered session or full shift every saturday to carry out: Imaging - DEXA Scan:

• If No, are staff scheduled to be on call at home available to come in and perform this test?

• Are staff scheduled to be on site for a rostered session or full shift every sunday to carry out: Imaging - Magnetic Resonance Imaging:

• If No, are staff scheduled to be on call at home available to come in and perform this test?

• Are staff scheduled to be on site for a rostered session or full shift every sunday to carry out: Imaging - Computed Tomography:

• If No, are staff scheduled to be on call at home available to come in and perform this test?

• Are staff scheduled to be on site for a rostered session or full shift every sunday to carry out: Imaging - Non-obstetric ultrasound:

• If No, are staff scheduled to be on call at home available to come in and perform this test?

• Are staff scheduled to be on site for a rostered session or full shift every sunday to carry out: Imaging - DEXA Scan:

• If No, are staff scheduled to be on call at home available to come in and perform this test?

Trust Questions

• Do you have a process/policy for identifying patients for early supported discharge (ESD)?

• Is there currently an ESD programme for Trauma and Orthopaedics? NA

• Is there currently an ESD programme for Nose & Throat (ENT)? NA

• Is there currently an ESD programme for Paediatric Surgery? NA

• Is there currently an ESD programme for Urology? NA

• Is there currently an ESD programme for Plastic & Resconstructive? NA

• Is there currently an ESD programme for Neurosurgery? NA

• Is there currently an ESD programme for Cardiac surgery? NA

• Is there currently an ESD programme for Throacic surgery? NA

• Is there currently an ESD programme for Oral & Maxillofacial surgery? NA

• Is there currently an ESD programme for Cardiothoracic Surgery? NA

• Is there currently an ESD programme for GI surgery? NA

• Is there currently an ESD programme for Stroke Medicine? This is available for Somerset residents only

• Is there currently an ESD programme for Care of the Elderly? NA

• During the period 01 April 2011 - 31 March 2012, the total number of patients within the trust who were eligible for an ESD programme? 6 All eligible patients recieved the service.

• During the period 01 April 2011 - 31 March 2012, the total number of patients within the trust who were put on an ESD programme? 6 All eligible patients recieved the service.

• Does the trust treat private patients?

Patient Safety

Trust Questions

• Do you have a system for recording operations that resulted in a foreign body being left post surgery:

• What is the reporting system for a foreign body being left post surgery? Datix

• Do you have a system for recording operations that were cancelled due to missing notes?

• What is the reporting system for operations that were cancelled due to missing notes? Datix and Opera

• Do you have a system for recording operations that resulted in wrong site surgery taking place?

• What is the reporting system for operations that resulted in wrong site surgery taking place? Datix

• During the period 01 April 2011 - 31 March 2012, how many operations resulted in a foreign body being left post surgery: 0

• During the period 01 April 2011 - 31 March 2012, how many operations were cancelled due to missing notes? 0

• During the period 01 April 2011 - 31 March 2012, how many operations resulted in wrong site surgery taking place? 1

• How many incident investigations using a full Root Cause Analysis were carried out in 2011/12? 69

• What percent of patient safety incidents resulting in severe harm or death had a full RCA initiated/completed? 100%

• What percent of acute inpatients have a track and trigger warning system in place for the duration of the admission? 100%

• During the period 01 April 2011 - 31 March 2012, the total number of patients who were transferred from a general ward to critical care because they had been coded to the 'high score group' according to the track and trigger system: 119

• What percent of patients are risk assessed for venous thromboembolism on admission? 91-99%

• Is the Trust compliant with all relevant NPSA safety alerts issues in 2011/12? (you can find a full list of alerts issued at http://www.nrls.npsa.nhs.uk/resources/?p=3).:

• Do the trust have a policy for providing educational programmes on using and interpreting clinical indicators? (training):

• Does the trust have a designated member of staff who supports teams in locating and analysing safety and quality data? (support):

• Is safety and quality data available on a central platform and actively disseminated to users?

Trust Board Activity and Patient Safety

Trust Questions

• How many board members are there in the trust? The Trust Board comprises of five Executive Directors (voting), two Executive Directors (Non Voting), six Non Executive Directors

• Over the course of the last year, what percentage of board meeting time has been devoted specifically to discussing patient safety issues? 31-60% On average, 50% of board meeting time is devoted specifically to discussing patient safety and quality issues.

• Over the past year, have board members received formal training in relation to patient safety?

• What training and development programmes have been attended? Fire Safety, Health and Safety, Infection Control, Moving and Handling, Safeguarding Children, Basic Life Support

• Have the board set explicit measurable goals for improving performance in relation to patient safety?

• Measurable goals: MRSA Screening - Screening Of Elective Patients Fractured Neck Of Femur - Operated On Within 2 Days Cancellation of Elective Care Operation for Non-Clinical reasons WHO Checklist - Main Theatres WHO Checklist - Daycase Unit WHO Checklist - Endoscopy WHO Checklist - Outpatients VTE Risk Assessment Using the National Tool (PC) Methicillin sensitive Staphylococcus Aureus (MSSA) - Post 48hrs MRSA (National Target) (PC) Rates of Clostridium Difficile Hospital Standardised Mortality Rate Incidents - Serious Untoward Incidents (PC) Complaints response rate (PC) Never Events (PC) Emergency Readmissions within 14 days (D&V Indicator) Pressure Ulcer Prevalence - Hospital Acquired (PC) Falls - Incidence of falls per 1,000 bed days Discharge Letters - Letter to Service User Within 24 Hours of Discharge Breast Symptoms Referred To A Specialist Who Are Seen Within 2 Weeks Of Referral 31 Days For Second Or Subsequent Cancer Treatment - Surgery 31 Days For Second Or Subsequent Cancer Treatment - Drug Treatment* National Screening Programmes Who Wait Less Than 62 Days From Referral To Treatment Cancer Reform Strategy 62 Day Upgrade Standard 2 week wait (urgent GP referral to 1st outpatient appointment all urgent suspected cancer referrals NHS Cancer Plan 31 Day Standard NHS Cancer Plan 62 Day Standard Mothers initiating breast-feeding in-hospital Maternities - 3rd or 4th degree tears Pregnant women booked before 12 completed weeks of pregnancy Number of Bookings Number of Women Having a Waterbirth Number of Women Using Pool for Labour Termination Services: Access To Contraception Advice Smoking Cessation: Mothers Who Are Not Smokers At Time Of Delivery Histopathology Reporting of Cancer Resections Critical Results Communication Percentage Radiologists at MDT meetings Percentage Pathologists at MDT meetings Complaints response rate (CS) Incidents - Serious Untoward Incidents (CS)

• Have strategic goals and objectives related to patient safety been distributed to staff groups within the last 12 months? Strategic Objectives and goals published in team brief and WHAT beat. Both documents are emailed to staff and posted on Trust intrnet. The Trust quality account which contains the strategic objectivesrelated to patient safety are posted on the Intranet.

• Ambulance staff groups have received these goals and objectives: Not applicable to this Trust

• Allied Health Professionals staff groups have received these goals and objectives:

• Doctors staff groups have received these goals and objectives:

• Health Informatics staff groups have received these goals and objectives:

• Management staff groups have received these goals and objectives:

• Nursing staff groups have received these goals and objectives:

• Healthcare Science staff groups have received these goals and objectives:

• Wider Healthcare team staff groups have received these goals and objectives:

• Does the board have formal procedures for reporting inappropriate behaviours in relation to patient safety on a regular basis?

• What are these procedures? The Trust has a whistle blowing policy and procedure. This sets out the process for raising concernes and how they can be escalated to the Chief Executive

• Are there procedures for proactively responding to the reporting of staff concerns (e.g. 'whistle blowing') about patient safety?

• What are these procedures? The procedure documents that staff should first raise their concerns with their line manager; if staff are not happy with the outcome they should then escalate this up to the divisional manager, then Chief exec of Chair of the Board. If staff feel they cannot raise concerns internally then the procedures direct them to the appropriate external agencies.

• Executive walk-arounds are reported at all board meetings:

• Board members engaged clinicians to better understand patient safety issues are reported at all board meetings:

• Infection rates are reported at all board meetings:

• Mortality rates are reported at all board meetings:

• Morbidity rates are reported at all board meetings:

• Readmission rates are reported at all board meetings:

• Incident rates and levels of harm are reported at all board meetings:

• Patient Safety Surveys are reported at all board meetings:

• Formal Complaints processes are reported at all board meetings:

• Medication errors are reported at all board meetings:

• CQC Quality and Risk Profiles (QRPs) are reported at all board meetings:

• Staff safety (injuries and/or sickness) are reported at all board meetings:

• Implementation of safety alerts are reported at all board meetings:

• Formal written reports about safety performance are reported at all board meetings:

• How many members of the board have clinical backgrounds? 3

• Does the board have a formal subcommittee that discusses patient safety issues?

• How many times a year does this subcommittee meet? 6 times a year

• Are patient safety measures included in the Chief Executive Officer's performance review?

• Details: The Trust Board receives a monthly integrated performance report on the following areas under the quality & patient safety section: Registration with the CQC Incident Reporting Complaints, PALS & Bereavement Clinical outcomes Mortality Rates Commissioning for Quality & Innovation (CQUINs) Infection Control Performance Maternity Performance is reported against specific measurable targets and exceptions are noted. Where improvements are required, detailed action plans are summarised and measured in regular performance report updates.

• Does the board use any national reporting measures of patient safety?

• Details: The Trust Board receives a monthly integrated performance report on the following areas under the quality & patient safety section: Registration with the CQC Clinical outcomes Mortality Rates Commissioning for Quality & Innovation (CQUINs) Infection Control Performance Maternity Performance is reported against specific measurable targets and exceptions are noted. Where improvements are required, detailed action plans are summarised and measured in regular performance report updates.

• Financial performance: importance within the organistaion (with '1' being the most important and '6' being the least important): 6

• Clininical effectiveness: importance within the organistaion (with '1' being the most important and '6' being the least important): 3

• Patient Safety: importance within the organistaion (with '1' being the most important and '6' being the least important): 1

• Patient Experience: importance within the organistaion (with '1' being the most important and '6' being the least important): 2

• Achieving waiting time targets: importance within the organistaion (with '1' being the most important and '6' being the least important): 5

• Staff satisfaction: importance within the organistaion (with '1' being the most important and '6' being the least important): 4

Stroke Medicine

Hospital Questions

• Does this hospital have a specialist stroke unit?

• What type of unit does the hospital have? combined acute and rehabilitation stroke unit

• The number of beds in the Stroke unit: 20

• Is a trained thrombolysis stroke nurse available 24/7? Yes on site

• Is a consultant stroke physician/neurologist available 24/7? Yes on site We have no neurologists We have full time 2 Consultant Stroke Physicians, who work full time and provide on call basis out of hours

• Is an ST3 physician with training in thrombolysis available 24/7? No The Trust has a collaborative arrangements with a regional stroke centre.

• Does the hospital have consultant led ward rounds for stroke wards seven days a week?  Monday to Fridays only

Trust Questions

• Does the trust have a specialist stroke unit or units?

• Is the Trust part of a stroke care network?

• Details: AGWS stroke network

• How many emergency admissions with a primary diagnosis of stroke (ICD10 codes I60 - I64) did the trust receive in the financial year (period 01 April 2011 - 31 March 2012)? 324

• Of these, what is the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission? 270

• Does the hospital have a team permanently onsite which is able to provide thrombolysis for stroke patients 24 hours per day and 7 days a week?

• Does the hospital have any formal arrangements with neighbouring hospitals for the emergency transfer of stroke patients who would benefit from thrombolytic treatment?

• The name of the trust with which the hospital has these arrangements: Out of hours suspected thrombolysis patients automatically go to North Bristol Trust and UHBT.

Trauma & Orthopaedics

Trust Questions

• Does the trust offer a trauma service?

• Does the trust have a dedicated trauma list available 24 hours a day for the duration of the week, (Sunday to Sunday)?

• Does the trust offer an orthopaedics service?

• Does the trust run a pre-operative patient education session/class for patients to attend prior to Total Knee Replacement (TKR) and Total Hip Replacement (THR)?

• Percentage of all patients attend the class prior to surgery (estimate): 90

• Does the trust have a standardised anaesthetic protocol for Total Knee Replacement (TKR) and Total Hip Replacement (THR) patients?

• percentage compliance to this protocol (estimate): 80

• percentage of the trusts total knee replacement (TKR) and total hip replacement (THR) patients walk within 24 hours of surgery (estimate): 99

• Does the trust provide an equivalent physiotherapy service to both elective and trauma patients at the weekend? (i.e. is the service staffed on the weekend with the same skill mix, and numbers of staff):

• How is the staffing model different? There is an on call service for both emergency and elective patients being discharged.

• Does the Trust admit patients for total knee replacement (TKR) and total hip replacement (THR) prior to the day of surgery?

• What is the principle reason for patients not being admitted on the day of surgery? If a patient is identified as having special requirements such as warfrin.

• Does the Trust routinely record patient records using a specific multi-disciplinary team THR/TKR pathway document?

• Is this data used to monitor compliance with the agreed pathway?

• Is criteria-based discharge used?

• Are patients routinely phoned in the first 48 hours after discharge to check on their progress?

• Do 100% of hip and knee replacements follow an enhanced recovery pathway? If a patient has medical reasons, co-morbidities, frail elderley etc. then these are factored into the decesion making process.

• Are there daily goals for hip and knee patients to achieve?

• What day does the Trust aim to have patients ready for home? i.e. what are patients told in their information booklets and at the pre-op class: Day 3 for hips and Day 4 for knees.

• Apart from hip and knee replacement, what other procedures have enhanced recovery pathways? Colorectal Surgery, Gynacology surgery

• For what percentage of hip fracture patients is the time to theatre within 36 hours of arrival to Emergency Department (or time of diagnosis (if an inpatient) to the start of anaesthesia)(%): 74%

• What percentage of hip fracture patients are admitted under the joint care of a Consultant Geriatrician & a Consultant Orthopaedic Surgeon: 100%

• What percentage of hip fracture patients are admitted using an assessment tool agreed by geriatric medicine, orthopaedic surgery and anaesthesia: 100%

• What percentage of hip fracture patients are assessed by a geriatrician in perioperative period (defined as 72hrs from admission) (Geriatrician defined as Consultant; SAS or ST3+): 78%

• What percentage of hip fracture patients receive a postoperative Geriatrician-directed Multi-professional rehabilitation team: 100%

• What percentage of hip fracture patients receive postoperative Geriatrician-directed Fracture prevention assessments (falls and bone health): 100%

• What percentage of hip fracture patients have a Pre and post op abbreviated mental test score (AMTS): 64% 64% is the pre op score for AMTS in 11/12. Post Op only commenced on April 12 and audit results will be audited this year.

Paediatrics

Hospital Questions

• Does this hospital offer a paeditrics service?

Trust Questions

• Does the trust provide a paediatrics service?

• Is the trust's elective paediatric surgery carried out only by designated surgeons with at least six months training in a specialist unit? We do not perform paediatric surgery at this Trust

• Do the trust's anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week? We do not perform paediatric surgery at this Trust

• Paediatrician on site (SpR or higher) available 24 hours per day, 7 days per week: Extended day case open 0800-2000 - Monday to Friday

• At least two registered children's nurses on duty 24hours per day in each children's ward available 24 hours per day, 7 days per week: Extended day case open 0800-2000 - Monday to Friday

• Is there a designated facility on site for parents or guardians to stay overnight? Not applicable - no over night stays

• What percentage of children who are admitted to a paediatric department with an acute medical problem are seen by a paediatrician on the middle grade or consultant rota within four hours of admission? 100%

• What percentage of children who are admitted to a paediatric department with an acute medical problem are seen by a consultant paediatrician (or equivalent staff, speciality and associate specialist grade doctor who is trained and assessed as competent in acute paediatric care), within the first 24 hours? 100%

• Do All SSPAUs (Short Stay Paediatric Assessment Units) have access to a paediatric consultant (or equivalent) opinion throughout all the hours they are open? Extended day case open 0800-2000 - Monday to Friday

• Is at least one medical handover in every 24 hour period led by a paediatric consultant (or equivalent)? Extended day case open 0800-2000 - Monday to Friday

• Are specialist paediatricians available for immediate telephone advice for acute problems for all specialties, and for all paediatricians? Bristol Royal Childrens Hospital

• Do all children's social care, police and health teams have access to a paediatrician with child protection experience and skills (of at least Level 3 safeguarding competencies) available to provide immediate advice and subsequent assessment, if necessary , for children under 18 years of age where there are child protection concerns. (The requirement is for advice, clinical assessment and the timely provision of an appropriate medical opinion, supported with a written report)?

Palliative Care

Trust Questions

• Does the trust provide a palliative care service?

• How is specialist palliative care is delivered at this hospital? A multi-disciplinary specialist palliative care team

• Does the hospital's specialist palliative team include: A consultant in palliative medicine,A palliative care nurse,Other (please specify) Nurse Educator and Chaplain

• Is the Trust's specialist palliative care team available 24 hrs a day seven days a week?

• Are facilities provided to support relatives and carers who wish to stay with a patient in hospital?

• Does the trust routinely survey and evaluate the views of patients and bereaved relatives and carers regarding the delivery of care on the end of life programme?

Care of the Elderly

Trust Questions

• Does the trust have a named senior clinician who takes the lead for quality improvement in dementia in the trust?

• Name and job title: Dr Harbans Bhakri elderly care and stroke physician

• Does the trust have an explicit care pathway for the management and care of people with dementia in hospital?

• Is there a process for identifying patients who are at risk of dehydration an malnutrition?

• During the period 01 April 2011 - 31 March 2012, the total number of patients recorded as malnourished or dehydrated according to the trust's incident reporting system: 0

• Does the trust currently audit the number of "slips, trips and falls" using a risk management system?

• Is this information submitted to the NPSA's National Reporting and Learning System (NRLS) via the local risk management systems or e-forms?

• The total number of incidents during the period 01 April 2011 - 31 March 2012 for the category: No harm: 342

• The total number of incidents during the period 01 April 2011 - 31 March 2012 for the category: Low harm - harm requiring first-aid level treatment, or extra observation only (e.g. bruises, grazes): 418

• The total number of incidents during the period 01 April 2011 - 31 March 2012 for the category: Moderate harm - harm requiring hospital treatment or a prolonged length of stay but from which a full recovery is expected (e.g. fractured clavicle, laceration requiring suturing): 4

• The total number of incidents during the period 01 April 2011 - 31 March 2012 for the category: Severe harm - harm causing permanent disability (e.g. brain injury, hip fractures where the patient is unlikely to regain their former level of independence): 6

• The total number of incidents during the period 01 April 2011 - 31 March 2012 for the category: Death - where death is directly attributable to the fall: 1

Staffing

Hospital Questions

• Foundation Doctors, Year 1 & 2 Scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 5

• Foundation Doctors, Year 1 & 2 On call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 4

• Foundation Doctors, Year 1 & 2 on call from home on Sunday June 17th at 11:00am: 0

• ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 0

• ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 2

• ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post on call from home on Sunday June 17th at 11:00am: 0

• ST3 or higher (specialist training) scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 0

• ST3 or higher (specialist training) on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 2

• ST3 or higher (specialist training) on call from home on Sunday June 17th at 11:00am: 0

• Staff grade post equivalent to ST3 or higher scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 1

• Staff grade post equivalent to ST3 or higher on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 0

• Staff grade post equivalent to ST3 or higher on call from home on Sunday June 17th at 11:00am: 0

• Consultants scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 0

• Consultants on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 6

• Consultants on call from home on Sunday June 17th at 11:00am: 0

• Foundation Doctors, Year 1 & 2 responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 5

• Foundation Doctors, Year 1 & 2 responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round, on Sunday June 17th at 11:00am: 4

• Foundation Doctors, Year 1 & 2 responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00am: 0

• ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 0

• ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice: 2

• ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00am: 0

• ST3 or higher (specialist training) responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 2

• ST3 or higher (specialist training) responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 0

• ST3 or higher (specialist training) responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00am: 1

• Staff grade post equivalent to ST3 or higher responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 0

• Staff grade post equivalent to ST3 or higher responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 1: 0

• Staff grade post equivalent to ST3 or higher responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00am: 0

• Consultants responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 0

• Consultants responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 6

• Consultants responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00am: 0

• Foundation Doctors, Year 1 & 2 scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 1

• Foundation Doctors, Year 1 & 2 on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 4

• Foundation Doctors, Year 1 & 2 on call from home on Sunday June 17th at 11:00pm: 0

• ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 0

• ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 2

• ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post on call from home on Sunday June 17th at 11:00pm: 0

• ST3 or higher (specialist training) scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 0

• ST3 or higher (specialist training) on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 2

• ST3 or higher (specialist training) on call from home on Sunday June 17th at 11:00pm: 0

• Staff grade post equivalent to ST3 or higher scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 1

• Staff grade post equivalent to ST3 or higher on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 0

• Staff grade post equivalent to ST3 or higher on call from home on Sunday June 17th at 11:00pm: 0

• Consultants scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 0

• Consultants on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 0

• Consultants on call from home on Sunday June 17th at 11:00am: 6

• Foundation Doctors, Year 1 & 2 responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 1

• Foundation Doctors, Year 1 & 2 responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 4

• Foundation Doctors, Year 1 & 2 responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00pm: 0

• ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 0

• ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice: 2

• ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00pm: 0

• ST3 or higher (specialist training) responsible for current medical inpatients and new medical admissions Scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 0

• ST3 or higher (specialist training) responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 2

• ST3 or higher (specialist training) responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00pm: 0

• Staff grade post equivalent to ST3 or higher responsible for current medical inpatients and new medical admissions Scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 1

• Staff grade post equivalent to ST3 or higher responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 1: 0

• Staff grade post equivalent to ST3 or higher responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00pm: 0

• Consultants responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 0

• Consultants responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 0

• Consultants responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00pm: 6

• Does the hospital have a formal "hospital at night" system?