AH ANNUAL REPORT 2018

Recommendations

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• feedback from local Healthwatch organisations, dated 11 May 2018 • the trust’s complaints report published under regulation 18 of the Local Authority Social Services and NHS Complaints Regulations 2009, dated quarterly throughout 2017/18 • the latest national patient survey, dated November 2017 • the latest national staff survey, dated 2017 • Care Quality Commission inspection, dated October 2017 • the Head of Internal Audit’s annual opinion over the trust’s control environment, dated April 2018, and • any other information included in our review. We consider the implications for our report if we become aware of any apparent misstatements or material inconsistencies with those documents (collectively, the ‘documents’). Our responsibilities do not extend to any other information. We are in compliance with the applicable independence and competency requirements of the Institute of Chartered Accountants in England and Wales (ICAEW) Code of Ethics. Our team comprised assurance practitioners and relevant subject matter experts. This report, including the conclusion, has been prepared solely for the Council of Governors of Alder Hey Children’s Hospital Foundation Trust as a body, to assist the Council of Governors in reporting Alder Hey Children’s Hospital Foundation Trust’s quality agenda, performance and activities. We permit the disclosure of this report within the Annual Report for the year ended 31 March 2018, to enable the Council of Governors to demonstrate they have discharged their governance responsibilities by commissioning an independent assurance report in connection with the indicators. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the Council of Governors as a body and Alder Hey Children’s Hospital NHS Foundation Trust for our work or this report, except where terms are expressly agreed and with our prior consent in writing. ASSURANCE WORK PERFORMED We conducted this limited assurance engagement in accordance with International Standard on Assurance Engagements 3000 (Revised) – ‘Assurance Engagements other than Audits or Reviews of Historical Financial Information’, issued by the International Auditing and Assurance Standards Board (‘ISAE 3000’). Our limited assurance procedures included, but were not limited to: • evaluating the design and implementation of the key processes and controls for managing and reporting the indicators • making enquiries of management • limited testing, on a selective basis, of the data used to calculate the indicator back to supporting documentation • comparing the content requirements of the ‘NHS Foundation Trust Annual Reporting Manual 2017/18’ to the categories reported in the Quality Report. • reading the documents. The objective of a limited assurance engagement is to perform such procedure as to obtain information and explanations in order to provide us with sufficient appropriate evidence to express a negative conclusion on the Quality Report. The procedures performed in a limited assurance engagement vary in nature and timing from, and are less in extent than for, a reasonable assurance engagement. Consequently the level of assurance obtained in a limited assurance engagement is substantively lower than the assurance that would have been obtained has a reasonable assurance engagement been performed. INHERENT LIMITATIONS Non-financial performance information is subject to more inherent limitation than financial information, given the characteristics of the subject matter and the methods used for determining such information. The absence of a significant body of established practice on which to draw allows for the selection of different, but acceptable measurement techniques which can result in materially different measurements and can affect comparability. The precision of different measurement techniques may also vary. Furthermore, the nature and methods used to determine such information, as well as the measurement in the context of the criteria set out in the ‘NHS Foundation Trust Annual Reporting Manual 2017/18’ and supporting guidance. The scope of our assurance work has not included governance over quality or non-mandated indicators, which have been determined locally by Alder Hey Children’s Hospital NHS Foundation Trust. Alder Hey Children’s NHS Foundation Trust 154 Annual Report & Accounts 2017/18
CONCLUSION Based on the results of our procedures, nothing has come to our attention that causes us to believe that, for the year ended 31 March 2018: • the Quality Report is not prepared in all material respects in line with the criteria set out in the NHS Foundation Trust Annual Reporting Manual 2017/18 and the Detailed requirements for quality reports 2017/18 published in January 2018 (updated in February 2018) issued by NHS Improvement • the Quality Report is not consistent in all material respects with the sources specified, and • the indicators in the Quality Report subject to limited assurance have not been reasonably stated in all material respects in accordance with NHS Foundation Trust Annual Reporting Manual 2017/18 and the Detailed requirements for quality reports 2017/18 published in January 2018 (updated in February 2018) issued by NHS Improvement. Notes: 1. The maintenance and integrity of the Alder Hey Children’s Hospital NHS Foundation Trust’s web site is the responsibility of the directors; the work carried out by Ernst & Young LLP does not involve consideration of these matters and, accordingly, Ernst & Young LLP accept no responsibility for any changes that may have occurred to the Quality Report since it was initially presented on the web site. 2. Legislation in the United Kingdom governing the preparation and dissemination of financial statement may differ from legislation in other jurisdictions. Ernst & Young LLP ERNST & YOUNG LLP Manchester 25th February 2018 Alder Hey Children’s NHS Foundation Trust 155 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
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• A Data Quality dashboard is emb
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
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 152 and 153: STATEMENT OF DIRECTORS’ RESPONSIB
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 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
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AH ANNUAL REPORT 2018

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