AH ANNUAL REPORT 2018

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STATEMENT OF DIRECTORS’ RESPONSIBILITIES IN RESPECT OF THE QUALITY REPORT The directors are required under the Health Act 2009 and the National Health Service (Quality Accounts) Regulations to prepare Quality Accounts for each financial year. NHS Improvement has issued guidance to NHS foundation trust boards on the form and content of annual quality reports (which incorporate the above legal requirements) and on the arrangements that NHS foundation trust boards should put in place to support the data quality for the preparation of the quality report. In preparing the Quality Report, directors are required to take steps to satisfy themselves that: • the content of the Quality Report meets the requirements set out in the NHS foundation trust Annual Reporting Manual 2017/18 and supporting guidance • the content of the Quality Report is not inconsistent with internal and external sources of information including: - board minutes and papers for the period April 2017 to March 2018 - papers relating to quality reported to the board over the period April 2017 to March 2018 - feedback from commissioners dated 23rd May 2018 - feedback from governors dated 17th and 18th May 2018 - feedback from local Healthwatch organisations dated 11th and 23rd May 2018 - feedback from Overview and Scrutiny Committee dated – none received at the time of publication - the Trust’s complaints report published under regulation 18 of the Local Authority Social Services and NHS Complaints Regulations 2009, dated 05/09/17, 05/12/17, 06/03/18 and 16/05/18 (four quarterly reports) - the 2017 national patient survey - the 2017 national staff survey dated 6th March 2018 - the Head of Internal Audit’s annual opinion of the trust’s control environment dated April 2018 - CQC inspection report dated October 2017 • the Quality Report presents a balanced picture of the NHS foundation trust’s performance over the period covered • the performance information reported in the Quality Report is reliable and accurate • there are proper internal controls over the collection and reporting of the measures of performance included in the Quality Report, and these controls are subject to review to confirm that they are working effectively in practice • the data underpinning the measures of performance reported in the Quality Report is robust and reliable, conforms to specified data quality standards and prescribed definitions, is subject to appropriate scrutiny and review and the Quality Report has been prepared in accordance with NHS Improvement’s annual reporting manual and supporting guidance (which incorporates the Quality Accounts regulations) as well as the standards to support data quality for the preparation of the Quality Report. The directors confirm to the best of their knowledge and belief they have complied with the above requirements in preparing the Quality Report. By order of the Board. David Henshaw SIR DAVID HENSHAW Chairman 22nd May 2018 Louise Shepherd LOUISE SHEPHERD CBE Chief Executive Alder Hey Children’s NHS Foundation Trust 152 Annual Report & Accounts 2017/18
INDEPENDENT AUDITORS REPORT TO THE COUNCIL OF GOVERNORS OF ALDER HEY CHILDREN’S NHS FOUNDATION TRUST ON THE QUALITY REPORT We have been engaged by the council of governors of Alder Hey Children’s Hospital NHS Foundation Trust (“The Trust”) to perform an independent assurance engagement in respect of Alder Hey Children’s Hospital NHS Foundation Trust quality report for the year ended 31 March 2018 (the ‘Quality Report’) and certain performance indicators contained therein. This report is made solely to the Trust’s Council of Governors, as a body, in accordance with our engagement letter dated 23/04/2018. We permit the disclosure of this report within the Annual Report for the year ended 31 March 2018 to enable to Council of Governors to demonstrate that they have discharged their governance responsibilities by commissioning an independent assurance report in connection with these indicators. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the Trust and the Trust’s Council of Governors as a body, for our examination, for this report, or for the conclusions we have formed. Our work has been undertaken so that we might report to the Council of Governors on those matters that we have agreed to state to them in this report and for no other purpose. Our report must not be recited or referred to in whole or in part in any other document nor made available, copied or recited to any other party, in any circumstances, without our express prior written permission. This engagement is separate to, and distinct from, our appointment as the auditors to the Trust. SCOPE AND SUBJECT MATTER The indicators for the year ended 31 March 2018 subject to limited assurance consists of the national priority indicators as mandated by NHS Improvement. • Percentage of patients within a total time in A&E of 4 hours or less from arrival to admission • Percentage of incomplete pathways with 18 weeks for patients on incomplete pathways at the end of the reporting period We refer to these national priority indicators collectively as the ‘indicators’. RESPECTIVE RESPONSIBILITIES OF THE DIRECTORS AND ERNST & YOUNG LLP The directors are responsible for the content and the preparation of the quality report in accordance with the criteria set out in the ‘NHS Foundation Trust Annual Reporting Manual 2017/18’ issued by NHS Improvement. Our responsibility is to form a conclusion, based on limited assurance procedures, whether anything has come to our attention that causes us to believe that: • the quality report is not prepared in all material respects in lie with the criteria set out in the ‘NHS Foundation Trust Annual Reporting Manual 2017/18’, which is supported by NHS Improvement’s Detailed Requirements for quality reports 2017/18. • the quality report is not consistent in all material respects with the sources detailed in Section 2.1 of the ‘Detailed guidance for external assurance on quality reports 2017/18’ and • the indicators in the quality report identified as having been the subject of limited assurance in the quality report are not reasonably stated in all material aspects in accordance with the ‘NHS Foundation Trust Annual Reporting Manual 2017/18’ and supporting guidance and the six dimensions of data quality set out in the ‘Detailed guidance for external assurance on quality reports 2017/18’. We read the Quality Report and consider whether it addresses the content requirements of the ‘NHS Foundation Trust Annual Reporting Manual 2017/18’ and supporting guidance, and consider the implications for our report if we become aware of material omissions. We read the other information contained in the quality report and consider whether it is materially inconsistent with the other information sources detailed in Section 2.1 of the ‘Detailed guidance for external assurance on quality reports 2017/18’. These are: • Board minutes for the period April 2017 to May 2018 • Papers relating to quality reported to the Board over the period April 2017 to May 2018 • feedback from commissioners, dated 23 May 2018 • feedback from governors, dated 17 & 18 May 2018 Alder Hey Children’s NHS Foundation Trust 153 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
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Local Audit Has the introduction of
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The Quality Account deals with rese
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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 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 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
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Alder Hey received visits from both
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AH ANNUAL REPORT 2018

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