AH ANNUAL REPORT 2018

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STATEMENT OF CHANGES IN EQUITY FOR THE YEAR ENDED 31 MARCH <strong>2018</strong> Public Dividend Capital £000 Revaluation Reserve £000 Income and Expenditure Reserve £000 Total £000 Taxpayers’ Equity at 1 April 2017 - Brought Forward 45,745 5,670 13,641 65,056 Surplus for the Year - - 6,008 6,008 Other Transfers Between Reserves - (69) 69 - Impairments - (4,728) - (4,728) Revaluations 1,218 - 1,218 Public Dividend Capital Received 5,338 - - 5,338 Taxpayers’ and Others’ Equity at 31 March <strong>2018</strong> 51,083 2,091 19,718 72,892 STATEMENT OF CHANGES IN EQUITY FOR THE YEAR ENDED 31 MARCH 2017 Public Dividend Capital £000 Revaluation Reserve £000 Income and Expenditure Reserve £000 Total £000 Taxpayers’ Equity at 1 April 2016 - Brought Forward 45,745 1,042 11,043 57,830 Surplus for the Year - - 2,582 2,582 Other Transfers Between Reserves - (14) 14 - Impairments - - - - Revaluations - 4,644 - 4,644 Transfer to Retained Earnings on Disposal of Assets - (2) 2 - Taxpayers’ and Others’ Equity at 31 March 2017 45,745 5,670 13,641 65,056 Information on Reserves Public Dividend Capital Public dividend capital (PDC) is a type of public sector equity finance based on the excess of assets over liabilities at the time of establishment of the predecessor NHS organisation. Additional PDC may also be issued to trusts by the Department of Health and Social Care. A charge, reflecting the cost of capital utilised by the trust, is payable to the Department of Health as the public dividend capital dividend. Revaluation Reserve Increases in asset values arising from revaluations are recognised in the revaluation reserve, except where, and to the extent that, they reverse impairments previously recognised in operating expenses, in which case they are recognised in operating income. Subsequent downward movements in asset valuations are charged to the revaluation reserve to the extent that a previous gain was recognised unless the downward movement represents a clear consumption of economic benefit or a reduction in service potential. Income and Expenditure Reserve The balance of this reserve is the accumulated surpluses and deficits of the trust. Alder Hey Children’s NHS Foundation Trust 160 Annual Report & Accounts 2017/18
STATEMENT OF CASH FLOWS Cash Flows from Operating Activities Note 2017/18 £000 2016/17 £000 Operating Surplus/(Deficit) 16,486 12,948 Non-Cash Income and Expense: Depreciation and Amortisation 5.1 8,084 7,390 Net Impairments 6 18,631 2,239 Income Recognised in Respect Of Capital Donations 4 (4,681) (2,704) Amortisation of PFI Deferred Credit (137) (137) (Increase)/Decrease in Receivables and Other Assets (18,429) (6,519) (Increase)/Decrease in Inventories (182) 191 Increase/(Decrease) in Payables and Other Liabilities 2,315 (5,917) Increase/(Decrease) in Provisions 57 (594) Other Movements in Operating Cash Flows - - Net Cash Generated from Operating Activities 22,144 6,897 Cash Flows from Investing Activities Interest Received 30 28 Purchase and Sale of Financial Assets / Investments (450) - Purchase of Intangible Assets (2,308) (1,247) Sales of Intangible Assets - - Purchase of Property, Plant, Equipment and Investment Property (11,374) (5,046) Sales of Property, Plant, Equipment and Investment Property 111 1,009 Receipt of Cash Donations to Purchase Capital Assets 4,426 1,368 Net Cash Used in Investing Activities (9,565) (3,888) Cash Flows from Financing Activities Public Dividend Capital Received 5,338 - Movement on Loans from the Department of Health and Social Care 769 6,234 Capital Element of Finance Lease Rental Payments (88) (44) Capital Element of PFI, LIFT and Other Service Concession Payments (2,070) (2,044) Interest Paid on Finance Lease Liabilities (7) (4) Interest Paid on PFI, LIFT and Other Service Concession Obligations (8,648) (8,719) Other Interest Paid (1,031) (1,067) PDC Dividend Paid (1,110) (1,400) Net Cash Used in Financing Activities (6,847) (7,044) Increase/(Decrease) in Cash and Cash Equivalents 5,732 (4,035) Cash and Cash Equivalents at 1 April - Brought Forward 6,516 10,551 Cash and Cash Equivalents Transferred Under Absorption Accounting 35 (4) - Cash and Cash Equivalents at 31 March 22 12,244 6,516 Alder Hey Children’s NHS Foundation Trust 161 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
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in improved ward to board reporting
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Clinical Incidents Reported 2013/14
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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 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 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
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AH ANNUAL REPORT 2018

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