ࡱ>  1bjbj 7@)+  `````ttt8Lt,B,D,D,D,D,D,D,$o.!1Zh,`h,``},``B,B,V&'@`!F' .,,0,'x{1{1''&{1`'|h,h, ,{1 &: FOI - 4632 1st April 2014 to 31 March 2015 All information is provided by financial year as this is how the information is recorded and reported internally and externally The total number of serious incidents meeting NHS England StEIS Serious Incidents criteria and reported 1st April 2014 to 31st March 2015 = 30 Total number of incidents reported to StEIS as Unexpected Potentially avoidable death = 2 (Please note that where N/A is included in the question 2 column, this indicates that it is not a direct patient harm, but rather, say a media or organisational incident) (Please note that where N/A is included in the question 3 column, this indicated that the patient has not died). Question 2 Outcome for the patient Level of harmQuestion 3 DescriptionSerious Harm (Grade 3 pressure ulcers are categorised as serious harm)N/AModerate HarmN/AN/AN/AN/AN/ASerious Harm Outcome from Coroners Inquest:- Died as a consequence of a combination of naturally occurring disease and injuries, together with treatment of the injuries, sustained when she was knocked to the floor in the corridor of a Hospital by another patient, running away from police officersLow harmN/ALow harmN/AN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.N/AN/ASerious HarmOutcome from Coroners Inquest:- SuicideN/AN/AN/AN/ASerious Harm (Grade 3 pressure ulcers are categorised as serious harm)N/ASerious HarmN/AN/AN/AN/AModerate harmN/ANo harmN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.Low harmN/ALow harmN/ANo harmN/AN/A reported to StEIS for media interest onlyN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.N/A reported to StEIS for media interest onlyN/ANo harmN/A N/A reported to StEIS for media interest onlyN/ANo harmN/ASerious Harm (Grade 3 pressure ulcers are categorised as serious harm)N/ASerious Harm (Grade 3 pressure ulcers are categorised as serious harm)N/A 1st April 2015 to 31 March 2016 All information is provided by financial year as this is how the information is recorded and reported internally and externally The total number of serious incidents meeting NHS England StEIS Serious Incidents criteria and reported 1st April 2015 to 31st March 2016 = 23 Total number of incidents reported to StEIS as Unexpected Potentially avoidable death = 10 Question 2 Outcome for the patient Level of harmQuestion 3 DescriptionSerious HarmOutcome from Coroners Inquest:- Accidental DeathSerious HarmDelayed blood productsN/A reported to StEIS for media interest onlyN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.Serious HarmInquest not held as cause of death natural causesSerious HarmOutcome from Coroners Inquest:- Died from Pseudomembranous colitis caused by C.Difficile infection , a known complication of antibiotic therapy which was given to treat suspected sepsisSerious HarmOutcome from Coroners Inquest died as of a combination of naturally occurring disease and an element of industrial disease as well as excess doses of clonazepam which was administered and self-medicated and not clobazam as prescribed for some 4 days before his deathSerious HarmOutcome from Coroners Inquest:- Died as a consequence of a combination of naturally occurring disease and a recognised complication of anticoagulation therapy Severe HarmN/ASevere HarmOutcome from Coroners Inquest:- Deceased had a complicated medical history, and who required anticoagulation, suffered a known but rare complication of that therapy, resulting in internal bleeding and his ultimate passingModerate harmN/AModerate harmN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.Serious HarmOutcome from Coroners Inquest:- MisadventureModerate harmN/ALow hamN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.Moderate harmN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.Serious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.Serious Harm (Grade 3 pressure ulcers are categorised as serious harm)N/ANo harmN/ASerious HarmOutcome from Coroners Inquest:- Natural Causes  1st April 2016 to 31 March 2017 All information is provided by financial year as this is how the information is recorded and reported internally and externally The total number of serious incidents meeting NHS England StEIS Serious Incidents criteria and reported 1st April 2016 to 31st March 2017 = 32 Total number of incidents reported to StEIS as Unexpected Potentially avoidable death = 8 Question 2 Outcome for the patientQuestion 3 Description if deathSerious HarmN/ASerious HarmDeath of patient following ERCPSerious Harm (Grade 3 and 4 pressure ulcers are categorised as serious harm)NAN/AN/ASerious HarmOutcome from Coroners Inquest:-Died as a result of respiratory failure as a result of his naturally occurring MND, contributed to by his pneumonectomy and the administration of the high flow oxygen in errorLow HarmN/ASerious HarmN/ASerious HarmOutcome from Coroners Inquest:- Natural Causes Serious HarmDiscussed with Coroner:- Natural Causes was recorded on the death certificateN/AN/ASerious HarmOutcome from Coroners Inquest: - died as a consequence of injuries sustained in an accidental fall on a background of naturally occurring disease.Serious harmN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.N/A No case to answerSerious HarmOutcome from Coroners Inquest:- Natural CausesLow harmN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.Serious HarmDeath following SigmoidoscopySerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.Serious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.N/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.Serious HarmN/ASerious Harm b(Grade 3 and 4 pressure ulcers are categorised as serious harm)N/AN/AN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.Low harmSerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.Low harmN/AN/AN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death.Serious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death. 1st April 2017 to 31 March 2018 All information is provided by financial year as this is how the information is recorded and reported internally and externally The total number of serious incidents meeting NHS England StEIS Serious Incidents criteria and reported 1st April 2017 to 31st March 2018 = 32 Total number of incidents reported to StEIS as Unexpected Potentially avoidable death = 6 Question 2 Outcome for the patient Level of harmQuestion 3 Description if deathModerate HarmN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death. Moderate N/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death. Moderate HarmN/AN/AN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the death. Serious HarmPatient discharged home prior to senior review Serious HarmN/ASerious HarmN/ASerious HarmDelay in diagnosis Serious Harm Post-Operative ComplicationsSerious HarmN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the deathSerious HarmDelay in diagnosisSerious HarmN/AN/AN/ALow HarmN/AN/AN/AN/AN/ASerious HarmN/AN/AN/ASerious HarmCatastrophic head injury following patient FallLow HarmN/AN/AN/AN/AN/ASerious HarmN/A - At some point following the incident the patient died, however the incident was not necessarily a direct contributory factor to the deathSerious HarmCoroners inquest outcome - Suicide whilst the balance of the deceased mind was disturbed Serious HarmN/AN/AN/ASerious Harm N/AN/AN/A * Unable to provide the date of death as the StEIS database does not hold this information ** Section 12 exemption for the information requested prior to 2014 because the StEIS database was reconfigured on numerous occasions over the requested time period. Date parameters are inconsistent making the data retrieved unreliable therefore it would require a manual search of all incidents reported by the Trust from April 2012- March 2014. This accounts for 15431 incidents and would therefore exceed the 18 hours permitted under the act. Currently 2 hours of the 18 hours allowed has been used to provide the information from 2014 onwards, this was aided by having information previously supplied under a separate requested which required further analysis and validation.      PAGE \* MERGEFORMAT 2    0123ʹo[G6% hRh7YCJOJQJ^JaJ hRh=<CJOJQJ^JaJ&hRh5;CJOJQJ^JaJ&hRhl5;CJOJQJ^JaJ)hRh8"5;CJH*OJQJ^JaJ&hRh8"5;CJOJQJ^JaJh755;OJQJ^J&h/gh{5;CJ OJQJ^JaJ h8"5;CJOJQJ^JaJ h+5;CJOJQJ^JaJ&h8"ho>75;CJOJQJ^JaJ hS5;CJOJQJ^JaJ   123C I J $&`#$/Ifb$gd+$$&`#$/Ifa$b$gd+ ^gd5| & Fgd ^gd=<-DM gd=< $a$gdXo $ `a$gd]v3  * 0 2 B C H I  T U g ﻪ}lZF5F5 hRh75CJOJQJ^JaJ&hRh755;CJOJQJ^JaJ#hRh755CJOJQJ^JaJ hRhUCJOJQJ^JaJh7YCJOJQJ^JaJhUCJOJQJ^JaJ hRh+CJOJQJ^JaJ hRhmbCJOJQJ^JaJ hRh5|CJOJQJ^JaJ hRho>7CJOJQJ^JaJ#hRhCJH*OJQJ^JaJ hRhCJOJQJ^JaJ  Bkd$$IflN0I5:  t 6`0544 lae4pyt7Y$$&`#$/Ifa$b$gd+ P T U c g Ykd$$Iflz0I5: t 6`0544 lae4p yt7Y$&`#$/Ifb$gd+g h l p oYY$&`#$/Ifb$gd+kd$$Iflk0I5: t 6`0544 lae4p yt7Yg h p q y z U V W _ `   ()56BC01=>CDPQɷ۷۷۷۷۷# *hRh75CJOJQJ^JaJ#hRh755CJOJQJ^JaJ hRh75CJOJQJ^JaJ&hRh755;CJOJQJ^JaJAp q u y oYY$&`#$/Ifb$gd+kd,$$Iflk0I5: t 6`0544 lae4p yt7Yy z oYYY$&`#$/Ifb$gd+kd$$Iflk0I5: t 6`0544 lae4p yt7Y oYY$&`#$/Ifb$gd+kd$$Ifl"0I5: t 6`0544 lae4p yt7Y oYY$&`#$/Ifb$gd+kd0$$Iflz0I5: t 6`0544 lae4p yt7Y V oYY$&`#$/Ifb$gd+kd$$Iflk0I5: t 6`0544 lae4p yt7YV W [ _ oYY$&`#$/Ifb$gd+kd$$Ifl0I5: t 6`0544 lae4p yt7Y_ ` m oYY$&`#$/Ifb$gd+kd4$$Iflk0I5: t 6`0544 lae4p yt7Y oYY$&`#$/Ifb$gd+kd$$Iflk0I5: t 6`0544 lae4p yt7Y oYY$&`#$/Ifb$gd+kd$$Ifl/0I5: t 6`0544 lae4p yt7Y oYY$&`#$/Ifb$gd+kd8$$Iflk0I5: t 6`0544 lae4p yt7Y oYY$&`#$/Ifb$gd+kd$$Iflk0I5: t 6`0544 lae4p yt7Y oYY$&`#$/Ifb$gd+kd $$Iflk0I5: t 6`0544 lae4p yt7Y  oYY$&`#$/Ifb$gd+kd< $$Iflk0I5: t 6`0544 lae4p yt7Y$(oYY$&`#$/Ifb$gd+kd $$Iflz0I5: t 6`0544 lae4p yt7Y()15oYY$&`#$/Ifb$gd+kd $$Ifl0I5: t 6`0544 lae4p yt7Y56CoYY$&`#$/Ifb$gd+kd@ $$Ifl0I5: t 6`0544 lae4p yt7YoYY$&`#$/Ifb$gd+kd $$Ifl0I5: t 6`0544 lae4p yt7YoYY$&`#$/Ifb$gd+kd $$Ifl0I5: t 6`0544 lae4p yt7YoYY$&`#$/Ifb$gd+kdD$$Ifl0I5: t 6`0544 lae4p yt7Y,0oYY$&`#$/Ifb$gd+kd$$Ifl0I5: t 6`0544 lae4p yt7Y01>oYY$&`#$/Ifb$gd+kd$$Ifl0I5: t 6`0544 lae4p yt7YoYY$&`#$/Ifb$gd+kdH$$Ifl0I5: t 6`0544 lae4p yt7Y oYYY$&`#$/Ifb$gd+kd$$Ifl0I5: t 6`0544 lae4p yt7Y?CoYY$&`#$/Ifb$gd+kd$$Ifl0I5: t 6`0544 lae4p yt7YCDLPoYY$&`#$/Ifb$gd+kdL$$Ifl0I5: t 6`0544 lae4p yt7YPQoYY$&`#$/Ifb$gd+kd$$Ifl0I5: t 6`0544 lae4p yt7YoYY$&`#$/Ifb$gd+kd$$Ifl0I5: t 6`0544 lae4p yt7Y   oddUNND & Fgd$gd75-DM gd$ h^hgdkdP$$Ifl0I5: t 6`0544 lae4p yt7Y     xyz,-_`ʵʤޓp^JJJJ&hRh755;CJOJQJ^JaJ#hRh755CJOJQJ^JaJ hRhmbCJOJQJ^JaJ#hRh$CJH*OJQJ^JaJ hRh$CJOJQJ^JaJ hRh75CJOJQJ^JaJ)hRh$5;CJH*OJQJ^JaJ&hRh$5;CJOJQJ^JaJ hRh7YCJOJQJ^JaJ hRhCJOJQJ^JaJxyz$$KIfa$gd75$K& #$/Ifb$gd75$$K& #$/Ifa$b$gd75gd$ & Fgdmb & Fgd$ ]GG$K& #$/Ifb$gd75kd$$Ifl0&D6  t 6 K0644 lae4pyt7Y,q[[$K& #$/Ifb$gd75kd$$Ifl0&D6 t 6 K0644 lae4p yt7Y,-[_q[[$K& #$/Ifb$gd75kdt$$Ifl0&D6 t 6 K0644 lae4p yt7Y_`mo[[$K& #$/Ifb$gd75kd$$Ifl0&D6 t 6 K0644 lae4p yt7Y@A  '(JKL67CDٶ)hRh>a5;CJH*OJQJ^JaJ&hRh>a5;CJOJQJ^JaJ#hRh7Y5CJOJQJ^JaJ hRh75CJOJQJ^JaJ&hRh755;CJOJQJ^JaJ# *hRh75CJOJQJ^JaJ0 @q[[$K& #$/Ifb$gd75kd$$Ifl0&D6 t 6 K0644 lae4p yt7Y@AN q]R $KIfgd75$K& #$/Ifb$gd75kdp$$Ifl0&D6 t 6 K0644 lae4p yt7Y  'q[[$K& #$/Ifb$gd75kd$$Ifl0&D6 t 6 K0644 lae4p yt7Y'(5q[N[ $KIfgd75$K& #$/Ifb$gd75kd$$Ifl0&D6 t 6 K0644 lae4p yt7Yq[[$K& #$/Ifb$gd75kdh$$Ifl0&D6 t 6 K0644 lae4p yt7Yq]]$K& #$/Ifb$gd75kd$$Ifl0&D6 t 6 K0644 lae4p yt7Yq[[$K& #$/Ifb$gd75kd$$Ifl0&D6 t 6 K0644 lae4p yt7Yq[[$K& #$/Ifb$gd75kd`$$Ifl0&D6 t 6 K0644 lae4p yt7Y q]]$K& #$/Ifb$gd75kd$$Ifl0&D6 t 6 K0644 lae4p yt7Yq]R $KIfgd75$K& #$/Ifb$gd75kd$$Ifl0&D6 t 6 K0644 lae4p yt7Yq[[$K& #$/Ifb$gd75kdX$$Ifl0&D6 t 6 K0644 lae4p yt7Yq[[$K& #$/Ifb$gd75kd$$Ifl0&D6 t 6 K0644 lae4p yt7Yq]]$K& #$/Ifb$gd75kd$$Ifl0&D6 t 6 K0644 lae4p yt7Yq[[$K& #$/Ifb$gd75kdP $$Ifl0&D6 t 6 K0644 lae4p yt7YKq]]$K& #$/Ifb$gd75kd $$Ifl0&D6 t 6 K0644 lae4p yt7YKLYq]]$K& #$/Ifb$gd75kd!$$Ifl0&D6 t 6 K0644 lae4p yt7Y26q[[$K& #$/Ifb$gd75kdH"$$Ifl0&D6 t 6 K0644 lae4p yt7Y67?Cq[[$K& #$/Ifb$gd75kd"$$Ifl0&D6 t 6 K0644 lae4p yt7YCDQq[[$K& #$/Ifb$gd75kd#$$Ifl0&D6 t 6 K0644 lae4p yt7Y)qo`UUKA & Fgdmb & Fgd>a ^gd_e-DM gd>akd@$$$Ifl0&D6 t 6 K0644 lae4p yt7YZ !!""W#X### % %%%%ͻͻ滋އvdvdvdvdvdvdvdR#hRh75CJOJQJ\^JaJ# *hRh75CJOJQJ^JaJ hRh75CJOJQJ^JaJ#hRh755CJOJQJ^JaJ hRh3+CJOJQJ^JaJ hRhmbCJOJQJ^JaJ#hRh>aCJH*OJQJ^JaJ hRh>aCJOJQJ^JaJ hRh7YCJOJQJ^JaJ hRh_eCJOJQJ^JaJ  8CDY$$KIfa$gd75$K& #$/Ifb$gd75$$K& #$/Ifa$b$gd75 ^gdmb & Fgdmb YZgk]GG$K& #$/Ifb$gd75kd$$$Ifl0&D6  t 6 K0644 lae4pyt7Yklyq[[$K& #$/Ifb$gd75kd%$$Ifl0&D6 t 6 K0644 lae4p yt7Yq[[$K& #$/Ifb$gd75kd`&$$Ifl0&D6 t 6 K0644 lae4p yt7Yq[[$K& #$/Ifb$gd75kd'$$Ifl0&D6 t 6 K0644 lae4p yt7Yq[[$K& #$/Ifb$gd75kd'$$Ifl0&D6 t 6 K0644 lae4p yt7Yq[[$K& #$/Ifb$gd75kdX($$Ifl0&D6 t 6 K0644 lae4p yt7Yq[[$K& #$/Ifb$gd75kd)$$Ifl0&D6 t 6 K0644 lae4p yt7Y2q[[$K& #$/Ifb$gd75kd)$$Ifl0&D6 t 6 K0644 lae4p yt7Y23@q]]$K& #$/Ifb$gd75kdP*$$Ifl0&D6 t 6 K0644 lae4p yt7Yq[[$K& #$/Ifb$gd75kd*$$Ifl0&D6 t 6 K0644 lae4p yt7Y: q[G$K& #$/Ifb$gd75$K& #$/Ifb$gd75kd+$$Ifl0&D6 t 6 K0644 lae4p yt7Y: ; H L oYY$K& #$/Ifb$gd75kdH,$$Ifl0&D6 t 6 K0644 lae4p yt7YL M Z q]]$K& #$/Ifb$gd75kd,$$Ifl0&D6 t 6 K0644 lae4p yt7Y !!q[[$K& #$/Ifb$gd75kd-$$Ifl0&D6 t 6 K0644 lae4p yt7Y!!!A!q[[$K& #$/Ifb$gd75kdD.$$Ifl0&D6 t 6 K0644 lae4p yt7YA!B!K!O!q[[$K& #$/Ifb$gd75kd.$$Ifl0&D6 t 6 K0644 lae4p yt7YO!P!]!!q]]$K& #$/Ifb$gd75kd/$$Ifl0&D6 t 6 K0644 lae4p yt7Y!!!"q[[$K& #$/Ifb$gd75kd<0$$Ifl0&D6 t 6 K0644 lae4p yt7Y""(""q]]$K& #$/Ifb$gd75kd0$$Ifl0&D6 t 6 K0644 lae4p yt7Y"""X#q]]$K& #$/Ifb$gd75kd1$$Ifl0&D6 t 6 K0644 lae4p yt7YX#Y#]#^#q[[$K& #$/Ifb$gd75kd42$$Ifl0&D6 t 6 K0644 lae4p yt7Y^#_#l##q]]$K& #$/Ifb$gd75kd2$$Ifl0&D6 t 6 K0644 lae4p yt7Y## $$q[[$K& #$/Ifb$gd75kd3$$Ifl0&D6 t 6 K0644 lae4p yt7Y$$^$b$q[[$K& #$/Ifb$gd75kd,4$$Ifl0&D6 t 6 K0644 lae4p yt7Yb$c$g$k$q[[$K& #$/Ifb$gd75kd4$$Ifl0&D6 t 6 K0644 lae4p yt7Yk$l$y$ %q]]$K& #$/Ifb$gd75kd|5$$Ifl0&D6 t 6 K0644 lae4p yt7Y % %%%q[[$K& #$/Ifb$gd75kd$6$$Ifl0&D6 t 6 K0644 lae4p yt7Y%%#%%q]]$K& #$/Ifb$gd75kd6$$Ifl0&D6 t 6 K0644 lae4p yt7Y%%%%q[[$K& #$/Ifb$gd75kdt7$$Ifl0&D6 t 6 K0644 lae4p yt7Y%%%%q[[$K& #$/Ifb$gd75kd8$$Ifl0&D6 t 6 K0644 lae4p yt7Y%%%j&q]]$K& #$/Ifb$gd75kd8$$Ifl0&D6 t 6 K0644 lae4p yt7Y%i&j&' ' ' ' ''+','-'((#($(*(,(6(7((((((̸̒oo^L#hRh755CJOJQJ^JaJ hRh32CJOJQJ^JaJ hRh{CJOJQJ^JaJ#hRh3+CJH*OJQJ^JaJ hRh3+CJOJQJ^JaJ)hRh3+5;CJH*OJQJ^JaJ&hRh3+5;CJOJQJ^JaJ hRh7YCJOJQJ^JaJ# *hRh75CJOJQJ^JaJ hRh75CJOJQJ^JaJj&k&x& 'q]]$K& #$/Ifb$gd75kdl9$$Ifl0&D6 t 6 K0644 lae4p yt7Y ' ' '+','-''=(ql]RRHH & Fgd3+ ^gd3+-DM gd3+gd]vkd:$$Ifl0&D6 t 6 K0644 lae4p yt7Y=(((((((((($&`#$/Ifb$gdu$$&`#$/Ifa$b$gdu ^gd6 & Fgd]v ((()[EE$&`#$/Ifb$gdukd:$$IflN0kD6  t 6`0644 lae4pyt7Y(())))))P*Q*c*d*l*m* + + +J+K+\+]+n+o+++++++l,m,,,,,,,,,,,,,,,,,,,!-"-#-0-1-9-:-B-C---J.K.\.].e.f.x.y....۷۷۷# *hRh75CJOJQJ^JaJ#hRh755CJOJQJ^JaJ hRh75CJOJQJ^JaJ&hRh755;CJOJQJ^JaJF)))))oYYY$&`#$/Ifb$gdukd;$$Iflk0kD6 t 6`0644 lae4p yt7Y))))oYY$&`#$/Ifb$gdukd<<$$Iflk0kD6 t 6`0644 lae4p yt7Y)))O*P*oYNY $Ifgd{$&`#$/Ifb$gdukd<$$Iflk0kD6 t 6`0644 lae4p yt7YP*Q*_*c*oYC$&`#$/Ifb$gdu$&`#$/Ifb$gd{kd=$$IflP0kD6 t 6`0644 lae4p yt7Yc*d*h*l*oYY$&`#$/Ifb$gdukd@>$$Iflz0kD6 t 6`0644 lae4p yt7Yl*m*z* + +oYNY $Ifgd|$&`#$/Ifb$gdukd>$$Iflk0kD6 t 6`0644 lae4p yt7Y + ++I+J+oYCC$&`#$/Ifb$gd{$&`#$/Ifb$gdukd?$$Ifl0kD6 t 6`0644 lae4p yt7YJ+K+X+\+oYY$&`#$/Ifb$gdukdD@$$Iflk0kD6 t 6`0644 lae4p yt7Y\+]+j+n+oYY$&`#$/Ifb$gdukd@$$Iflk0kD6 t 6`0644 lae4p yt7Yn+o+|+++oYYY$&`#$/Ifb$gdukdA$$Ifl/0kD6 t 6`0644 lae4p yt7Y++++oYC$&`#$/Ifb$gdu$&`#$/Ifb$gd{kdHB$$Iflk0kD6 t 6`0644 lae4p yt7Y++++oYY$&`#$/Ifb$gdukdB$$Iflk0kD6 t 6`0644 lae4p yt7Y+++l,oYY$&`#$/Ifb$gdukdC$$Iflk0kD6 t 6`0644 lae4p yt7Yl,m,z,,oYC$&`#$/Ifb$gdu$&`#$/Ifb$gd!'kdLD$$Iflk0kD6 t 6`0644 lae4p yt7Y,,,,oYY$&`#$/Ifb$gdukdD$$Iflz0kD6 t 6`0644 lae4p yt7Y,,,,oYY$&`#$/Ifb$gdukdE$$Ifl0kD6 t 6`0644 lae4p yt7Y,,,,oYY$&`#$/Ifb$gdukdPF$$Ifl0kD6 t 6`0644 lae4p yt7Y,,,,oYY$&`#$/Ifb$gdukdF$$Ifl0kD6 t 6`0644 lae4p yt7Y,,,,oYY$&`#$/Ifb$gdukdG$$Ifl0kD6 t 6`0644 lae4p yt7Y,,,,oYY$&`#$/Ifb$gdukdTH$$Ifl~0kD6 t 6`0644 lae4p yt7Y,,,,oYY$&`#$/Ifb$gdukdI$$Ifl0kD6 t 6`0644 lae4p yt7Y,,,"-oYY$&`#$/Ifb$gdukdI$$Ifl0kD6 t 6`0644 lae4p yt7Y"-#-,-0-oYC$&`#$/Ifb$gdu$&`#$/Ifb$gd|kdXJ$$Ifl0kD6 t 6`0644 lae4p yt7Y0-1-5-9-oYY$&`#$/Ifb$gdukdK$$Ifl0kD6 t 6`0644 lae4p yt7Y9-:->-B-oYY$&`#$/Ifb$gdukdK$$Ifl0kD6 t 6`0644 lae4p yt7YB-C-P--oYY$&`#$/Ifb$gdukd\L$$Ifl0kD6 t 6`0644 lae4p yt7Y---I.J.oYYY$&`#$/Ifb$gdukdM$$Ifl0kD6 t 6`0644 lae4p yt7YJ.K.X.\.oYY$&`#$/Ifb$gdukdM$$Ifl0kD6 t 6`0644 lae4p yt7Y\.].a.e.oYY$&`#$/Ifb$gdukd`N$$Ifl0kD6 t 6`0644 lae4p yt7Ye.f.t.x.oYY$&`#$/Ifb$gdukd O$$Ifl0kD6 t 6`0644 lae4p yt7Yx.y.}..oYY$&`#$/Ifb$gdukdO$$Ifl0kD6 t 6`0644 lae4p yt7Y.....11111ojjaaWUWU dgd'V^gd75gdukddP$$Ifl0kD6 t 6`0644 lae4p yt7Y ....w/x///0111111111111111111ͼޫޒykjhuUmHnHuh)mHnHuhujhuUhjhU hRhvuCJOJQJ^JaJ hRh_CJOJQJ^JaJ hRhyCJOJQJ^JaJ hRh6CJOJQJ^JaJ hRhuCJOJQJ^JaJ hRh7YCJOJQJ^JaJ1111111111^gd75$a$ dgd'V 51h0:p#=A .!"#S$S% $$If!vh#v#v::V lN  t 6`0555:e4pyt7Y$$If!vh#v#v::V lz t 6`0555:e4p yt7Y$$If!vh#v#v::V lk t 6`0555:e4p yt7Y$$If!vh#v#v::V lk t 6`0555:e4p yt7Y$$If!vh#v#v::V lk t 6`0555:e4p yt7Y$$If!vh#v#v::V l" t 6`0555:e4p yt7Y$$If!vh#v#v::V lz t 6`0555:e4p yt7Y$$If!vh#v#v::V lk t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V lk t 6`0555:e4p yt7Y$$If!vh#v#v::V lk t 6`0555:e4p yt7Y$$If!vh#v#v::V l/ t 6`0555:e4p yt7Y$$If!vh#v#v::V lk t 6`0555:e4p yt7Y$$If!vh#v#v::V lk t 6`0555:e4p yt7Y$$If!vh#v#v::V lk t 6`0555:e4p yt7Y$$If!vh#v#v::V lk t 6`0555:e4p yt7Y$$If!vh#v#v::V lz t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v::V l t 6`0555:e4p yt7Y$$If!vh#v#v :V l  t 6 K0655 e4pyt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l  t 6 K0655 e4pyt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v :V l t 6 K0655 e4p yt7Y$$If!vh#v#v:V lN  t 6`0655e4pyt7Y$$If!vh#v#v:V lk t 6`0655e4p yt7Y$$If!vh#v#v:V lk t 6`0655e4p yt7Y$$If!vh#v#v:V lk t 6`0655e4p yt7Y$$If!vh#v#v:V lP t 6`0655e4p yt7Y$$If!vh#v#v:V lz t 6`0655e4p yt7Y$$If!vh#v#v:V lk t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V lk t 6`0655e4p yt7Y$$If!vh#v#v:V lk t 6`0655e4p yt7Y$$If!vh#v#v:V l/ t 6`0655e4p yt7Y$$If!vh#v#v:V lk t 6`0655e4p yt7Y$$If!vh#v#v:V lk t 6`0655e4p yt7Y$$If!vh#v#v:V lk t 6`0655e4p yt7Y$$If!vh#v#v:V lk t 6`0655e4p yt7Y$$If!vh#v#v:V lz t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l~ t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Y$$If!vh#v#v:V l t 6`0655e4p yt7Yj 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ OJPJQJ_HmH nH sH tH J`J 9mCNormal dCJ_HaJmH sH tH DA D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List R@R 'V0HeaderdB#CJaJmHsHtH>o> 'V0 Header CharOJPJQJ^JR @R 'V0FooterdB#CJaJmHsHtH>o!> 'V0 Footer CharOJPJQJ^Jj3j 8" Table Grid7:V0<+@B< ki0 Endnote TextCJaJ>oQ> ki0Endnote Text ChartH >*`a> ki0Endnote ReferenceH*\@r\ ki List Paragraph ^m$OJPJQJ\^JaJ>@> 90 Footnote TextCJaJ@o@ 90Footnote Text ChartH @&`@ 90Footnote ReferenceH*PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] )@ ***-3g %(.1<BWx} g p y V _  (50CP,_@ 'K6CYk2: L !A!O!!""X#^##$b$k$ %%%%%j& '=(()))P*c*l* +J+\+n++++l,,,,,,,,,"-0-9-B--J.\.e.x..11 !"#$%&'()*+,-./0123456789:;=>?@ACDEFGHIJKLMNOPQRSTUVXYZ[\]^_`abcdefghijklmnopqrstuvwyz{|~ $&-!L# @0(  B S  ?!&= B ))))))))))))))))))))))))12 x y     +, &&)))))))))12 x y     +, &&))))))))))))))iHD0aw/.i<`8.xrh^`OJQJo(hHh^`OJQJ^Jo(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohP^P`OJQJo(hH^^^`OJQJo(hH.^.`OJQJ^Jo(hHo^`OJQJo(hH ^ `OJQJo(hH^`OJQJ^Jo(hHon^n`OJQJo(hH>^>`OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohP^P`OJQJo(hHiH<`8.aw/. @el-AtopB; levDmbeEitiFft;GrgiHt:1                            #+@+Jc0K<&Y@ $ / rg C ` HZ{-?$%BO'E|4F8(4,7}..*@]TUuDy{4 3(R|!>aG}K9 L!RR!e#{#%E'!'28'(KQ(J)) q*r*, .\5/ 0J0^01]132d4q475? 6R6 -7o>74V8 9{:; ;=<I<rN=0"?_"?-DAb_AhqA=BDfB9mC DdEtENFJ G?/GGGoH_KHMP;NU%PORLRkrRoSB^TU'V!FX7Yo[=[}[s^SD`ea&bmb'czdoef(f]fnf/gki Vk]0lcn;op=Wp+ qSrer{s;uvu]vOxy5|}o6~w{~1@|&]c:|}6'|!$3+6DPT#=d7pS(6trE{fg~!wl>y3dWXoirJqH=OMDtoW}f8"I\Q0f|*m;){t _)t J:e))d$8|hbxgsz{%'?[{BlAm9Z1 P%+uyG9=({;5:t: W8{?7r-_i]]Q&bKRJ9R_ei|))@)@UnknownG.[x Times New Roman5Symbol3. .Cx Arial7.*{$ Calibri?= .Cx Courier New;WingdingsA$BCambria Math"1hL[eL[e0#2U#K2U#K!S4r)r) 2qHP  $P%B2!xx obrien_pGriffiths Pamela   Oh+'0<x   $,4 obrien_pNormalGriffiths Pamela2Microsoft Office Word@@8E@(C!@(C!2U#՜.+,0  hp  (Wrightington, Wigan & Leigh NHS TrustKr)  Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry F@`!Data Q1Table1WordDocument 7@SummaryInformation(DocumentSummaryInformation8MsoDataStorep2`!@`!YCTXTUQU4WKIZ==2p2`!@`!Item  PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q