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AH ANNUAL REPORT 2018

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Ensuring Children with Protected<br />

Characteristics are not Disadvantaged<br />

Through any Service Development<br />

Proposals<br />

Aim: To ensure all transformation projects consider<br />

the potential impact of the proposed improvement<br />

on patients with protected characteristics<br />

Targets:<br />

• All proposed transformation projects will include<br />

a Quality Impact Assessment and an Equality<br />

Analysis.<br />

Outcomes - 2017/18:<br />

• 25 out of 29 projects have a QIA and EA<br />

completed.<br />

Data source: Trust Programme Board project<br />

tracker<br />

The Trust recognises the importance of meeting its<br />

public sector equality duties and the potential risks<br />

of inadvertently excluding or disadvantaging some<br />

members of our patient population.<br />

We are committed to ensuring all service development<br />

proposals consider the potential impact on all of<br />

our children and young people, including those with<br />

protected characteristics, and their families.<br />

By the end of March <strong>2018</strong>, there were 29 active<br />

projects, 25 of which had a Quality Impact Assessment<br />

and an Equality Analysis completed<br />

Improvements<br />

• Redesigned Quality Impact Assessment (QIA) and<br />

Equality Analysis (EA) forms<br />

• Included a mandatory section in service development<br />

initiation documents describing how children and<br />

families are involved and affected<br />

• Tracked compliance with completion of QIA and EA<br />

through Trust Programme Board<br />

Future Plans<br />

• Refer to Section 3.3.10 Equality & Diversity to see<br />

plans to further improve compliance with public<br />

sector equality duties.<br />

3.3.2.1 Other Examples of Engaging<br />

Children and Families in Improving<br />

Quality and Developing Services<br />

Alder Hey Children’s NHS Foundation Trust is<br />

committed to providing children and young people and<br />

their families/carers with the best possible experience<br />

during their time under our care. An important aspect<br />

of identifying the areas where we need to improve is to<br />

understand the patients’ views of our services and how<br />

they rate their experience of the services we provide.<br />

We have adopted a number of different means for<br />

capturing this information, as identified below.<br />

The Trust has adopted a wide range of methods to<br />

capture feedback including Family & Friends Test which<br />

provides a broad measure of patient experience which<br />

can be used alongside other data that is collected,<br />

including through our ward accreditation programme<br />

– ‘Journey to the Stars’, PLACE inspections, plus a<br />

listening event co-ordinated by our local Healthwatch<br />

organisations. Collection and aggregation of this data<br />

allows us to identify key themes and trends.<br />

The data collection process is strongly supported by<br />

our team of volunteers who are trained in the use of an<br />

electronic tablet as part of their induction and support<br />

the patient experience team in gathering the feedback<br />

electronically and in real time.<br />

A. Improvements in Acute Asthma<br />

Pathway<br />

Aims:<br />

• To make asthma care at Alder Hey the most<br />

evidence-based, patient-centred pathway in the<br />

world<br />

• To reduce the length of stay, and reduce hospital<br />

admissions<br />

Outcomes<br />

• Co-designed new pathway with parents<br />

• Reduced frequency of steroid treatment from 3<br />

times per day to once per day<br />

• Reduced side effects of treatment<br />

• Reduced frequency of exposure to X-rays from<br />

30% asthmatic children to 8%<br />

• Reduced costs of medication by 90%<br />

Alder Hey Children’s NHS Foundation Trust 115<br />

Annual Report & Accounts 2017/18

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