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INDEPENDENT AUDITORS REPORT TO THE COUNCIL
        OF GOVERNORS OF ALDER HEY CHILDREN’S NHS

        FOUNDATION TRUST ON THE QUALITY REPORT



                                                               RESPECTIVE
        We have been engaged by the council of governors of
        Alder Hey Children’s Hospital NHS Foundation Trust     RESPONSIBILITIES OF THE
        (“The Trust”) to perform an independent assurance      DIRECTORS AND ERNST &
        engagement in respect of Alder Hey Children’s Hospital
        NHS Foundation Trust quality report for the year       YOUNG LLP
        ended 31 March 2018 (the ‘Quality Report’) and certain
        performance indicators contained therein.              The directors are responsible for the content and
                                                               the preparation of the quality report in accordance
        This report is made solely to the Trust’s Council      with the criteria set out in the ‘NHS Foundation Trust
        of Governors, as a body, in accordance with our        Annual Reporting Manual 2017/18’ issued by NHS
        engagement letter dated 23/04/2018. We permit the      Improvement.
        disclosure of this report within the Annual Report for
        the year ended 31 March 2018 to enable to Council of   Our responsibility is to form a conclusion, based on
        Governors to demonstrate that they have discharged     limited assurance procedures, whether anything has
        their governance responsibilities by commissioning an   come to our attention that causes us to believe that:
        independent assurance report in connection with these   • the quality report is not prepared in all material
        indicators.                                             respects in lie with the criteria set out in the ‘NHS
                                                                Foundation Trust Annual Reporting Manual 2017/18’,
        To the fullest extent permitted by law, we do not accept   which is supported by NHS Improvement’s Detailed
        or assume responsibility to anyone other than the Trust   Requirements for quality reports 2017/18.
        and the Trust’s Council of Governors as a body, for our
                                                               • the quality report is not consistent in all material
        examination, for this report, or for the conclusions we
                                                                respects with the sources detailed in Section 2.1 of
        have formed.
                                                                the ‘Detailed guidance for external assurance on
                                                                quality reports 2017/18’ and
        Our work has been undertaken so that we might report
        to the Council of Governors on those matters that      • the indicators in the quality report identified as
        we have agreed to state to them in this report and for   having been the subject of limited assurance in the
        no other purpose. Our report must not be recited or     quality report are not reasonably stated in all material
        referred to in whole or in part in any other document   aspects in accordance with the ‘NHS Foundation
        nor made available, copied or recited to any other      Trust Annual Reporting Manual 2017/18’ and
        party, in any circumstances, without our express prior   supporting guidance and the six dimensions of data
        written permission. This engagement is separate to,     quality set out in the ‘Detailed guidance for external
        and distinct from, our appointment as the auditors to   assurance on quality reports 2017/18’.
        the Trust.
                                                               We read the Quality Report and consider whether
        SCOPE AND SUBJECT                                      it addresses the content requirements of the ‘NHS
        MATTER                                                 Foundation Trust Annual Reporting Manual 2017/18’
                                                               and supporting guidance, and consider the implications
        The indicators for the year ended 31 March 2018        for our report if we become aware of material
        subject to limited assurance consists of the national   omissions.
        priority indicators as mandated by NHS Improvement.
                                                               We read the other information contained in the quality
        • Percentage of patients within a total time in A&E of 4
                                                               report and consider whether it is materially inconsistent
          hours or less from arrival to admission
                                                               with the other information sources detailed in Section
        • Percentage of incomplete pathways with 18 weeks      2.1 of the ‘Detailed guidance for external assurance on
          for patients on incomplete pathways at the end of the   quality reports 2017/18’. These are:
          reporting period
                                                               • Board minutes for the period April 2017 to May 2018
        We refer to these national priority indicators collectively   • Papers relating to quality reported to the Board over
        as the ‘indicators’.                                    the period April 2017 to May 2018
                                                               • feedback from commissioners, dated 23 May 2018
                                                               • feedback from governors, dated 17 & 18 May 2018



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