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