Salisbury Foundation Trust


Internal Reference Number: FOI_6938

Date Request Received: 03/01/2023 00:00:00

Date Request Replied To: 09/01/2023 00:00:00

This response was sent via: By Email

Request Summary: Exception reports in 2020/21 and 2021/22

Request Category: Private Individuals

Question Number 1:
Does your Trust use “Exception Reports” that are used by doctors when day-to-day work varies significantly and/or regularly from the agreed work schedule?
Answer To Question 1:
Question Number 2:
If so, how many exception reports were logged as raising an immediate safety concern in the a) 2020/21 and b) 2021/22 financial years?
Answer To Question 2:
Financial year 2020-2021 there were 2 immediate safety concern reports.
In the financial year 2021-2022 there were 5.
Question Number 3:
With respect only to the financial year 2021/22, please state for each occurrence

(a) when the incident took place,

(b) which Trust site it related to and

(c) provide a detailed, verbatim account of how the doctor described the concern.
Answer To Question 3:
1. Due to study leave and sickness, I was the only SHO left to cover all 3 orthopaedic teams and on-call duties with new admissions, when the minimum is usual 3. Due to staffing pressures today, I was also unable to attend my foundation core teaching session.

2. two F2s to cover ED from the hours of 0530 to 0800 with no senior on site (Please note - raised by a doctor working a locum shift at the time rather than a scheduled shift).

3. Ward was already running on minimum staffing and a junior was taken to orthogeriatics (due to known AL). This left us with 2 juniors (myself and a trust grade F1) with 19 patients each. I do not think it is safe to look after that many patients. Discussed with the consultant working that day who advised to escalate poor staffing numbers

4. Unsafe staffing on the ward. Minimum staffing is 3. There was only one Dr covering the ward with an off site Consultant in the afternoon.

5. Raised due to below minimum ward staffing for entire day and lack of senior grades present on the ward. Safety concern due to unwell patients
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Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.

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