AH ANNUAL REPORT 2018
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A MESSAGE FROM OUR<br />
CHAIR AND CHIEF<br />
EXECUTIVE<br />
2017/18 marked another eventful and successful<br />
year for Alder Hey. For us, it has been an honour and<br />
a privilege to lead such an outstanding organisation<br />
and marvel at the many achievements of our<br />
incredible staff.<br />
Thanks to the perseverance, dedication and hard<br />
work of our clinical and corporate teams, we again<br />
delivered a remarkable set of year-end results.<br />
This included meeting all nationally mandated<br />
standards and targets, as well as hitting our financial<br />
control total ahead of plan and thereby attracting<br />
additional funding to the Trust from our regulator<br />
NHS Improvement. Yet these achievements,<br />
although remarkable in the context of an NHS which<br />
continues to face unprecedented levels of financial<br />
pressure and challenge from increasing demand,<br />
are eclipsed by the day to day examples of our staff<br />
going the extra mile to provide the very best care to<br />
our children and young people. We are immensely<br />
proud of the way in which staff live the Trust’s values<br />
in all that they do, every day.<br />
We were greatly encouraged by the positive results<br />
of this year’s staff survey and this gives us much to<br />
build upon in the next 12 months, supported by our<br />
highly successful ‘Listening into Action’ initiative. A<br />
key focus for the Board has been to progress our<br />
Quality Improvement programme which lies at the<br />
centre of our Quality Strategy; we have seen the<br />
enthusiasm with which this is being embraced by<br />
the whole organisation through a myriad of quality<br />
initiatives – many of which are described in the<br />
Quality Report on page 81 of this document. We<br />
have seen measurable improvement across a range<br />
of our quality metrics, notably no avoidable factors<br />
found by the mortality reviews undertaken for all<br />
deaths in hospital; a further significant reduction in<br />
medication errors, bringing the total reduction since<br />
in the last three years to 75%; and a 46% reduction<br />
in the number of hospital acquired infections<br />
since 2014/15. The new style Quality Assurance<br />
Rounds which we introduced in September have<br />
been warmly welcomed by everyone who has<br />
been involved so far, as the process enables a real<br />
connection between Board members and the host<br />
team – the idea of ‘ward to board’ brought to life –<br />
which has been of huge value to us all.<br />
Alder Hey received two inspections by the Care<br />
Quality Commission during the year – in April 2017<br />
and again in February <strong>2018</strong>. On both occasions<br />
inspectors commented on the compassionate,<br />
child-focused care given by everyone they met<br />
and we continue to be rated as ‘outstanding’ in the<br />
Caring domain of the CQC’s fundamental standards.<br />
It remains our intention to provide outstanding care<br />
for all our patients across every domain and our<br />
ambition to achieve that rating for the whole Trust.<br />
As further testament to the regard in which<br />
Alder Hey is held, the Board was asked by NHS<br />
Improvement in May of 2017 to take on the<br />
management of Liverpool Community Health NHS<br />
Trust for a period of six months, whilst the final<br />
arrangements could be made for transition of its<br />
services to another provider. The Board was happy<br />
to lend its support to the excellent staff at LCH at<br />
a difficult time, as well as taking the opportunity to<br />
assist the local health system in the spirit of collegial<br />
working and shared goals across the service for the<br />
benefit of the local community.<br />
Again, we could not have taken on this additional<br />
role without complete confidence that our Alder<br />
Hey family was behind us, keeping the organisation<br />
running as smoothly as ever; the fact that this was<br />
the case is evident in the report that follows. It only<br />
remains for us to reiterate our enormous gratitude to<br />
the whole team for their unfaltering commitment.<br />
David Henshaw<br />
SIR DAVID HENSHAW<br />
Chairman<br />
Louise Shepherd<br />
LOUISE SHEPHERD CBE<br />
Chief Executive<br />
Alder Hey Children’s NHS Foundation Trust 6<br />
Annual Report & Accounts 2017/18