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2.2.7 Statements from the Care The Trust received a short notice inspection one
Quality Commission (CQC) core service – Community paediatrics – and an
unannounced inspection of four other core services –
Alder Hey is required to register with the Care Quality Critical Care, End of Life, Outpatients and Diagnostics
Commission and its current registration is in place – in February 2018. It also underwent a comprehensive
for the following regulated activities: diagnostic and well led review. The outcome of this inspection is
screening procedures, surgical procedures, treatment awaited.
of disease, disorder or injury and assessment or
medical treatment for persons detained under the 1983 Outstanding Care
Act. Alder Hey remains registered without conditions.

The Care Quality Commission has not taken any
enforcement action against Alder Hey during 2017/18.

CQC undertook a national thematic review of CAMH
services, focusing on 10 sites across the country, of
which Liverpool was one. Alder Hey in collaboration
with partner agencies took part in this review which
found:

• Knowledge of the pathways amongst GPs and
A&E Departments needs to be developed via the
partnership 2.2.8 Data Quality
• The myriad of entry points to the pathway are not Alder Hey Children’s NHS Foundation Trust submitted
always clear to all referrers and it may be confusing records during 2017/18 to the Secondary Users Service
what the role and function of each partner is for inclusion in the Hospital Episode Statistics which are
• All partners need to ensure their websites and included in the latest published data.
published ‘offers’ are valid and current. There was
evidence however of partnership agreements being The percentage of records in the published data which
developed. included patient’s valid NHS Number was:

• There are opportunities for more seamless • 99.9% for admitted patient care;
contracting arrangements across the partnership • 100 % for outpatient care;
• Data sharing and multiple systems that don’t speak to • 99.7% for accident and emergency care.
each other was seen as problematic although it was
acknowledged that there is a commitment to develop The percentage of records in the published data which
this and evidence such as data sharing agreements included patient’s valid General Medical Registration
in place Code was:
• Funding challenges were acknowledged and noted • 100% for admitted patient care
• Website excellent source of information however • 99.9% for outpatient care;
needs more promotion across all partners in the city.
• 100% for accident and emergency care
In response to the national report, Alder Hey has
Alder Hey Children’s NHS Foundation Trust will be
suggested strengthening the governance and
taking the following actions to improve data quality:
contracting arrangements for the Liverpool partnership
and is keen to play a lead role in this. • A suite of data quality reports will continue to be run
daily and weekly to ensure data is monitored and
Alder Hey received an unannounced inspection of three corrected where necessary.
of its core services in April 2017 – Community CAMHS,
• Ongoing work is monitored by the Data Quality
Surgical care and Medicine – together with a well Steering Group which meets monthly
led review. The reports resulting from this inspection
were published in October 2017 and the Trust • Continue to work closely with the Information
developed a detailed action plan in response to the Department to identify any data issues or areas
recommendations. This plan has been monitored on a of data weakness, which will be investigated and
monthly basis by the Trust’s Clinical Quality Assurance remedial action agreed.
Committee and Integrated Governance Committee. • The Data Quality policy has been updated to include
escalation process for “repeat offenders” who
continue to make mistakes when recording data

Alder Hey Children’s NHS Foundation Trust 101 Annual Report & Accounts 2017/18