AH ANNUAL REPORT 2018

Recommendations

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2.1.2 Quality Improvements in 2017/18 – Progress Update The key priorities for improvement for 2017/18 were described in the 2016/17 Quality Account and focused on five priority areas each of which represented an improvement aim under the respective Quality domains as defined in the Quality Strategy, ‘Inspiring Quality’. These were agreed by the Trust Board as: 1. Further embed a safety culture throughout the organisation 2. Increase engagement of children, young people and families in improving quality and developing services. 3. Increase number of defined clinical care pathways across our clinical specialties. 4. Provide support that will enable our staff to feel valued and respected by the organisation and actively contribute to the organisation’s success 5. Continue to improve the environment to make it work for both patients and staff. Details of progress against these key priorities from 2017/18 is provided in Section 3 of this report. 2.2 STATEMENTS OF ASSURANCE FROM THE BOARD 2.2.1 Review of Services During 2017/18 Alder Hey Children’s NHS Foundation Trust provided 42 relevant health services. Alder Hey has reviewed all the data available to them on the quality of care in all of these relevant health services. The income generated by the relevant health services reviewed in 2017/18 represents 100% of the total income generated from the provision of relevant health services by Alder Hey for 2017/18. 2.2.2 Participation in Clinical Audits and National Confidential Enquiries Clinical Audit is a key aspect of assuring and developing effective clinical pathways and outcomes. National Clinical Audits are either funded by the Health Care Quality Improvement Partnership (HQIP) through the National Clinical Audit and Patient Outcomes Programme (NCAPOP) or funded through other means. Priorities for the NCAPOP are set by NHS England with advice from the National Clinical Audit Advisory Group (NCAAG). During the reporting period 1st April 2017 to 31st March 2018, 10 National Clinical Audits and five National Confidential Enquiries covered NHS services that Alder Hey Children’s NHS Foundation Trust provides. During that period Alder Hey Children’s NHS Foundation Trust participated in 100% (10 out of 10) National Clinical Audits and 100% (5 out of 5) National Confidential Enquiries of the National Clinical Audits and National Confidential Enquiries which it was eligible to participate in. The National Clinical Audits and National Confidential Enquiries that Alder Hey Children’s NHS Foundation Trust was eligible to participate in during the reporting period 1st April 2017 to 31st March 2018 are contained in the table below. The National Clinical Audits and National Confidential Enquiries that Alder Hey Children’s NHS Foundation Trust participated in, and for which data collection was completed during the reporting period 1st April 2017 to 31st March 2018, are listed below alongside the number of cases submitted to each audit or enquiry as a percentage of the number of registered cases required by the terms of that audit or enquiry. Alder Hey Children’s NHS Foundation Trust 84 Annual Report & Accounts 2017/18
National Audit Participation % Cases Submitted Children Paediatric Intensive Care (PICANet) Yes Submitted 962 cases, which was 100% of cases available. Potential Donor Audit (NHS Blood and Transplant) Pain in Children (Royal College of Emergency Medicine) Acute Care Severe Trauma (Trauma Audit and Research Network) Cardiac Cardiac Arrest (National Cardiac Arrest Audit) (NCAA) Paediatric Cardiac Surgery (National Institute for Cardiovascular Outcomes Research (NICOR Congenital Heart Disease Audit) Cardiac Arrhythmia (Cardiac Rhythm Management (CRM) Long Term Conditions Ulcerative Colitis and Crohn’s Disease (National IBD Audit) Biological Therapies Renal Replacement Therapy (UK Renal Registry) Yes Yes Yes Yes Yes Yes Yes Yes Not available at time of publication. Submitted 50 cases, which was 100% of cases available. Submitted 238 cases, which is 100% of cases available. Submitted 14 cases which was 100% of cases available. Submitted 816 cases, which was 100% of cases available. Data quality score 97.5%. Submitted 63 cases which was 100% of cases required for the audit sample. Submitted 408 cases, which was 100% of cases available. Data Collection Ongoing. The UKRR (United Kingdom Renal Registry) does not yet hold the final figures of patients for the 2017/2018 period as data are currently being submitted by units at different times. Alder Hey Children’s NHS Foundation Trust 85 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
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
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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
Page 74 and 75: The Divisions report against CQC Fu
Page 76 and 77: organisation’s ability to continu
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Page 80 and 81: THE YOUNG PEOPLE’S CANCER UNIT RE
Page 82 and 83: PART 2: PRIORITIES FOR IMPROVEMENT
Page 86 and 87: National Confidential Enquiries Par
Page 88 and 89: 2.2.4 Actions arising from Local Cl
Page 90 and 91: Local Audit Retrospective Audit of
Page 92 and 93: Local Audit How often are high ferr
Page 94 and 95: Local Audit Emollient and bath pack
Page 96 and 97: Local Audit Has the introduction of
Page 98 and 99: The Quality Account deals with rese
Page 100 and 101: Indicator Indicator Description Tar
Page 102 and 103: • A Data Quality dashboard is emb
Page 104 and 105: in improved ward to board reporting
Page 106 and 107: Clinical Incidents Reported 2013/14
Page 108 and 109: 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
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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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