6. Copies of any consultation documents regarding the decision Answer: There are no consultation documents

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1 1. Minutes of the meeting at which the decision was taken and minutes of all meetings at which the decision was discussed, including meetings with other organisations (for example but not limited to, Redditch and Bromsgrove CCG) Answer: The SBAR report and the associated appendices give this information. 2. Copies of all correspondence with South Warwickshire NHS Foundation trust, Birmingham Women s Hospital NHS Foundation Trust and any other Trust or organisation (for example but not limited to Redditch and Bromsgrove CCG) regarding the decision Answer: The SBAR report and the associated appendices give this information. 3. Copies of all advertisements for posts on NHS Jobs and elsewhere showing the date of teach advertisement and confirmation of the length of time for which the post was advertised Answer: Please see below. In addition, we have held open days on the following days 10 July, 15 October, 23 April (University) and 13 June. 4. Copies of correspondence and minutes of meetings with Heart of England (HEFT), Birmingham Women s Hospital (BWM) and Birmingham Children s Hospital (BCH) regarding trainees experience and competence (referred to in the FAQs above Answer: The trainees can chose where they undertake their level 3 neonatal experience, either HEFT, BCH or BWH. We have two trainees who start their placement at BWH in January. 5. Correspondence and minutes of meeting with Redditch and Bromsgrove CCG regarding the six key conditions the CCG required to be met in the event of the Trust centralising maternity and overnight child cases Answer: There has been no such meeting 6. Copies of any consultation documents regarding the decision Answer: There are no consultation documents 7. Copies of any documents relating to consideration of the public sector equality duty, including any equality impact assessments Answer: Please see the draft QIA here. 8. Any policies which set out safe staffing ratios for maternity and neonatal services and confirmation of the number of staff available to work at the Alexandra Hospital as at 30 October 2015 Please see the neonatal escalation policy. We use the following national documents for staffing ratios: onsum_dh/groups/dh_digitalassets/@dh/@en/@ps/@sta/@perf/documents/digitalasset/ dh_ pdf 10.pdf Locally, we use the following ratios: 1:1 for ITU 1:2 for HDU

2 1:4 SCBU If we did not have the two QIS staff per shift we would not be able to do any of the ITU work and only approximately 75% of the HDU work 9. Copies of all precedents letters sent to service users regarding the withdrawal of services Answer: Please see attached letter 10 Have you got any documents showing the timeline for any decision? Answer: Yes. Please see a document here from August 2015 and here from October/November When were the issues discussed at the Trust Board meeting? Answer: 9 September Where the advertisements were placed (and in the case of the present advert, where it is placed) Answer: The adverts were all placed on NHS Jobs. The current advert is placed on NHS Jobs. All our adverts are advertised via NHS Jobs. 13 When they were placed? Answer: The date published is the date the advert went live on the NHS Jobs website, the date closed is the date the advert closed on the NHS Jobs website. In between adverts the mangers would be shortlisting and interviewing candidates. Vacancy Reference Number Job Title Published Date Advert Closed Date WAHNT833-2 WAHNT1215 Nurse 24/11/ /12/ /05/ /05/2015 WAHNT /05/ /06/2015 WAHNT WAHNT /06/ /07/ /07/ /07/2015 WAHNT /09/ /09/2015 WAHNT1535 Junior Sister 06/10/ /10/2015

3 WAHNT Junior Sister 07/09/ /09/2015 WAHNT /10/ /10/ For how long they remained open. The most recent advert went live on NHS Jobs on 13/11/2015 and closed 06/12/ Which specific roles the adverts were aimed at? Answer: The adverts were relating to the specific roles listed in the table above. Please see more detail about the adverts here. All adverts pre 13/11/2015 above were advertised with the following advert: Services within Worcestershire are offered on two sites. The Unit at Worcester is a purpose built 18 cot unit within the Worcestershire Royal Hospital and is able to offer level 2 intensive care. The Unit at the Alexandra Hospital, Redditch is an 8 cot level 1 special care unit and currently caters for babies of 34 weeks and above with provision for the stabilization of sick neonates requiring intensive care. The Unit is integrated with the post natal ward facilitating the holistic care of neonates with their mothers, in partnership with the Midwives. care is delivered as a countywide service, with nurses rotating between the two units. Extended nursing roles are encouraged and supported We are looking for motivated staff with a specialist neonatal intensive care qualification who commit to cross site working and developing Trust wide standards. You must be able to work as part of a team and committed to high quality neonatal care. Recent experience of neonatal intensive care is essential. knowledge and skills in assessing and planning care needs. an Assessment Centre at the Worcestershire Royal Hospital, on xxxxx At the Assessment Centre you would be required to take several tests and attend a formal interview. The successful candidates will be supported by a Matron for Services and a Practice Development Nurse who both have countywide responsibility. For further enquiries, please contact: xxxxxxx On 13/11/2015 the following advert was placed: Services within Worcestershire are currently offered on one site. The Unit at Worcester is a purpose built 18 cot unit within the Worcestershire Royal Hospital and is able to offer level 2 intensive care. The Transitional care unit is integrated within the post natal ward area, facilitating the holistic care of neonates with their mothers and has 9 bed/cot spaces. We have an

4 established Outreach Services covering the county. This enables early discharge including naso gastric tube feeding at home. Extended nursing roles are encouraged and supported. We are looking for motivated staff with a commitment to developing Trust wide standards. You must be able to work as part of a multidisciplinary team and committed to high quality neonatal care. Recent experience of neonatal intensive care is essential desirable. knowledge and skills in assessing and planning care needs. The successful candidates will be supported by a Matron for Services and a Practice Development Nurse who both have countywide responsibility. an Assessment Centre at the Worcestershire Royal Hospital on 6th January At the Assessment Centre you would be required to take several tests and attend a formal interview. For further enquiries, please contact: xxxxx On 25/11/2015 the 13/11//205 advert was amended to the below. The advert will be live until 06/12/2015: Services within Worcestershire are currently offered on one site at Worcestershire Royal Hospital. This is a temporary measure, and the decision will be reviewed in February The Unit at Worcester is a purpose built 18 cot unit within the Worcestershire Royal Hospital and is able to offer level 2 intensive care. The Transitional care unit is integrated within the post natal ward area, facilitating the holistic care of neonates with their mothers and has 9 bed / cot spaces. The Unit at the Alexandra Hospital, Redditch is an 8 cot level 1 special care unit and caters for babies of 34 weeks and above with provision for the stabilization of sick neonates requiring intensive care. The Unit is integrated with the post natal ward facilitating the holistic care of neonates with their mothers, in partnership with the Midwives. care is delivered as a countywide service, with nurses rotating between the two units. However neonatal services are currently being offered on one site which is the Worcestershire Royal Hospital site. We have an established Outreach Services covering the county. This enables early discharge including naso gastric tube feeding at home. Extended nursing roles are encouraged and supported. We are looking for motivated staff with a commitment to developing Trust wide standards. You must be able to work as part of a multidisciplinary team and committed to high quality neonatal care. Recent experience of neonatal intensive care is desirable. knowledge and skills in assessing and planning care needs. The successful candidates will be supported by a Matron for Services and a Practice Development Nurse who both have countywide responsibility. an Assessment Centre at the Worcestershire Royal Hospital on 6th January At the Assessment Centre you would be required to take several tests and attend a formal interview. For further enquiries, please contact xxxx. If so, is the table comprehensive in terms of advertising locations etc?

5 All adverts were advertised on the basis of cross-county working as per the adverts above which shows working on both locations. 15 The table includes a gap in August. Is there any reason for this? Is this because the table only logs data when staff are interviewed for a role and thus if no interview was conducted in August there would be no data entry? There was no advert in August, one of the candidates for the interview on 02/07/2015 could not attend on this date so the interview was rescheduled to 29/07/2015. The Matron was waiting for the outcome of this interview and the Trust vacancy approval process to be completed before re-advertising. 15 Do you have a policy on working with patients? Answer: Yes. Please see our Patient, Public and Carer Experience and Involvement strategy 16 What correspondence have you had with the Trust Development Authority and NHS England? Answer: Please see the attached letter dated 11 November.