AH ANNUAL REPORT 2018

Recommendations

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3.3.2 PRIORITY 2 – Increase Engagement of Children, Young People and Families in Improving Quality and Developing Services The Trust has made significant efforts to increase the engagement and involvement of our children and families in many areas of improvement across the organisation, including: • Improvements in outpatients • Ensuring children with protected characteristics are not disadvantaged through any service development proposals Improvements in Outpatients Aim: The delivery of an excellent outpatient service to every patient, on time, every time Targets: 1. Reduce the PALS concerns relating to phlebotomy waiting times by 50% by March <strong>2018</strong> Baseline: 8 Target: 4 2. Improve the FFT rating for extremely/likely to recommend the Alder Hey Outpatients department Baseline: 93% Target: 98% 3. Reduction in short term staff absence by 300 days by March <strong>2018</strong> Baseline: 1,764 days lost Target: 1,464 days lost Outcomes: 1. PALS concerns relating to phlebotomy reduced to 4 in the year, i.e. 50% reduction. 2. FFT rating fluctuated widely each month between 91.4% and 97.7% patients/families who would recommend Alder Hey outpatients department 3. Short term staff absence reduced by 499 days to 1,265 days lost. The Improving Outpatients project was established in 2016/17 following the Care Quality Commission (CQC) inspection in 2015. In 2017/18, the second year of the project continued with a focus on “Experience in Outpatients” and aimed to deliver an excellent outpatient service, building on previous achievements with a clear focus on increasing patient and family satisfaction as well as staff engagement and wellbeing. Feedback from patients and staff highlighted several opportunities for improvement: • Limited opportunity for patients to feedback their experience and often, limited detail provided • Booking rooms for outpatient clinics is complex and often delayed setting up of clinic session • Waiting and congestion in phlebotomy area resulted in delays and increased stress for both patients and staff • Very busy fracture clinic with poor flow, blockages and delays, including in the plaster room • Limited play and distraction provided in outpatient areas • Staff morale low with significant days lost through staff sickness. The work placed specific focus on delivering a safe system of booking patient appointments, an effective workforce delivery high quality patient care every time and digital improvements in line with the Global Digital Exemplar (GDE) project. Many of the improvements utilised Listening into Action (LiA) methodolgy to place specific focus on the issue, and involve the right people in agreeing the solution, ensuring the patient was at the heart of the improvement. Alder Hey Children’s NHS Foundation Trust 110 Annual Report & Accounts 2017/18
Improvements • Developed and implemented a monthly OPD specific Patient Survey, incorporating the existing OPD Family and Friends Test to improve quality of patient feedback Friends & Family Test: October and Outpatient This report was generated on 14/11/17. The report has been filtered to show the responses for “October and Outpatient”. Overall 566 respondents completed this questionnaire. How likely are you to recommend our hospital to friends and family? (FFT) How likely are you to recommend our hospital to friends and family? Extremely Likely Likely Neither likely nor unlikely Unlikely Extremely unlikely Don’t know Total 566 433 77% 109 19% 10 2% 3 1% 7 1% 4 1% Ward /Department/Clinic: Outpatients (OPD) Ground Floor 226 40% 173 31% 41 7% 5 1% - - 4 1% 3 1% Physiotherapy 11 2% 10 2% 1 0% - - - - - - - - Psychological Services 1 0% 1 0% - - - - - - - - - - Radiology 20 4% 16 3% 3 1% - - - - 1 0% - - Rainbow Centre 5 1% 4 1% 1 0% - - - - - - - - Occupational Therapy 8 1% 7 1% 1 0% - - - - - - - - Not Recorded 10 2% 5 1% 4 1% - - 1 0% - - - - Phlebotomy (Bloods) 19 3% 16 3% 2 0% 1 0% - - - - - - OPD (Level 1) 84 15% 57 10% 23 4% 3 1% - - 1 0% - - OPD (Level 2) 169 30% 133 23% 31 5% 1 0% 2 0% 1 0% 1 0% Fracture Clinic 169 30% 11 2% 2 0% - - - - - - - - Examples of the monthly FFT tests gathered in the Outpatient Department Alder Hey Children’s NHS Foundation Trust 111 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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NHS FOUNDATION TRUST CODE OF GOVERN
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Page 64 and 65: Attendance at Board of Directors an
Page 66 and 67: External Audit In April 2017 new re
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Page 70 and 71: STATEMENT OF THE CHIEF EXECUTIVE’
Page 72 and 73: During the year the Trust sustained
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Page 76 and 77: organisation’s ability to continu
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Page 80 and 81: THE YOUNG PEOPLE’S CANCER UNIT RE
Page 82 and 83: PART 2: PRIORITIES FOR IMPROVEMENT
Page 84 and 85: 2.1.2 Quality Improvements in 2017/
Page 86 and 87: National Confidential Enquiries Par
Page 88 and 89: 2.2.4 Actions arising from Local Cl
Page 90 and 91: Local Audit Retrospective Audit of
Page 92 and 93: Local Audit How often are high ferr
Page 94 and 95: Local Audit Emollient and bath pack
Page 96 and 97: Local Audit Has the introduction of
Page 98 and 99: The Quality Account deals with rese
Page 100 and 101: Indicator Indicator Description Tar
Page 102 and 103: • A Data Quality dashboard is emb
Page 104 and 105: in improved ward to board reporting
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Page 108 and 109: Reducing Hospital Acquired Infectio
Page 112 and 113: Are you: 95 17% 8 1% Parent/Carer P
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Page 116 and 117: When a child has an asthma attack t
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Page 120 and 121: F. The Alder Play App Aims: • To
Page 122 and 123: Developing a System of 7 Day Workin
Page 124 and 125: of staff and governors, assess each
Page 126 and 127: • Working with external organisat
Page 128 and 129: the Tate Exchange programme during
Page 130 and 131: experience. Medication errors are t
Page 132 and 133: • To complete and roll out the ne
Page 134 and 135: 3.3.8 Peri-operative Care The focus
Page 136 and 137: 3.3.9 Best in Operative Care The Be
Page 138 and 139: Improvements: • Increased the Bla
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Page 142 and 143: In November 2017, the National Qual
Page 144 and 145: 3.3.14 Management of Complaints and
Page 146 and 147: Target or Indicator (per 2013/14 Ri
Page 148 and 149: I would recommend the Trust’s app
Page 150 and 151: Commentary from Clinical Commission
Page 152 and 153: STATEMENT OF DIRECTORS’ RESPONSIB
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Page 156 and 157: AN EVENING CELEBRATING THE PASSION,
Page 158 and 159: 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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