AH ANNUAL REPORT 2018

Recommendations

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3.3.14 Management of Complaints and Concerns The model of devolved governance implemented through the quality strategy is intended to drive early supportive intervention by the relevant clinical teams & Divisions so that children, young people and their families/carers have the best experience, with any issues raised locally being dealt with immediately and appropriately. Whilst formal complaints have increased in year, the overall trend from 4 years ago remains positive. When compared to activity levels, the number of complaints represents 0.025% of hospital attendances. PALS attendances have also increased this year. When compared to activity levels the number of PALS attendances represents 0.4% of hospital attendances in the year. Formal Complaints 2013/ 14 2014/ 15 2015/ 16 2016/ 17 2017/ 18 166 134 70 66 83 PALS 1248 1133 1246 1294 1349 Improvements • Further embedding of the model of devolved governance to drive early supportive intervention by the relevant clinical teams/Divisions • Complaints and PALS update now form part of a Divisional quality dashboard report provided monthly to the Clinical Quality Steering Group • Appointed to new role of Head of Quality for corporate services, with expertise in management of complaints. Future Plans • Improve training for clinical teams In <strong>2018</strong>/19 there will be bespoke training for clinical teams relating to “managing concerns and complaints”. This will aim to support staff in effectively handling parents/carers/children’s concerns and finding resolution in the clinical area before there is escalation of this formally. • Keeping records of local concerns Staff will log local concerns in Ulysses so there is a full understanding of issues being raised at ward and department level. • Improve learning from complaints Learning from complaints will be one of the year’s objectives, to understand how we can compassionately and with consideration share the complaints raised and ensure Trust staff are aware of any actions we have implemented to ensure these issues do not occur again. Alder Hey Children’s NHS Foundation Trust 144 Annual Report & Accounts 2017/18
APPENDIX 1: <strong>REPORT</strong>ING AGAINST CORE INDICATORS Target or Indicator Threshold National Performance Qtr1 Qtr2 Qtr3 Qtr4 Summary Hospital level Mortality Indicator (SHMI) ¹ n/a n/a n/a n/a n/a n/a C. Difficile Numbers - Due to Lapses in Care C. Difficile - Rates per 100,000 Bed Days 0 0 0 0 0 0 14.4 ² 0 0 5.8 0 18 Week RTT Target Open Pathways (Patients Still Waiting for Treatment) 92% 87.9% ³ 92% 92% 92% 92% All Cancers: Two Week GP Referrals All Cancers: One Month Diagnosis (Decision to Treat) to Treatment All Cancers: 31 Day Wait Until Subsequent Treatments 100% 94.9% ₄ 100% 100% 97% 100% 100% 97.7% ₄ 96% 100% 96% 100% 100% 97.7% ₄ 100% 100% 100% 100% A&E - Total Time in A&E (95th Percentile)
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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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2.2.4 Actions arising from Local Cl
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Local Audit Retrospective Audit of
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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
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Page 104 and 105: in improved ward to board reporting
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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
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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 140 and 141: and continues to work towards findi
Page 142 and 143: In November 2017, the National Qual
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
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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
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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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