AH ANNUAL REPORT 2018

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Regulatory Ratings NHS Improvement uses metrics to assess financial performance by scoring each metric from 1 (best) to 4. The Trust has achieved an overall Use of Resources rating of 1 which is better than the planned rating of 2. The breakdown of our rating is provided below. Criterion Measure Weighting 2017/18 Metric 2017/18 UOR Liquidity (Days) Capital Service Cover Shows Ratio of Liquid Assets to Total Assets Shows Revenue Available for Capital Service 20% 30.56 1 20% 2.6 1 I&E Margin Shows Underlying Performance 20% 8.46% 1 I&E Variance Agency Use of Resources Rating Shows Performance Against Plan Shows Agency Spend Performance Against Ceiling 20% 8.40% 1 20% -55.96% 1 1 Income Total income received by the Trust in the year ended 31st March <strong>2018</strong> was £264m with £213m (81%) coming from the delivery of clinical services. The Trust’s clinical income comes from three main contracts. Our principal contract is with NHS England to provide tertiary services with a value of £127m. The Trust also has a contract hosted by Liverpool CCG to provide secondary services with a value of £55m. In addition the Trust has a contract with Welsh commissioners to provide secondary and tertiary services with a value of £15m. The £51m non-clinical income includes STF, donations from charities, education and training levies, research activities, services provided to other organisations and commercial activities such as the provision of catering services. Income by Source 2017/18 Non- Clinical Income £51m 19% 81% Clinical Income £213m Alder Hey Children’s NHS Foundation Trust 22 Annual Report & Accounts 2017/18
Income Breakdown (£000s) Clinical: Local Authorities, 974 Clinical: Non-NHS, 15,180 Clinical: Other, 3,157 Research and Development, 4,548 Education and Training Clinical: CCGs and NHS England, 193,882 Other, 46,520 Clinical: NHS FTs, 268 7,765 8,234 8,345 Other Income 22,176 Non-Patient Care Services to Other Bodies Donation and Grant Clinical NHS Trusts, 30 Clinical Income by Point of Delivery 2017/18 £'000 2016/17 £'000 Elective Income 46,527 43,313 Non-Elective Income 37,489 31,373 Outpatient Income 25,925 26,165 A&E Income 6,057 5,103 Private Patient Income 434 309 Clinical Income by Point of Delivery totals 213.491 192,037 2017/18 2016/17 Community and Mental Health 22,476 20,280 Critical Care 26,487 24,875 Drugs and Devices 23,995 19,892 Other 24,101 20,727 Total 213,491 192,037 Alder Hey Children’s NHS Foundation Trust 23 Annual Report & Accounts 2017/18
Page 1: A E H E LD Y R ANNUAL REPORT & ACCO
Page 4 and 5: ©2018 Alder Hey Children’s NHS F
Page 6 and 7: A MESSAGE FROM OUR CHAIR AND CHIEF
Page 8 and 9: PERFORMANCE REPORT OVERVIEW The fol
Page 10 and 11: Teenage Cancer Trust Honorary Patro
Page 12 and 13: OUR CQC RATINGS The Trust’s curre
Page 14 and 15: • Applied clinical research perfo
Page 16 and 17: The Trust’s performance against n
Page 18 and 19: ‘Alder Play’ A new approach to
Page 20 and 21: KEY RISKS TO DELIVERY IN 2017/18 Th
Page 24 and 25: Expenditure Operating expenses tota
Page 26 and 27: ALDER HEY USES MRI/ CT DATA TO CREA
Page 28 and 29: Louise Shepherd CBE - Chief Executi
Page 30 and 31: Mags Barnaby - Interim Chief Operat
Page 32 and 33: NHS IMPROVEMENT’S WELL LED FRAMEW
Page 34 and 35: Clinical Educators The Trust has ag
Page 36 and 37: All complainants are offered the op
Page 38 and 39: have resulted in Memoranda of Under
Page 40 and 41: The Community Cluster Developed wit
Page 42 and 43: Alder Hey’s collaborative campaig
Page 44 and 45: accordance with Non-Executive remun
Page 46 and 47: (R) Indicates that the individual i
Page 48 and 49: SALARY AND PENSION ENTITLEMENTS OF
Page 50 and 51: STAFF REPORT Analysis of Trust staf
Page 52 and 53: approach to internal materials and
Page 54 and 55: EXIT PACKAGES 2016/17 Exit Package
Page 56 and 57: As in 2016, we surveyed all staff i
Page 58 and 59: NHS FOUNDATION TRUST CODE OF GOVERN
Page 60 and 61: Governor Constituency Class Term of
Page 62 and 63: Throughout our membership activitie
Page 64 and 65: Attendance at Board of Directors an
Page 66 and 67: External Audit In April 2017 new re
Page 68 and 69: Segmentation Alder Hey has been pla
Page 70 and 71: STATEMENT OF THE CHIEF EXECUTIVE’
Page 72 and 73:
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
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3.3.2 PRIORITY 2 - Increase Engagem
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Are you: 95 17% 8 1% Parent/Carer P
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• Improved the quality of room bo
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When a child has an asthma attack t
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The awards and review schedule is h
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F. The Alder Play App Aims: • To
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Developing a System of 7 Day Workin
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of staff and governors, assess each
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• Working with external organisat
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the Tate Exchange programme during
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experience. Medication errors are t
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• To complete and roll out the ne
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3.3.8 Peri-operative Care The focus
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3.3.9 Best in Operative Care The Be
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Improvements: • Increased the Bla
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and continues to work towards findi
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In November 2017, the National Qual
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3.3.14 Management of Complaints and
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Target or Indicator (per 2013/14 Ri
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I would recommend the Trust’s app
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Commentary from Clinical Commission
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STATEMENT OF DIRECTORS’ RESPONSIB
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• feedback from local Healthwatch
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AN EVENING CELEBRATING THE PASSION,
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STATEMENT OF COMPREHENSIVE INCOME N
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STATEMENT OF CHANGES IN EQUITY FOR
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NOTES TO THE ACCOUNTS 1. ACCOUNTING
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1.6 Expenditure on Other Goods and
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of Financial Position’ by the tru
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through the expected life of the fi
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Exchange gains or losses on monetar
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3.3 Overseas Visitors (Relating to
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5.1 Operating Expenses 2017/18 £00
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7.1 Retirements Due to Ill-Health D
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11. FINANCE EXPENDITURE Finance exp
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15. PROPERTY, PLANT AND EQUIPMENT 1
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15.3 Property, Plant and Equipment
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20. TRADE RECEIVABLES AND OTHER REC
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24. OTHER LIABILITIES 26. FINANCE L
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30. OTHER FINANCIAL COMMITMENTS The
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32.2 Carrying Values of Financial A
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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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