AH ANNUAL REPORT 2018

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in improved ward to board reporting of risk, incident reporting, and shared learning. Staff are well settled into the new hospital building and are becoming increasingly satisfied with their working life which is reflected in the 2017 staff survey, which shows many areas of significant improvement compared to the previous year. We have continued to employ Listening into Action as a key enabler for staff involvement in resolving local issues and making local improvements, with excellent results in many areas. We have also maintained other avenues for staff to raise any issues or areas of concern they may have through our ‘Raise it, Change it’ mechanism or through direct contact with one of our ‘Freedom To Speak Up’ champions. We continue to work closely with children and families to make ongoing improvements and will place a particular focus during the coming year on further developing a culture of continuous quality improvement and on involving children and families in the co-design of improvements. 3.2 SIGN UP TO SAFETY Sign up to Safety is a national patient safety campaign whose vision is for the whole NHS to become the safest healthcare system in the world, aiming to deliver harm free care for every, patient every time. The campaign was launched on 24th June 2014 with an ambition of halving avoidable harm in the NHS over a three year period and saving 6,000 lives as a result. As an organisation committed to improving patient safety, Alder Hey Children’s NHS Foundation Trust joined the Sign up to Safety campaign and developed a Trust Wide Safety Improvement Plan with specific improvement outcomes as highlighted in the previous quality report. The aim is that by March <strong>2018</strong>, against a 2014/15 baseline, we will: • Achieve no never events year on year • Reduce all avoidable harm by 30% • Reduce avoidable moderate, severe harm or death by 50% • Achieve a 95% patient satisfaction score In this final year of the Sign up to Safety campaign, the Trust has shown great progress against most of the extremely challenging targets declared in our Safety Improvement Plan. We are proud to be able to demonstrate improvements and contribute to saving lives over the three years of the campaign. Progress against each of the individual elements of the Sign up to Safety campaign is reflected in separate sections below as part of the Trust’s quality performance declarations. 3.3 KEY PRIORITIES FOR IMPROVEMENT IN QUALITY 2017/18 The key quality priorities set out for 2017/18 are summarised in the table below. The following sections describe the progress made in these areas throughout the year. Quality Domain Priority Area Aim 1 Patients will not suffer harm in our care Further embed a safety culture throughout the organisation Aim 2 Aim 3 Aim 4 Aim 5 Patients will have the best possible experience Patients will receive the most effective evidence based care Improve workforce health & wellbeing Our environment will enable us to deliver an excellent service Increase engagement of children, young people & families in improving quality and developing services Increase number of defined clinical care pathways across our clinical specialties Provide support that will enable our staff to feel valued and respected by the organisation and actively contribute to the organisation’s success Continue to improve the environment to make it work for both patients and staff Alder Hey Children’s NHS Foundation Trust 104 Annual Report & Accounts 2017/18
3.3.1 PRIORITY 1 – Further Embed a Safety Culture throughout the Organisation The Trust identified a specific priority to maintain our strong and growing safety culture by putting specific attention into prompt recognition and treatment of deteriorating patients, including implementation of the sepsis pathway and into reducing hospital acquired infections. A high level of incident reporting to the National Reporting and Learning System (NRLS) is also recognised as an indicator of a high safety culture In striving to deliver this priority, the Trust agreed to place a specific focus on: • Remain in top quartile of number of incidents reported through NRLS compared with peer trusts • Prompt recognition and treatment of deteriorating patients including implementation of the sepsis pathway • Reducing hospital acquired infections Remain in top quartile of number of incidents reported through NRLS compared with peer trusts Aim: To maintain a high level of incident reporting in a culture of openness and willingness to learn Targets: 1. Remain in the top quartile of number of incidents reported compared with acute specialist trusts. Outcomes - 2017/18: 1. Alder Hey is the third highest reporter of incidents maintaining its position in the top quartile. 2. Further increase in reported incidents in 2017/18. Data source: NRLS website – March <strong>2018</strong> A high degree of focus has been placed on incident reporting within the Trust, with a higher reporting of incidents, particularly no harm and near miss incidents, being indicative of a strong safety culture, with a willingness to be open and learn from mistakes. The latest report from National Reporting and Learning System (NRLS) shows that for the period 1st April 2017 to 30th September 2017, Alder Hey was the third highest reporter of incidents amongst its peer group of acute specialist trusts. We are also the highest reporter of incidents amongst all paediatric trusts. Improvements • Weekly meeting of harm assurance action log, demonstrating assurance of patient safety improvements. • Governance and Quality assurance intranet site now available for all staff which includes, national and local guidance on management of incidents including serious incidents, sharing lessons learned from incidents, investigation reports and action for improvement, safety notices etc. • Development of ‘Step by step guides’ for the management of incidents via the electronic risk management system. • Safety alerts shared Trust wide to ensure learning and minimise patient safety risks. • Lessons learned bulletins shared with all staff promoting learning and continuous improvements in patient safety. • Human factors training in theatres. • Maintained mechanisms of feeding back reports to staff, for example see ‘theatre monthly incident’ summary sheet (overleaf). Future Plans • Multidisciplinary half day ‘lessons learned’ events • Combined RCA and Human Factors training • E-learning incident management training package Alder Hey Children’s NHS Foundation Trust 105 Annual Report & Accounts 2017/18
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A E H E LD Y R ANNUAL REPORT & ACCO
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©2018 Alder Hey Children’s NHS F
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A MESSAGE FROM OUR CHAIR AND CHIEF
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PERFORMANCE REPORT OVERVIEW The fol
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Teenage Cancer Trust Honorary Patro
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OUR CQC RATINGS The Trust’s curre
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• Applied clinical research perfo
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The Trust’s performance against n
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‘Alder Play’ A new approach to
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KEY RISKS TO DELIVERY IN 2017/18 Th
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Regulatory Ratings NHS Improvement
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Expenditure Operating expenses tota
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ALDER HEY USES MRI/ CT DATA TO CREA
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Louise Shepherd CBE - Chief Executi
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Mags Barnaby - Interim Chief Operat
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NHS IMPROVEMENT’S WELL LED FRAMEW
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Clinical Educators The Trust has ag
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All complainants are offered the op
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have resulted in Memoranda of Under
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The Community Cluster Developed wit
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Alder Hey’s collaborative campaig
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accordance with Non-Executive remun
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(R) Indicates that the individual i
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SALARY AND PENSION ENTITLEMENTS OF
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STAFF REPORT Analysis of Trust staf
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approach to internal materials and
Page 54 and 55: EXIT PACKAGES 2016/17 Exit Package
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Page 76 and 77: organisation’s ability to continu
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Page 92 and 93: Local Audit How often are high ferr
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Page 134 and 135: 3.3.8 Peri-operative Care The focus
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• feedback from local Healthwatch
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AN EVENING CELEBRATING THE PASSION,
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STATEMENT OF COMPREHENSIVE INCOME N
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STATEMENT OF CHANGES IN EQUITY FOR
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NOTES TO THE ACCOUNTS 1. ACCOUNTING
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1.6 Expenditure on Other Goods and
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of Financial Position’ by the tru
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through the expected life of the fi
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Exchange gains or losses on monetar
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3.3 Overseas Visitors (Relating to
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5.1 Operating Expenses 2017/18 £00
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7.1 Retirements Due to Ill-Health D
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11. FINANCE EXPENDITURE Finance exp
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15. PROPERTY, PLANT AND EQUIPMENT 1
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15.3 Property, Plant and Equipment
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20. TRADE RECEIVABLES AND OTHER REC
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24. OTHER LIABILITIES 26. FINANCE L
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30. OTHER FINANCIAL COMMITMENTS The
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32.2 Carrying Values of Financial A
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32.5 Maturity of Financial Liabilit
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34. RELATED PARTIES (CONT’D) In a
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KEY AUDIT MATTERS Key audit matters
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AN OVERVIEW OF THE SCOPE OF OUR AUD
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“A matter is significant if, in t
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Alder Hey received visits from both
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AH ANNUAL REPORT 2018

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