AH ANNUAL REPORT 2018

Recommendations

Info

and continues to work towards finding a solution. Proposed plan is to pilot transitioning one patient, and delivering joint paediatric and adult physiotherapy to support training and development for adult services • Presented AHFT Transition work at Greater Manchester Health and well-being board and have been identified as key players and invited to return to the group in March 2018 • Become members to represent AHFT at the National transition network • Invited to present AHFT at National AQuA event in March 2018 • Presented at AHFT Grand Round • Working closely with community paediatricians to address service gaps for ADHD/ASD patients moving to adult services, and prescribing issues with GP’s • After working in partnership with AQuA two years ago on developing a paediatric friendly ‘Ask 3 Questions’ the draft versions have been received for comments, we have given feedback and are awaiting confirmation to implement. We have requested Alder Hey’s logo to go onto these documents 3.3.12 Learning Disability Strategy Aims: • To improve the experience of children with a Learning Disability (LD) and/ or Autistic Spectrum Condition (ASC). • Improve Trust’s ability to identify children with a LD/ASC and respond to their needs through the provision of reasonable adjustments (Equality Act 2010). • Raise awareness of LD/ASC amongst staff through bespoke training. • To build upon service user/carer and partnership involvement in the LD/ASC strategy across the trust. Approximately 1.5 million people in the UK have a learning disability (LD), including approximately 286,000 children. Research shows that men with a LD die 13 years sooner than peers, and women die 20 years sooner than peers. In partnership with Edge Hill University and supported by commissioners, Alder Hey has made significant improvements to the LD pathway. Reasons for Change Front page of transition website at www.10stepstransition.org.uk Future Plans for 2018/19 • Further develop work on transition of patients with complex conditions as per CQUIN for 2018/19 • Implement the transition folder for children with a long term condition, to hold all their transition specific information in and their personal transition plan • Planning a third National Transition Conference, to be delivered in partnership with Lancashire, Manchester, NW Coast SCN, MHT, Claire House and Alder Hey, as a North West approach to Transition to be held in June 2018 • Development of a ‘capacity, decision making and best interest’ information leaflet in partnership with Edge Hill University • Continue to implement Transition specialty by specialty Trust wide. Children and Young people with LD can present to any service or specialty in the hospital and community. The Trust recognises the need to identify this group of children as early as possible to ensure the provision of reasonable adjustments (Equality Act 2010) to support their timely and successful access to healthcare, and promote the best experience possible. Following cessation of the Trust agreed CQUIN (Commissioning for Quality and Innovation) which was designed to improve aspects of the LD pathway and access to care, the Trust has made significant progress in meeting the needs of this population. In January 2018 a full time acute liaison team was formed to continue to drive the LD/ASC agenda forward in the trust. This team will continue to build on improvements and will contribute to the ongoing partnership work across Liverpool via the Acute Liaison Network that has continued post CQUIN hosted by Liverpool CCG. Alder Hey Children’s NHS Foundation Trust 140 Annual Report & Accounts 2017/18
Improvements • Continued long term secondment agreement (5 years) for the Consultant LD nurse post • Formation of LD/ASC liaison team which will include - Full time LD liaison nurse - Part-time play specialist - Part-time admin support - Part-time LD nurse contribution (across site, released from clinical areas) to team • 4 LD nurse appointments within the Trust across clinical areas • Established Learning Disability and Autistic Spectrum Condition Steering Group • Established parent and child reference groups to support steering group and trust consultation (Millstead, Bank View and Redbridge schools) • Established partnerships with voluntary and independent sector organisations e.g. Contact a Family, Autism Together • Ongoing participation in CCG hosted Liverpool Acute Liaison Network • Mandatory training LD awareness e-learning pack rolled out • Ongoing training – e.g. Learning disability and ASC awareness via induction training for all volunteers and nurses that is the pan-Liverpool LD health training pack (used in all acute sites in Liverpool – developed with Liverpool Mencap as part of the Liverpool Acute Liaison Network) • Ongoing risk assessment/ mental health first aid and Positive Behaviour Support (PBS) training across the trust (rolling programme available to all areas) • Ongoing autism awareness training for all staff provided by Autism Together • Developed LD indicator for easy LD identification on Meditech (Trust wide computer system) • Developed ‘LD champions’ training and new champions identified • Developed LD resource pack and pilot in clinical areas - including pathways • Pilot of hospital passport/ risk assessment and reasonable adjustment tools as per Liverpool acute liaison Network strategy • Developed academic and practice links across Edge Hill University and Alder Hey children’s hospital to support student journey/experiences and ultimately recruitment for the Trust. Future Plans • Continued development of the five day acute liaison service across site (LD nurse workload model and supervision) • Trust strategy to have an LD trained nurse on every ward. Further recruitment planned • Continued development of LD/ASC steering group and parent/ child reference groups • Development of Alder Hey information pack for children and families with LD/ASC in conjunction with Liverpool network • Continued roll out of hospital passport, a one page profile, communication passport • Continued attendance and benchmarking across Liverpool acute network and nationally re best practice • Further implementation of risk assessment and reasonable adjustment tools across the Trust • Continued rolling programme of training across all clinical areas - bespoke training planned for clinical areas where requested • Implementation of toy library proposals - across site access to sensory and specialist toys for all children with LD and additional sensory needs • Continue development of LD champions and resources • Continue to support clinical areas in the development of specific pathways for children with LD/ASC • Improve external communication with families e.g. through electronic/media etc. • Develop further the use and availability of communication tools across areas to increase staff awareness. • Continued identification of research streams and dissemination of best practice across professional networks e.g. LD Consultant Nurse Network , Learning Disability Research Network. 3.3.13 Nurse Staffing Aims: • To have zero nursing vacancies. • To sustain a Nurse Pool to cover maternity leave and long term sick cover and fill ward/department vacancies. • To have a proactive recruitment campaign. • To have a nursing workforce who have the right skills and receive the right training for the job. Changes or deficiencies in the nursing workforce can have a detrimental impact on the quality of care. Patient outcomes, and particularly safety, are improved when organisations have the right people, with the right skills, in the right place at the right time. Alder Hey Children’s NHS Foundation Trust 141 Annual Report & Accounts 2017/18
Page 1:
A E H E LD Y R ANNUAL REPORT & ACCO
Page 4 and 5:
©2018 Alder Hey Children’s NHS F
Page 6 and 7:
A MESSAGE FROM OUR CHAIR AND CHIEF
Page 8 and 9:
PERFORMANCE REPORT OVERVIEW The fol
Page 10 and 11:
Teenage Cancer Trust Honorary Patro
Page 12 and 13:
OUR CQC RATINGS The Trust’s curre
Page 14 and 15:
• Applied clinical research perfo
Page 16 and 17:
The Trust’s performance against n
Page 18 and 19:
‘Alder Play’ A new approach to
Page 20 and 21:
KEY RISKS TO DELIVERY IN 2017/18 Th
Page 22 and 23:
Regulatory Ratings NHS Improvement
Page 24 and 25:
Expenditure Operating expenses tota
Page 26 and 27:
ALDER HEY USES MRI/ CT DATA TO CREA
Page 28 and 29:
Louise Shepherd CBE - Chief Executi
Page 30 and 31:
Mags Barnaby - Interim Chief Operat
Page 32 and 33:
NHS IMPROVEMENT’S WELL LED FRAMEW
Page 34 and 35:
Clinical Educators The Trust has ag
Page 36 and 37:
All complainants are offered the op
Page 38 and 39:
have resulted in Memoranda of Under
Page 40 and 41:
The Community Cluster Developed wit
Page 42 and 43:
Alder Hey’s collaborative campaig
Page 44 and 45:
accordance with Non-Executive remun
Page 46 and 47:
(R) Indicates that the individual i
Page 48 and 49:
SALARY AND PENSION ENTITLEMENTS OF
Page 50 and 51:
STAFF REPORT Analysis of Trust staf
Page 52 and 53:
approach to internal materials and
Page 54 and 55:
EXIT PACKAGES 2016/17 Exit Package
Page 56 and 57:
As in 2016, we surveyed all staff i
Page 58 and 59:
NHS FOUNDATION TRUST CODE OF GOVERN
Page 60 and 61:
Governor Constituency Class Term of
Page 62 and 63:
Throughout our membership activitie
Page 64 and 65:
Attendance at Board of Directors an
Page 66 and 67:
External Audit In April 2017 new re
Page 68 and 69:
Segmentation Alder Hey has been pla
Page 70 and 71:
STATEMENT OF THE CHIEF EXECUTIVE’
Page 72 and 73:
During the year the Trust sustained
Page 74 and 75:
The Divisions report against CQC Fu
Page 76 and 77:
organisation’s ability to continu
Page 78 and 79:
Nursing, Deputy Director of Nursing
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
Page 106 and 107: Clinical Incidents Reported 2013/14
Page 108 and 109: Reducing Hospital Acquired Infectio
Page 110 and 111: 3.3.2 PRIORITY 2 - Increase Engagem
Page 112 and 113: Are you: 95 17% 8 1% Parent/Carer P
Page 114 and 115: • Improved the quality of room bo
Page 116 and 117: When a child has an asthma attack t
Page 118 and 119: The awards and review schedule is h
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
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
Page 154 and 155: • feedback from local Healthwatch
Page 156 and 157: AN EVENING CELEBRATING THE PASSION,
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
Page 164 and 165: 1.6 Expenditure on Other Goods and
Page 166 and 167: of Financial Position’ by the tru
Page 168 and 169: through the expected life of the fi
Page 170 and 171: Exchange gains or losses on monetar
Page 172 and 173: 3.3 Overseas Visitors (Relating to
Page 174 and 175: 5.1 Operating Expenses 2017/18 £00
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
Page 184 and 185: 20. TRADE RECEIVABLES AND OTHER REC
Page 186 and 187: 24. OTHER LIABILITIES 26. FINANCE L
Page 188 and 189: 30. OTHER FINANCIAL COMMITMENTS The
Page 190 and 191:
32.2 Carrying Values of Financial A
Page 192 and 193:
32.5 Maturity of Financial Liabilit
Page 194 and 195:
34. RELATED PARTIES (CONT’D) In a
Page 196 and 197:
KEY AUDIT MATTERS Key audit matters
Page 198 and 199:
AN OVERVIEW OF THE SCOPE OF OUR AUD
Page 200 and 201:
“A matter is significant if, in t
Page 202:
Alder Hey received visits from both
show all

AH ANNUAL REPORT 2018

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?