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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

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