AH ANNUAL REPORT 2018

Recommendations

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Improvements: • Increased the Black and Minority Ethnic (BME) representation in the workforce from 190 to 222, representing a 0.7% increase (refer to Section 3.3.4 for details). • Developed induction training package for all volunteers and nurses in Learning Disability and Autistic Spectrum Condition awareness. • Developed a flag on hospital computer system for easy identification of patients with a learning disability. • Developed risk assessment/Mental Health First Aid training for all areas across the Trust. • Adopted a collaborative approach with several Trusts in close partnership with Merseyside Clinical Commissioning Groups to improve existing Equality Delivery System (EDS2) outcomes, with Alder Hey focussing on EDS2 goals 1 and 2 (patients). This work is ongoing and will identify priorities for 2018/19. • EDS2 goal 3 (workforce) is supported by the Trust staff BME Network and the Disability Network that represent the views of these staff groups. The BME network also supports the progress of the Workforce Race Equality Standard (WRES) action plan. • The Trust continues to be a member of the community advisory group. • Implemented the self-service aspects of the employee staff record (ESR), thereby providing staff with greater control over their personal data including demographic data. • Published our first gender pay gap report. • The Trust has provided for British Sign Language Video Remote Interpreting (VRI) located in the Emergency and Outpatient departments, available to all staff. This provides instant BSL interpretation services when required. Future Plans • Establish an Equality and Diversity Steering Group. This will enable the Trust to continually monitor performance responding to evolving contractual and legislative requirements and the priorities identified by stakeholders. • Continue to improve the quality of patient and staff data particularly in terms of capturing protected characteristics. • Continue to improve the quality of equality analysis (EA) and strengthen the assurance process regarding EA and to provide support to project and policy leads to ensure lawful decision making. • Research to identify barriers to accessing services will be undertaken through engagement with stakeholders in the community • Explore how our services can be made more accessible in relation to information formats and communication support for families and recording these preferences on patient records • Further work collaboratively with commissioners and local Trusts to broaden opportunities to engage with different community groups to progress the Trust’s equality objectives. • Continue to make training opportunities in cultural competence and unconscious bias available for staff. • Undertake a detailed analysis of the results of the Gender Pay Gap Report and take steps to reduce the gender pay gap. 3.3.11 Improving the Transition from Children and Young People Services to Adult Services 2017/18 Aim: To establish a good quality, safe, effective and seamless transition to adult services, for children with complex long term conditions. Transition to adult services (transition) is defined as “a purposeful, planned process that addresses the medical, psychosocial and educational/vocational needs of adolescents and young people with [long term] conditions as they move from child-centred to adult-oriented health care systems’ (DfES 2006). Transition to adult services ensures that young people are able to access the most appropriate services according to their age, developmental needs and the nature of their long term condition. If young people are not adequately supported through transition they may not engage with adult health care providers, and this increases the risk of deterioration of their long term condition. Transition to adult services can be a traumatic period for young people, who commonly fall between services or ‘disappear’ during transition, disengaging from services and becoming lost to follow up, only to present later in life with potentially avoidable complications. Additionally, if young people remain inappropriately in children’s services there is less capacity within the Trust for younger children and babies. Alder Hey Children’s NHS Foundation Trust 138 Annual Report & Accounts 2017/18
Achievements in 2017/18 • North West Multi-organisational Transition Network founded and chaired by AHFT • Planned and delivered a national transition conference at Alder Hey 29th June 2017 attended by over 100 delegates. Excellent evaluations • Won award for £3,200 from Vertex to support the development of a five minute patient transition story/ film • Delivery of Multi-organisational transition training by AHFT (including social care and Education), over 30 hourly sessions delivered • National engagement and attendance at Alder Hey from other Trusts interested in improving transition developments • Ratification of Trust Transition policy • Secured a two year 2017-2019 CQUIN from NHSE planning transition for young people with neurodisabilities, achieved all milestones Q1-Q3 and expected to achieve all in Q4 • Development of draft 10 steps transition programmes, health information passports and transition care plans for all young people 14 years plus who have complex neuro-disabilities • Delivery of non-clinical transition preparation clinics for young people with complex neuro-disabilities • Implementation of transition preparation into a further four specialities 2017/18 • Worked with information technology team towards identifying a sensitive, reliable and reproducible method for identifying any patients of transitional age • Transition embedded into patient electronic records - Meditech 6 - go live 26/02/18 • Transition map updated • Development of transition dashboard/report • Transition applied to Trust incident reporting electronic system - Ulysses • Commenced work with two large Liverpool GP practices to re-engage GP’s in the transition of their patients • Newsletter continued to share transition information Trust wide • Working with innovation hub on a number of projects to support transition (APP & OBLIGE OMEGA) • Development of the 10 steps transition patient folder • Continued support for research CLAHRC and PhD student researching AHFT 10 steps transition • Presented and engaged with two large GP practices in Liverpool around transition of their patients who have complex neuro-disabilities, and ADHD/ASD where there is a service gap between 16-18 years • Continue to engage with schools - EHCP planning for young people with complex neuro-disabilities • Support for day placements for student nurses • Presented at C&YP and parents forums twice this year to engage and receive their feedback on transition work and patient information leaflets • Business case developed for the continuation of transition nurse lead role • Won an award of £75K from The Health Foundation to continue to develop the Carer Skills Passport which is a key enabler for transition of complex neurodisability patients (www.carerskillspassport.org.uk ) • Distributed ‘banner pens’ with 10 steps Transition pathway information incorporated into pen • Held a number of stands promoting Transition in hospital atrium • Presented transition and a Carer Skills passport stands free of charge at the Manchester Kidz to Adultz event • Development of a Trust ‘Consent and confidentiality’ patient information leaflet in partnership with Edge Hill University • Completed an equality and diversity self-assessment against Trust transition policy and met all requirements • Met and shared 10 steps transition pathway, AHFT work to date and given contact details of Transition team with Liverpool Hope and John Moores Universities if they require any support and advice regarding young people transitioning to their establishment • Self-assessed against the Your Welcome standards and achieved • Developed a works team to develop a pathway for YP with complex neuro-disabilities from paediatric specialist respiratory physiotherapy to adult respiratory physiotherapy, this includes representation from paediatric and adult commissioners, physiotherapy service managers, and service managers. This remains operational Alder Hey Children’s NHS Foundation Trust 139 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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Governor Constituency Class Term of
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Throughout our membership activitie
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Attendance at Board of Directors an
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External Audit In April 2017 new re
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Segmentation Alder Hey has been pla
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STATEMENT OF THE CHIEF EXECUTIVE’
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During the year the Trust sustained
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The Divisions report against CQC Fu
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organisation’s ability to continu
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Nursing, Deputy Director of Nursing
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THE YOUNG PEOPLE’S CANCER UNIT RE
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PART 2: PRIORITIES FOR IMPROVEMENT
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2.1.2 Quality Improvements in 2017/
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National Confidential Enquiries Par
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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
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Page 102 and 103: • A Data Quality dashboard is emb
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Page 108 and 109: Reducing Hospital Acquired Infectio
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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
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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
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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
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Page 154 and 155: • feedback from local Healthwatch
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Page 158 and 159: STATEMENT OF COMPREHENSIVE INCOME N
Page 160 and 161: STATEMENT OF CHANGES IN EQUITY FOR
Page 162 and 163: NOTES TO THE ACCOUNTS 1. ACCOUNTING
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Page 172 and 173: 3.3 Overseas Visitors (Relating to
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Page 176 and 177: 7.1 Retirements Due to Ill-Health D
Page 178 and 179: 11. FINANCE EXPENDITURE Finance exp
Page 180 and 181: 15. PROPERTY, PLANT AND EQUIPMENT 1
Page 182 and 183: 15.3 Property, Plant and Equipment
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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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