AH ANNUAL REPORT 2018

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Expenditure Operating expenses totalled £248.1m for the year and as in previous years, staff costs account for the largest use of resources, 60%. An analysis of operating expenses by type is shown in the chart: Clinical Negligence 2% Depreciation 3% Impairments 7% Drugs 8% Other 9% Supplies and Services 11% Employee Expenses 60% Financial and Operating Risk A&E activity, outpatients and non-electives exceeded plan for the year whereas electives were below plan. Total clinical income for the year was £213.4m, which exceeded the plan figure by £8.9m. Total normalised expenditure (excluding technical issues) for the year was £236.1m which was £6.5m higher than the plan of £229.6m. Expenditure on pay exceeded the plan by £3.4m which included agency staff totalling £1.6m although this is partly offset by vacancies in substantive posts. Drugs expenditure was £3.2m higher than planned although some of this was recovered via income for specialist drugs not funded through Payment by Results. £7.6m of cost improvements (CIP) and efficiency savings were achieved during the year. Capital Investment Programme During the year the Trust completed £16.8m of capital investments which will significantly improve services for both patients and staff. A summary of capital investment undertaken in the year is provided in the table below: Capital Investment Scheme Estates Investment Benefit from Activities Includes interim and retained estates associated with hospital move and demolition. Value £'000 1,519 Further progress on the Research and Education building Phase 2. 9,266 Information Technology Investment in IM&T including GDE and Electronic Patient Record costs. 3,526 Medical Equipment Investment in medical equipment inclusive of equipment replacement cycle. 1,503 Finance leases taken out for essential medical equipment - defibrillators and vitrectomy 353 Alder Hey in the Park New hospital non-medical equipment and site development costs. 634 Total Capital Investment 2017/18 16,801 ESTATES INFORMATION TECHNOLOGY MEDICAL EQUIPMENT ALDER HEY IN THE PARK 1,519,000 9,266,000 3,526,000 1,503,000 353,000 634,000 Interim / retained estates / hospital move Progress on the Research and Education building Investment in IM&T Investment in medical equipment Finance leases for essential medical equipment Non-medical equipment and site development TOTAL CAPITAL INVESTMENT 2017/18 IS 16,801,000 Alder Hey Children’s NHS Foundation Trust 24 Annual Report & Accounts 2017/18
Better Payments Practice Code – Measure of Compliance In line with other public sector bodies, NHS organisations are required to pay invoices within 30 days or within the agreed payment terms whichever is sooner. This is known as the Better Payment Practice Code. NHS trusts are required to ensure that at least 95% of invoices are dealt with in line with this code. Performance against this code is provided in the table below. % of Invoices Paid Within 30 Days Accounting Policies 2017/18 2016/17 88% 84% There have been no significant changes to our accounting policies since authorisation as a foundation trust. We have complied with the cost allocated and charging requirements set out in HM Treasury and Office of Public Sector Information guidance and followed the NHS costing manual and best practice guidance published by NHS Improvement. The Finance Department works with all financially significant departments to use the activity information available within the Trust and an established NHS costing package to appropriately allocate expenditure to services and patients. GOING CONCERN The Trust’s financial plan for 2017/18 will achieve a ‘normalised surplus’ of £22m and achieve a Use of Resources rating of 1. After making enquiries, the directors have a reasonable expectation that the Alder Hey Children’s NHS Foundation Trust has adequate resources to continue in operational existence for the foreseeable future. For this reason, they continue to adopt the going concern basis in preparing the accounts. POST BALANCE SHEET EVENTS There are no material contingent liabilities or material litigation as far as the Board is aware; to the extent that if there is potential litigation it is believed that this will be covered by the NHS Litigation Authority. For these reasons, the Trust continues to adopt the going concern basis in preparing the accounts. BOARD STATEMENT The Directors consider that the Annual Report and Accounts, taken as a whole, are fair, balanced and understandable and provide the information necessary for patients, regulators and stakeholders to assess Alder Hey’s performance, business model and strategy. The Board of Directors approved the foregoing Performance Report at its meeting on 22nd May <strong>2018</strong>. Signed on behalf of the Board. Louise Shepherd LOUISE SHEPHERD CBE Chief Executive 22nd May <strong>2018</strong> Alder Hey Children’s NHS Foundation Trust 25 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 22 and 23: Regulatory Ratings NHS Improvement
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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