Draft KLOEs and Agenda for United Lincolnshire Hospitals NHS Trust
Area of focus
Key Lines of Enquiry
Governance and leadership
1. Can the Trust clearly articulate its governance processes for assuring the quality of treatment of care? Are
the leadership roles and responsibilities clearly defined for the quality processes? Can staff at all levels of
the organisation describe the key elements of the quality governance processes?
Clinical and operational effectiveness
2. What governance arrangements does the Trust have to monitor clinical and operational performance data
at a senior level? What processes does the Trust have in place to support monitoring mortality data and
clinical effectiveness? Has the Trust data identified any issues? What actions is the Trust taking to
address issues noted?
Patient experience
3. How does the Trust review patient experience data and engage with patients to seek views about their
experience? What are the key themes from patients on their experiences? What action is it taking to
address the key themes emerging? What do patients say about the quality of care in the Trust during our
observations/interviews?
Workforce
4. How is the Trust addressing staffing issues as raised through the Deanery?
5. How is the Trust responding to out of hours staffing issues? How is the Trust responding to issues with
qualified nursing ratios, nursing hours to patient day and high sickness rates?
Safety
6. How engaged are staff in the Trust’s quality strategy? 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?
How does the Trust review and monitor its patient safety indicators? What actions are taken to improve
patient safety?
Trust Specific – General Medicine and
Elderly Care
7. What actions is the Trust taking to address issues in general medicine including treating elderly care
patients? How is the Trust managing its stroke patients? How is the Trust responding to high mortality
flags in oncology, respiratory and thoracic medicine? How does the Trust manage patients with Diabetes
and what action is it taking to prevent avoidable deaths?
Trust Specific – Urgent Care
8. How does the Trust manage its Urgent Care Pathway?
Area of focus
Key Lines of Enquiry
Trust Specific – Obstetrics
9. What actions is the Trust taking to address issue relating to obstetrics and the high number of deaths
attributed to perinatal conditions?
Trust Specific – Critical Care and Surgery
10. How is the Trust managing its critical care pathway and what actions is it taking to address the higher
than expected mortality rates in this area? How is the Trust responding to the contributing factors such as
deteriorating EWS score rates, shock cardiac arrest triggers and deteriorating renal function triggers
within its crude surgical mortality rate?
Draft Agenda for the Trust visit for discussion
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Dates of announced visit: Monday 17 June – Wednesday 19 June
Time
Agenda and Trust attendees
Day 1
08.30
Panel arrival – Grantham Hospital
08.30- 09.30
Executive team briefing
09.30- 10.00
Pre-meet for review panel (panel only)
10.00-10.30
10.00-12.00
10.00 - 11.00
Press briefing
BREAKOUT SESSIONS
Interviews with the executive team:
Session 1:
 Chief Executive
 Chair
 Director of Performance and Improvement
Session 2:
 Medical Director
 Director of Nursing (deputy – DoN to be seen on Tuesday)
Session 3:
 Director of Operations
 Director of HR
 NEDs including Chair of Governance and Chair of Quality and Safety Committee
11.00- 12.00
Observation Groups
[Specific wards for observations TBC. All observations to include at least 1 lay rep. Times for observations shown as
suggestions, though they can be held at other times should panellists have availability.]
12.00- 12.45
Focus Group
 Consultants and Senior Staff
Time
12.00- 13.00
Agenda and Trust attendees
Observation Group:
[Specific wards for observations TBC. All observations to include at least 1 lay rep. Times for observations shown as
suggestions, though they can be held at other times should panellists have availability.]
12.00-14.00
Lunch and triangulation (panel only)
(JDs/SNs to have lunch 12pm)
13.00- 13.45
Focus Group:
 Junior Doctors and Trainee nurses
14.00-16.00
BREAKOUT SESSIONS
14.00-16.00
Observation Group:
[Specific wards for observations TBC. All observations to include at least 1 lay rep. Times for observations shown as
suggestions, though they can be held at other times should panellists have availability.]
14.00-14.45
Focus Group:
 Senior Nurses
15.00- 15.45
Focus Group:
 Other health professionals and non clinical staff
15.45-16.30
Triangulation (panel only)
16.30- 17.30
Panel travel from Grantham to Lincoln
18.00- 20.00
PATIENT LISTENING EVENT - LINCOLN
Day 2
08.00-09.00
Interview
 Complaints Team
Observation Group:
[Specific wards for observations TBC. All observations to include at least 1 lay rep. Times for observations shown as
suggestions, though they can be held at other times should panellists have availability.]
09.00- 09.45
Focus Group:
 Senior Nurses
Time
09.00-10.00
Agenda and Trust attendees
Observation Group:
[Specific wards for observations TBC. All observations to include at least 1 lay rep. Times for observations shown as
suggestions, though they can be held at other times should panellists have availability.]
10.00-10.45
Focus Group:
 Junior Doctors and Trainee nurses
10.00-12.00
Observation Group:
[Specific wards for observations TBC. All observations to include at least 1 lay rep. Times for observations shown as
suggestions, though they can be held at other times should panellists have availability.]
Focus Group:
 Other health professionals and non clinical staff
11.00-11.45
12.00-12.45
Focus Group:
 Senior Nurses
12.00-13.30
Lunch and triangulation (panel only)
13.00-14.30
BREAKOUT SESSIONS
13.00- 13.45
Focus Group
 Consultants and Senior Staff
13.30- 14.30
Observation Group:
[Specific wards for observations TBC. All observations to include at least 1 lay rep. Times for observations shown as
suggestions, though they can be held at other times should panellists have availability.]
BREAKOUT SESSIONS
14.30-15.30
14.30-15.30
Observation Groups - ALL:
 Any other areas - TBC
15.30-16.30
Triangulation (panel only)
16.30- 17.30
Panel travel from Lincoln to Boston
18.00- 20.00
PATIENT LISTENING EVENT - BOSTON
Day 3
08.00-10.00
Observation Group:
[Specific wards for observations TBC. All observations to include at least 1 lay rep. Times for observations shown as
suggestions, though they can be held at other times should panellists have availability.]
Time
09.00- 09.45
Agenda and Trust attendees
Focus Group:
 Senior Nurses
10.00- 10.45
Focus Group:
 Junior Doctors and Trainee nurses
10.00-11.00
Observation Group:
[Specific wards for observations TBC. All observations to include at least 1 lay rep. Times for observations shown as
suggestions, though they can be held at other times should panellists have availability.]
11.00-11.45
Focus Group:
 Other health professionals and non clinical staff
12.30- 13.30
CANCELLED – Trust to
provide details of
Consultants whereabouts on
Wednesday, panel members
will visit as many as possible
during observation sessions
Focus Group
 Consultants and Senior Staff
12.00-13.30
Lunch and triangulation (panel only)
13.30-14.00
End of visit wrap up with Trust Chief Executive and Chair
CLOSE