Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 045 (a)
8. STAFFING NUMBERS (FULL YEAR EFFECT)
All of the short listed options involve changes to staffing numbers within the Obstetric services. These
are:
Do Minimum: Additional staff to ensure the sustainability of intra-partum care and consultant led
services at Sandwell including an additional consultant, a clinical tutor and specialist Diabetic midwife for
Sandwell, additional administrative support for these posts and an additional member of the theatre
team.
Options 1&2: An additional member of the theatre team at City Hospital. In addition there would be a
reduction of 2 senior midwifery posts (Sandwell based Matron and Delivery Suite manager) and of the
Sandwell based dedicated maternity theatre team.
Option 3: As for options 1 and 2 but in addition a team of staff for the stand alone Birth Centre (to
ensure a minimum of 1 trained midwife and one Health Care Assistant on duty at all times) and
administrative support.
Table 9: Additional Staff (wte) Generated From the Detailed Option Appraisal.
Additional Staff Do Minimum Option 1 Option 2 Option 3
wte's wte's wte's wte's
Consultant 1.00
Theatre Runner 5.50 4.10 4.10 4.10
Midwives 2.00
Midwives - MLU 11.00
Admin Support 1.00 1.00
TOTAL 9.50 4.10 4.10 16.10
9. ACTIVITY (EXPRESS ON FULL YEAR BASIS)
The activity matrix in appendix 5 identifies the key activity changes per annum across 4 years by option
to show the impact upon birth related admitted patient care, non birth related spells and outpatient
attendances.
Baseline activity volumes have been derived from RCRH modelling (snapshot taken Summer 2009)
amended by revised timeline judgments of catchment loss and targeted activity currently seen
elsewhere.
The activity volumes broadly represent growth on this year’s forecast outturn and do not consider the
impact of the latest version 5.1 RCRH activity and capacity assumptions which materially reduce birth
estimates in 2010/11.
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