AH ANNUAL REPORT 2018

Recommendations

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Target or Indicator (per 2013/14 Risk Assessment Framework) Threshold National Performance Qtr1 Qtr2 Qtr3 Qtr4 Staff Survey Results: % of Staff Experiencing Harassment, Bullying or Abuse from Staff in the Last 12 Months ⁷ Staff Survey Results: % Believing That Trust Provides Equal Opportunities for Career Progression or Promotion for the Workforce Race Equality Standard ⁷ Rate of Patient Safety Incidents per 1000 Bed Days ⁸ 24% 21% 85.2% 81% 56 75 75 68 76 Total Patient Safety Incidents and the Percentage that result in Severe Harm or Death ⁸ 0.22% 1302 (0.15%) 1290 (0.08%) 1215 (0.16%) 1424 (0.14%) Diagnostics: % Waiting Under 6 Weeks > 99% 98.6% 9 100% 100% 100% 99.9% NOTE: Unless otherwise indicated, the data in the table above has been obtained from the local Patient Administration Service to enable the Trust to provide the most recent available data. Most of this data is accessible through the NHS England website. ¹ Specialist Trusts are excluded from SHMI reporting. ² C Diff Rates based on Specialist Trusts rate for Qtr 1-3 2017/18 as per HED benchmarking analysis Qtr 4 rate represents 1 incident of C difficile in the quarter. This was the only reported case for 2017/18. ³ National Performance based on most recent published data for Feb 2018, NHSE website. ₄ National Performance is based on most recent published Quarter 3 data for 2017/18, NHSE website. ⁵ A&E National Performance based on most recent published data for Feb 2018, NHSE website. ⁶ Data source: Trust Patient Administration System – not published nationally. ⁷ Data source: 2017 Staff Survey http://www.nhsstaffsurveyresults.com/key-findings-by-trust-type/ (national performance based on performance within the ‘Acute Specialist’ Sector group). ⁸ Data source: Trust Incident Reporting System (Ulysses) – national data is based on most recent available data (Apr17- Sep17) NRLS data for Acute Specialist Trusts https://improvement.nhs.uk/resources/organisation-patient-safety-incident-reports-21- march-2018/. ⁹ Diagnostics national performance based on most recently published data (February 2018) https://www.england.nhs.uk/statistics/ wp-content/uploads/sites/2/2018/04/DWTA-Report-February-2018.pdf. Alder Hey Children’s NHS Foundation Trust considers that this data is as described for the following reasons. • The indicators are subject to a regular schedule of audit comprising completeness and accuracy checks which are reported monthly via the Data Quality Steering Group The Trust is taking the following actions to improve the scores and so the quality of its services, by: • Continuing to review and refresh the Infection Control Delivery Plan. • Placing significant resource and effort into Winter Planning to predict and mitigate peak activity weeks, so as to improve patient flow throughout the hospital and deliver improvement in the A&E targets For all other indicators the trust is maintaining and improving current performance where possible. Alder Hey Children’s NHS Foundation Trust 146 Annual Report & Accounts 2017/18
APPENDIX 2: ALDER HEY STRATEGIC VISION AND AIMS ‘PLAN ON A PAGE’ STATEMENTS ON THE QUALITY REPORT BY PARTNER ORGANISATIONS Commentary from Governors “I am satisfied that this thorough report addresses areas of development by monitoring action plans, targets and outcomes closely, using reliable evidential bases and statistics. The aim at Alder Hey is to be world class in every aspect of providing high quality medical and health care to children and young people. All concerns are addressed with considered action and a full understanding of the real issues involved. Complaints are taken seriously and the voices of children, parents and carers guide service development. I am confident that this report reflects the remarkable efforts staff are making on their journey to meet milestones and excel in their practice. I am happy to commend this report.” Councillor Barbara Murray – Appointed Governor, Liverpool City Council “Thank you for giving me the opportunity to comment on what is a very thorough and comprehensive quality report. There are two specific areas which are of special interest to me; • One, the involvement of children in the development of quality and services - which is an achievement identified for 2017/18 in the quality improvements progress update and • The participation in clinical audit both nationally and locally. The Trust is clearly committed to involvement across a whole range of clinical specialities and demonstrates wholehearted participation in work which better identifies outcomes and the quality of care given to our patients. Alder Hey Children’s NHS Foundation Trust 147 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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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
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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 140 and 141: and continues to work towards findi
Page 142 and 143: In November 2017, the National Qual
Page 144 and 145: 3.3.14 Management of Complaints and
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
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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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