Draft agenda for the Trust visit Dates of announced visit th th Tuesday 4 June (Day 1 Royal Blackburn Hospital) & Wednesday 5 June (Day 2 at Burnley General Hospital) Location Royal Blackburn Hospital Haslingden Road Blackburn Lancashire BB23HH Burnley General Hospital Casterton Avenue Burnley Lancashire BB10 2PQ Attendees Panel: Chaired by Gill Harris, Chief Nurse, NHS England (North) Medical Nursing Lay representatives Senior managers and CQC Alan Paul, Doctor Graham Cooper, Doctor Krishna Kasaraneni, Junior Doctor Mandy Bailey, Board Level Nurse Joanne Todd, Senior Nurse Lucy Giles, Student Nurse Geraint Day, Lay Representative Trevor Fernandes, Lay Representative Jenny Cairns, Lay Representative Howard Naylor, Lay Representative Gill Stone, Lay Representative Robert Taylor, CQC Inspector Chris Gordon, Senior Trust Manager Fleur Blakeman, Senior Trust Manager John Develing, Senior Regional Support Teresa Fenech Panel support team: Mark Wood (Independent Moderator); Rob Halewood (PMO Support); Mark McBurney (Quality Governance Support), Gaurav Chawla and Charlie Clover (Recorders) Observers: Carole Panteli, Director of Nursing, Area Team & Michael Ions, CCG 1 DAY 1 – 4 June Time Agenda Content and location 09:00 – 09.30 Meeting with the review panel Chair and the Trust Executive Team Chief Executive – Mike Brearley Chairman – Hazel Harding Director of Operations – Val Bertenshaw Deputy CEO & Director of Clinical Care & Governance – Lynn Wissett Medical Director – Rineke Schram Director of Finance – Jonathan Wood Plan for the next two days and set the scene Clarify any issues and concerns from the Trust on scope/agenda/KLOEs Discuss any administration elements and clarification on support for the panel from the Trust whilst on site Location: Board Room, Trust Headquarters BREAKOUT SESSIONS 10:00 – 11.00 Staff focus group: Junior nurses (Bands 5 & 6) Location: C14 Meeting, Level 3 RBH 10:00 – 11:00 Observations of a general medicine ward (one of the below): Ward C2 Ward C4 Location: Ward C2/C4 09:30 – 11:00 Panel documentation review (remaining panel members to attend focus groups, observations, etc.) Location: Team Room 11:00 – 12:00 Interview 1: Chief Executive – Mark Brearley Chair – Hazel Harding Interview with key focus being governance and leadership Location: Mark Brearley’s Office Trust Headquarters 11:00 – 12:00 Interview 2: Non Executive Director – Liz Sedley (Chair of Audit Committee) Member of Patient Safety Board – Deputy Medical Director – Dr Ian Stanley & Divisional Clinical Representative Medicine – Alison Haughton Interview with key focus being governance and leadership and clinical and operational effectiveness Location: Board Room Trust Headquarters 2 Time Agenda Content and location 11:00 – 12:00 Interview 3: Deputy Chief Executive – Lynn Wissett Representative from Patient Safety Group – Jo Deegan & John Fletcher Observations of Surgical unit and/or Ward Ward C14 Ward C18 Children’s Medical Unit Interview 5: Medical Director – Rineke Schram 11:00 – 13:00 12:00 – 13:00 12:00 – 13:00 Interview 6: Director of Finance – Jonathan Wood 12:00 – 13:00 12:30 – 13:30 Interview with key focus being governance and leadership and patient experience and safety Location: Lynn Wissett’s Office, Trust Headquarters Undertake observation of clinical areas to observe quality aspects Location: Ward C14/C18 and Children’s Medical Unit Interview with key focus being governance and leadership and clinical and operational effectiveness Location: Rineke Schram’s Office, Trust Headquarters Interview with key focus being governance and leadership and financial matters Impact and assessment of CIP on quality of care Location: Jonathan Wood’s Office, Trust Headquarters Interview 7: Director of Clinical Services – Divisional Directors - TBC Head of Nursing and Midwifery – Anita Fleming Interview with key focus being governance and leadership and clinical effectiveness Location: Ward C14 Seminar Room Staff focus group: Junior doctors (below Registrar) Location: Seminar Room 4, Learning Centre, RBH Location: Radiology Seminar Room, Level 1 ( Base Room) END OF BREAKOUT SESSIONS 13:00 – 14:00 Panel-only meeting LUNCH BREAKOUT SESSIONS 3 Time Agenda Content and location 14:00 – 16:00 Drop-in surgery for patients and staff Location: Ward C14 Seminar Room 14:00 – 15:00 Staff focus group: Senior nurses (Band 7 & above) Location: Seminar Room 9, Learning Centre, RBH 14:00 – 16:00 Observations of A&E, followed by the medical assessment unit Undertake observation of clinical areas to observe quality aspects Location: A&E & MAU 14:00 – 16:00 Observations of a cardiology ward – Ward B18 14:00 – 16:00 Observations of a ward in the Acute Stroke Unit - Ward B2 15:00 – 16:00 Observations / interviews at maternity ward - Medical antenatal clinic/Central Birth Suite Undertake observation of clinical areas to observe quality aspects Location: Ward B18 Undertake observation of clinical areas to observe quality aspects Location: Ward B2 Undertake observation of clinical areas to observe quality aspects Location: Central Birth Suite END OF BREAKOUT SESSIONS 16:00 – 17:00 Panel-only meeting Location: Team Room 17:00 – 17:15 Feedback of any immediate concerns to the Chair and CE Raise any immediate concerns Location: TBC 17:00 Media briefing Location: Burnley Mechanics, Manchester Road, Burnley BB11 1BH Gill to leave at 16:15 18:00 – 20:00 Patient / public listening event Location: Burnley Mechanics, Manchester Road, Burnley BB11 1BH 18:00 – 20:00 Observations to be determined earlier in the day, including hand-over(s). Consider ITU, theatres etc. Undertake observation of clinical areas to observe quality aspects 4 DAY 2 – 5 June th & Wednesday 5 June (Day 2 Burnley General Hospital) Time Agenda Content and location 9:00 – 10:00 Panel-only meeting Location: Clinical Audit office Phase 5 BGH BREAKOUT SESSIONS 10:00 – 12:00 Drop-in surgery for patients and staff Location: Family Care Divisional Offices, Edith Watson Building, Level 2 10:00 – 12:00 Observation of Surgical Day Case Unit – Wilson Hey Unit Undertake observation of clinical areas to observe quality aspects Location: Wilson Hey Unit 10:00 – 12:00 10:00 – 12:00 Observations of a general medicine ward (one of the below): Ward 16 or 23 Neonatal Intensive Care and Women’s Health Unit – Edith Watson Unit 10:00 – 12:00 Panel-only meeting (subset of the panel) 12:00 – 13:30 Panel-only meeting LUNCH Undertake observation of clinical areas to observe quality aspects Location: Ward 16/23 Undertake observation of clinical areas to observe quality aspects Location: Edith Watson Unit Further documentation review to support judgments on KLOE or information that has arisen Location: Team Room Escalation of any immediate concerns Triangulation: discuss emerging themes and agree issues for further investigation or closure of KLOE of emergent issue Capture recommendations and cite supporting evidence Location: Team Room 13:30 – 15:30 Drop-in surgery for patients and staff Location: Family Care Divisional Offices, Edith Watson Building, Level 2 13:30 – 14:30 Flexible session – matron interview (TBC) Location: TBC 13:30 – 14:30 Interview/call with Non-Executive director Location: TBC 5 Time Agenda Content and location 13:30 – 14:30 Staff focus group: Consultants and Senior Registrars Location: TBC 13:30 – 14:30 Interview: Director of Service Improvement – Martin Hodgson Focus on how performance information is used to improve Location: TBC 13:30 – 14:30 Interview: Director of Human Resources – Ian Brandwood Focus on Workforce and recruitment plans Location: TBC 14:30 – 15:30 Interview/call with Non-Executive Director Location: TBC 14:30 – 15:30 Interview/call with Non-Executive Director Location: TBC 14:30 – 15:30 Interview with Governors (Staff and Patient Governors) Location: TBC 14:30 – 15:30 Interview/call with Non-Executive Director Location: TBC 14:30 – 15:30 Interview/call with Non-Executive Director Location: TBC 14:30 – 15:30 Flexible session – divisional nurse manager interview (TBC) Location: TBC 14:30 – 15:30 Flexible session – lead consultant interview (TBC) Location: TBC 14:30 – 15:30 Flexible session – lead consultant interview (TBC) Location: TBC 15:30 – 17:00 Panel-only meeting Location: TBC 17:00 – 17:30 End of visit feedback to: Chair Chief Executive Thanks Escalation of any urgent issues Discuss next steps including principles for the unannounced visit(s) and formal reports Location: TBC 17:00 Media briefing Location: Northgate Suite at King George’s Hall Northgate, Blackburn, BB2 1AA Gill to leave at 16:15 6 Time Agenda Content and location 18:00 – 20:00 Patient / public listening event Location: Northgate Suite at King George’s Hall Northgate, Blackburn, BB2 1AA 18:00 – 20:00 Observations to be determined earlier in the day, including hand-over(s). Consider ITU, theatres. Undertake observation of clinical areas to observe quality aspects 7