Review into the Quality of Care & Treatment provided by 14 Hospital Trusts in England
Basildon and Thurrock University Hospitals NHS Foundation Trust
Key Lines of Enquiry
The table below sets out the draft key lines of enquiry for the Trust.
Area of focus
Key Lines of Enquiry
Governance and
leadership
1.
Clinical and operational
effectiveness
2. What actions are the Trust taking to improve mortality performance, particularly having had an ongoing issue with mortality
over a number of years and a significant difference between weekday and weekend mortality? How does the Trust manage
deteriorating patients?
Can the Trust clearly articulate its new governance processes for assuring the quality of treatment of care? Can staff at all
levels of the organisation describe the key elements of the quality governance processes?
3. What actions are the Trust taking to reduce pressure ulcers and falls?
4. What processes does the Trust have to manage bed occupancy? How does the Trust manage beds? How does the Trust
manage patient moves during their time in hospital including between the main hospital and the Cardiothoracic Centre?
Patient experience
5.
How does the Trust seek views from patients about their experience? What are the key themes from patients on their
experiences? What action is the Trust taking to address the key themes emerging? In particular, what actions have been
taken to improve cancer care?
6. How does the Trust ensure adequate quality of care to patients with learning disabilities?
Workforce and safety
7.
What do staff groups interviewed (including trainee groups) say are the main barriers in the Trust to delivering high quality
treatment and care for patients?
8. How does the Trust approach workforce planning to ensure that patient safety is managed effectively including skill mix?
How is clinical cover managed out of hours particularly at weekends for patients on the emergency pathway?
9. How does the Trust support its staff with adequate training, including safeguarding training?
Trust specific – pharmacy
support
10. How does the Trust ensure that there is adequate pharmacy support to the wards, including out of hours?
1
Agenda for the Announced Rapid Responsive Review Visit
Dates of announced visit: Tuesday 7 May and Wednesday 8 May 2013
Location: Basildon Hospital, Nethermayne, Basildon, Essex SS16 5NL (Trust contact: Katie Sturch, EA to the Chief Executive)
Base room for the panel:
Education Centre, Room B4
Breakout rooms for the panel:
Education Centre, Rooms B1, B2 and B3
In addition, the following have been requested from the Trust:

Passes to enable access;

Tea, coffee and water on arrival and throughout the day;

Hard copy of the Trust submission available throughout the site visit in the panel’s base room; and

Wifi and access if available.
DAY 1: Tuesday 7 May
Time
Agenda and Trust attendees
Content
Panel members
Venue/Room
09.00
Panel support arrival at the
Trust (panel only)

Panel support team arrive to set up and ensure requested
logistics are in place
SW, RV
Education
Centre, Room B4
10.0010.30
Pre-meet for review panel
(panel only) with refreshments
on arrival


Plan for the next 2 days and set the scene
Clarify any issues and concerns from the panel on
scope/agenda/KLOEs
Reminder of key messages and plan for the visit including leads
and recorders for each session
Any updates from Chair from the initial meeting with the Trust
executive team and moderator on processes/guidance/issues
Attendees – ALL
Lead – DL
Recorder – DB
Education
Centre, Room B4
Attendees - ALL
Education
Centre, Room B2


10.3011.00
Trust presentation
CEO and Trust senior team to meet the Panel
2
Time
Agenda and Trust attendees
Content
Panel members
Venue/Room
BREAKOUT SESSIONS:
11.0011.45
A – Interview:
 Chief Executive
Interview with key focus being governance and leadership
Attendees - Team 2
& DL
Lead – [TBC]
Recorder – [TBC]
Education
Centre, Room B1
11.4512.30
B – Interview:
 Medical Director
 Director of Nursing
Interview with key focus being governance and leadership and
clinical and operational effectiveness
Attendees - Team 2
& DL
Lead – [TBC]
Recorder – [TBC]
Education
Centre, Room B1
11.00 11.45
C – Interview:
Chair of Clinical Quality Board

Interview with key focus being governance and leadership and
clinical and operational effectiveness
Explore the cross over with both committees
Attendees – Team 1
Lead – [TBC]
Recorder – [TBC]
Education
Centre, Room B3
Attendees – Team 1
Lead – [TBC]
Recorder – [TBC]
Education
Centre, Room B3

D – Interview:
Chair of Quality and Safety
Committee


Interview with key focus being governance and leadership and
clinical and operational effectiveness
Explore the cross over with both committees
11.0012.30
Walk about – Elderly care
wards

Observe meal times
Attendees – Team 3
Lead – [TBC]
Recorder – [TBC]
Elderly care
wards
12.3013.30
Lunch and triangulation (panel
only)



Review of evidence identified in the sessions held to date
Discussion of emerging themes and issues
Identification of areas of focus for the remaining sessions
Attendees – All
Lead – DL
Recorder – DB
Education
Centre, Room B4
13.3015.00
Observations:
Acute Medical Unit


Undertake observation of clinical areas to observe quality aspects
Informal discussions with patients and staff in clinical areas
Attendees – Team 3
Lead – [TBC]
Recorder – [TBC]
Acute Medical
Unit
A&E


Undertake observation of clinical areas to observe quality aspects
Informal discussions with patients and staff in clinical areas
Attendees – Team 1
Lead – [TBC]
Recorder – [TBC]
A&E
Paediatrics ward


Undertake observation of clinical areas to observe quality aspects
Informal discussions with patients and staff in clinical areas
Attendees – Team 2
Lead – [TBC]
Recorder – [TBC]
Paediatrics ward
11.45 –
12.30
3
Time
Agenda and Trust attendees
Content
Panel members
Venue/Room
15.0015.30
Break – Tea and Coffee –
discussion within Panel only



Attendees – All
Lead – DL
Recorder – DB
Education
Centre, Room B4
15.3016.30
BREAKOUT SESSIONS – focus groups
Explore the groups understanding of key processes for ensuring
quality of care and treatment in the Trust
Identify any concerns and collate feedback from the group
Attendees - Team 3
& DL
Lead – [TBC]
Recorder – [TBC]
Education
Centre, Room B1
Explore the groups experience of quality of care and treatment in
the Trust
Identify any concerns and collate feedback from the group
Attendees – Team 1
Lead – [TBC]
Recorder – [TBC]
Education
Centre, Room B2
Attendees – Team 2
Lead – [TBC]
Recorder – [TBC]
Education
Centre, Room B3

Explore the groups understanding of key processes for ensuring
quality of care and treatment in the Trust
Identify any concerns and collate feedback from the group
A – Focus group: Doctors


B – Focus group: Patients and
public


C – Focus group: Staff - all

Review of evidence identified in the sessions held to date
Discussion of emerging themes and issues
Identification of areas of focus for the remaining sessions
16.3017.00
Triangulation



Review of evidence identified in the sessions held to date
Discussion of emerging themes and issues
Identification of areas of focus for the remaining sessions
Attendees – All
Lead – DL
Recorder – DB
Education
Centre, Room B4
17.0017.15
Feedback to Trust on day 1 and
plan for day 2

Brief update to the Trust Executives
Attendees – All &
Trust
Lead – DL
Recorder – DB
Education
Centre, Room B2
18.0020.00
Patient/Public drop in session


Explore the groups experience of quality of care and treatment in
the Trust
Identify any concerns and collate feedback from the group
Attendees – [TBC]
Lead – DL
Recorder - DB
Education
Centre, Kevin
Lafferty Lecture
Theatre

Plan day
Attendees – All
Lead – DL
Recorder – DB
Education
Centre, Room B4
DAY 2: Wednesday 8 May
09.0009.15
Panel gathering
4
Time
Agenda and Trust attendees
Content
Panel members
Venue/Room
09.1510.00
Meet the Trust Governors

Attendees – All
Lead – DL
Recorder – DB
Education
Centre, Room B2
10.00 11.30
Flexible site visits to be
confirmed in the planning
meeting
Locations to Consider:
 Cardiothoracic centre
 Orsett Ward – Palliative acre
 Orsett Hospital – off site Minor Injuries
 Maternity
 Orthopaedics
 Surgery/Theatres
 Dialysis unit
 Respiratory ward
3 teams
Leads TBC
Recorders TBC
Throughout the
Trust
11.3012.30
Triangulation (panel only) with
lunch and refreshments



Review of evidence identified in the sessions held to date
Discussion of emerging themes and issues
Identification of areas of focus for the remaining sessions
Attendees – All
Lead – DL
Recorder – DB
Education
Centre, Room B4
12.3013.45
Focus group: Junior doctors

Explore the groups understanding of key processes for ensuring
quality of care and treatment in the Trust
Identify any concerns and collate feedback from the group
Attendees – Team 3
Lead – TBC
Recorder – TBC
Education
Centre, Room B2
(with lunch for
junior docs)
Explore the groups understanding of key processes for ensuring
quality of care and treatment in the Trust
Identify any concerns and collate feedback from the group
Attendees – Team 1
Lead – TBC
Recorder – TBC
Education
Centre, Room B3
(with lunch for
trainee nurses)
Explore the groups understanding of key processes for ensuring
quality of care and treatment in the Trust
Identify any concerns and collate feedback from the group
Attendees – Team 2
Lead – TBC
Recorder – TBC
Education
Centre, Room B1
(with lunch for
nurses)

Focus group: Trainee nurses


Focus group: Nurses


13.45
Explore the groups understanding of governance, leadership,
learning and transparency
Comfort break
5
Time
Agenda and Trust attendees
Content
Panel members
Venue/Room
14.0015.00
Observations and interviews to
be confirmed at the end of day 1,
including:
 Chief Operating Officer
 Director of Finance
 Director of Personnel and
Organisational
Development
[TBC focused on outstanding areas / emerging themes and issues]
TBC
Throughout the
Trust
Rooms B1, B2
and B3 within the
Education Centre
available
15.0016.00
Final triangulation (panel only)



Review of evidence identified in the sessions held to date
Discussion of emerging themes and issues
Identification of areas of focus and approach for unannounced
site visits
Prepare draft report to be agreed
Attendees – All
Lead – DL
Recorder – DB
Education
Centre, Room B4
Thanks
Escalation of any urgent issues
Next steps including unannounced site visits process and access
and reporting
Attendees – DL,
RV, DB
Lead – DL
Recorder – DB
Education
Centre, Room B2

16.0016.45
Meet the Chair and CEO:
 Chair
 Chief Executive
16.45
LEAVE TRUST



6