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Ensuring Children with Protected                       3.3.2.1 Other Examples of Engaging
        Characteristics are not Disadvantaged                  Children and Families in Improving
        Through any Service Development                        Quality and Developing Services
        Proposals

                                                               Alder Hey Children’s NHS Foundation Trust is
                                                               committed to providing children and young people and
          Aim: To ensure all transformation projects consider   their families/carers with the best possible experience
          the potential impact of the proposed improvement     during their time under our care. An important aspect
          on patients with protected characteristics           of identifying the areas where we need to improve is to
                                                               understand the patients’ views of our services and how
          Targets:                                             they rate their experience of the services we provide.
                                                               We have adopted a number of different means for
          • All proposed transformation projects will include
                                                               capturing this information, as identified below.
            a Quality Impact Assessment and an Equality
            Analysis.
                                                               The Trust has adopted a wide range of methods to
                                                               capture feedback including Family & Friends Test which
          Outcomes - 2017/18:
                                                               provides a broad measure of patient experience which
          • 25 out of 29 projects have a QIA and EA            can be used alongside other data that is collected,
            completed.                                         including through our ward accreditation programme
                                                               – ‘Journey to the Stars’, PLACE inspections, plus a
          Data source: Trust Programme Board project           listening event co-ordinated by our local Healthwatch
          tracker                                              organisations. Collection and aggregation of this data

                                                               allows us to identify key themes and trends.

        The Trust recognises the importance of meeting its     The data collection process is strongly supported by
        public sector equality duties and the potential risks   our team of volunteers who are trained in the use of an
        of inadvertently excluding or disadvantaging some      electronic tablet as part of their induction and support
        members of our patient population.                     the patient experience team in gathering the feedback
                                                               electronically and in real time.
        We are committed to ensuring all service development
                                                               A. Improvements in Acute Asthma
        proposals consider the potential impact on all of
        our children and young people, including those with    Pathway
        protected characteristics, and their families.

        By the end of March 2018, there were 29 active
        projects, 25 of which had a Quality Impact Assessment   Aims:
        and an Equality Analysis completed
                                                                • To make asthma care at Alder Hey the most
                                                                  evidence-based, patient-centred pathway in the
        Improvements                                              world
        • Redesigned Quality Impact Assessment (QIA) and        • To reduce the length of stay, and reduce hospital
          Equality Analysis (EA) forms                            admissions
        • Included a mandatory section in service development
                                                                Outcomes
          initiation documents describing how children and
          families are involved and affected                    • Co-designed new pathway with parents
        • Tracked compliance with completion of QIA and EA      • Reduced frequency of steroid treatment from 3
          through Trust Programme Board                           times per day to once per day

        Future Plans                                            • Reduced side effects of treatment
                                                                • Reduced frequency of exposure to X-rays from
        • Refer to Section 3.3.10 Equality & Diversity to see     30% asthmatic children to 8%
          plans to further improve compliance with public
          sector equality duties.                               • Reduced costs of medication by 90%










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