File 18 - Raychel Ferguson (Aftermath of Lucy Crawford's Death) – Western Health and Social Services Board

Reference Number File Size Document Title Date
018-001 Email from Margaret Kelly to Steven Lindsay re Root Cause Analysis 07-Oct-2004
018-002 Email from Steven Lindsay to Margaret Kelly re Root Cause Analysis 11-Oct-2004
018-003 Email from Steven Lindsay to Michael Gormley re Update meeting with Hugh Mills 30-Mar-2004
018-004 Email from XXXXXXXXXX to Margaret Kelly confirming information on Development Programme (programme included) 07-Oct-2004
018-005 Letter from Margaret Kelly to Mr H Mullan on the Proposed Root Cause Analysis Exercise - LC Case 15-Jun-2004
018-006 Letter from Mr H Mullan to Margaret Kelly and Maggie Reilly on the Proposed Root Cause Analysis Exercise - LC Case (including Terms of Reference) with handwritten notes 20-May-2004
018-007 Information from Global Air Training on Root Cause Analysis using a Human Factors Approach 01-May-2004
018-008 Email from XXXXXXXXXX to Diana Cody and others enclosing Action Plan arising from RCA Meeting held 02-Aug-2004 - 03-Aug-2004 06-Aug-2004
018-009 Email from Bridget O'Donnell DHSSPS to Barbara Barber Healthcare Directorate re Root Cause Analysis meeting 30-Jun-2004 Agenda attached 30-Jun-2004
018-010 267 KB Confidential Memo from XXXXXXXXXX to members enclosing papers for RCA meeting 30-Jun-2004 inc agenda. Terms of reference etc 22-Jun-2004
018-011 Agenda for RCA meeting held on 06-Oct-04 06-Oct-2004
018-012 5 Pages of handwritten notes from Margaret Kelly entitled RCA
018-013 Email from Janet Hall to Hugh Mills enclosing Press Release on GMC referral to PCC 01-Oct-2004
018-014 Email from XXXXXXXXXX to DHSS re press release on Steering Group Briefs Trusts Quality Committee 21-Sep-2004
018-015 Letter from Mr H Mullan to Margaret Kelly and Maggie Reilly on the Proposed Root Cause Analysis Exercise - LC Case (including Terms of Reference) 20-May-2004
018-016 Email from Janet Hall to Hugh Mills re Media Statement 01-Jun-2004
018-017 Email enclosing Press Release from John Gilliland to Michael Gormley and Margaret Kelly re Tyrone County Hospital 01-Jun-2004
018-018 Draft Sperrin Lakeland Trust Press Statement with manuscript changes 28-May-2004
018-019 Steering Group Membership Details RCA Exercise LC Case
018-020 Proposed attendance at RCA Development Programme
018-021 Letter from GMC to CE SLT re Dr O'Donohoe 19-Oct-2004
018-022 Cover Note from Mr H Mullan enclosing copy of letter dated 28 October 2004 from Perm Sec DHSSPS re securing of all papers in each of the 3 cases 29-Oct-2004
018-023 Memo from Margaret Kelly to SMT re TOR (attached)of RCA Programme 27-Aug-2004
018-024 Memo from Steven Lindsay to Dr W McConnell And Margaret Kelly re RCA Programme and TOR( Attached) with manuscript notes 06-Aug-2004
018-025 Draft of TOR for RCA Programme 22-Jul-2004
018-026 Email from XXXXXXXXXX Diana Cody and others re amendments to TOR. Email from Bridget O'Donnell to Jayne Fox

      02-Jul-2004        &09-Jul-2004

018-027 Amended TOR for RCA Case 08-Jul-2004
018-028 Email from XXXXXXXXXX to Diana Cody and others re details of meeting to discuss implementation of RCA Group's recommendations. Email from Rebecca McLean to M Kelly confirming meeting

       01-Jul-2004         & 05-Jul-2004

018-029 Earlier drafts of TOR for RCA dated 01-Jun-04 & no other date 01-Jun-2004
018-030 Email from Steven Lindsay to Margaret Kelly re LC Inquest - Erne Hospital Death, including Risk Assessment Sperrin Lakeland - Suggested TOR 28-Apr-2004
018-031 Email from XXXXXXXXXX re RCA meeting 06-Oct-04 27-Sep-2004
018-032 Agenda for meeting on 06-Oct-04 06-Oct-2004
018-033 Minutes of RCA meeting held on 02 & 03-Aug-04

         02-Aug-2004        & 03-Aug-2004

3018-034 RCA Steering Group Summary of Activities following meetings held on 02 & 03-Aug-04 as from 21-Sep-04 21-Sep-2001
018-035 Draft minutes from the RCA Analysis Meeting held on 30-Jun-2004 30-Jun-2004