AH ANNUAL REPORT 2018

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Reducing Hospital Acquired Infections - Sign Up To Safety Pledge Aim: By March 2018, reduce avoidable harm due to hospital acquired infection by 50%. Targets: From the 2014/15 baseline: 1. No hospital acquired MRSA bacteraemia 2. No Clostridium difficile infections due to lapses in care 3. Reduce the number of hospital acquired infections by 50% from the 2014/15 baseline of 147; this represents 74 infections Outcomes - 2017/18: 1. 4 x MRSA bacteraemia 2. 1 x Clostridium difficile infection 3. 46% decrease in the number of hospital acquired infections: this represents 80 Data source – corporate report April 2018 Effective infection prevention and Control (IP&C) practice is essential to ensure that patients receive safe and effective care. In order to provide the best possible outcome for the children in our care it is vitally important that we identify and manage all infections that affect our children and young people to reduce the risk of healthcare acquired infection. Children and young people can present unique IP&C challenges, such as: • They are susceptible to infections, which are preventable by vaccination. • They have closer contact with other visitors such as parents and siblings. • Their poor hygiene practices present more opportunities for infection to spread. • They may also interact more closely with their environment, making them more likely to come into contact with contaminated surfaces and items. • Communicable diseases affect a higher percentage of paediatric patients than adults increasing the likelihood of cross infection. Improvements & Achievements 2017/18 • Development and implementation of a new Infection Prevention and Control Work Plan as a reporting system for the work undertaken by the Infection Prevention and Control Team and reported through to the Trust Board, CQAC, CQPG and IPCC. • Rationalisation of the cleaning and disinfecting products used within the Trust through a quality improvement and evaluation process. • Root Causes Analysis (RCA) process introduced for all Trust acquired MSSA, E.coli, Klebsiella and Pseudomonas bacteraemia to examine and highlight identification of lessons learned to inform improvement processes across the Trust. • Introduction of the ‘OneTogether’ programme into Theatres to improve infection prevention and control processes which are monitored through the Surgical Site infection Surveillance Action plan, Theatre Safety Board and IPCC. • Integration of Alder Hey into the Wider Health Economy from an infection prevention and control perspective both regionally and nationally including Gram negative blood stream infection work and Intravenous Forum work. • Commencement of the National Paediatric Special Interest Group (SIG) supported by the Infection Prevention Society (IPS) incorporating Infection Prevention and Control, Tissue Viability, Intravenous Therapy and Infection Diseases. • Introduction of an electronic Alert system on Meditech to monitor Alert Organisms to replace the paper based system. • Checklist developed and used by IPCT to ensure appropriate investigation into hospital acquired diarrhoea; plan to produce posters for wards to replicate this. • A gap analysis for the new Public Health England Toolkit for reducing E. coli bacteraemia was undertaken and actions have been added to the IPC Work Plan. • Commencement of a sepsis nurse to audit compliance with sepsis management. • SSI surveillance for K-wires insertion commenced. Results to be discussed with the surgeons before being distributed Trust wide. • Successful amalgamation of Infection Prevention and Control, Tissue Viability and Intravenous teams as one collaborative team. Alder Hey Children’s NHS Foundation Trust 108 Annual Report & Accounts 2017/18
Total No. of Hospital Acquired Infections 160 140 120 100 80 60 2014//15 2015/16 2016/17 2017/18 40 20 0 2014/15 2015/16 2016/17 2017/18 Graph shows a consistent year on year reduction in Hospital Acquired Infections, from 147 in 2014/15 to 80 in 2017/18, i.e. a reduction of 46% Future Plans • Plans to be drawn up and incorporated into the 2018/19 IPC work plan, to incorporate strategies to integrate Community staff, premises and education into the IPC audit and educational plan. • Co-ordination of the First Paediatrics SIG Conference in September 2018. • Roll out of use of hand hygiene audit app (introduced originally on PICU and HDU) throughout the Trust. • Investigation of all Hospital acquired cases of Influenza and RSV during the winter season to ascertain if they could have been prevented and reporting back to the clinical teams the hospital acquired RSV and Influenza A rates by 1000 bed days • Audit of compliance with NICE guideline 139 (baseline review of urinary catheter management) • Business case to be presented for three ultra violet machines for the enhancement of the deep cleaning and PPM processes throughout the Trust. • Business case to be presented for new ‘Cephaid’ machine for rapid identification of carbapenamase producing organisms therefore freeing up isolation cubicles. • Surgical Site Infection surveillance to be expanded to incorporate all inpatient surgical procedures. • To examine and update the Isolation policy incorporating the most up to date research and best practice available and benchmarking the policy against other Paediatric Specialist Hospitals in the country. • To explore and develop a process across the whole Trust to monitor Central Vascular Line (CVL) data per 1000 catheter days and to benchmark these rates against other Paediatric Specialist Hospitals in the country. Further details of improvement plans are captured in the Infection Prevention & Control Work Plan which will continue to be rolled out in 2018/19. Alder Hey Children’s NHS Foundation Trust 109 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
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EXIT PACKAGES 2016/17 Exit Package
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As in 2016, we surveyed all staff i
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Page 98 and 99: The Quality Account deals with rese
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Page 120 and 121: F. The Alder Play App Aims: • To
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Page 134 and 135: 3.3.8 Peri-operative Care The focus
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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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