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CONCLUSION                                             Notes:


        Based on the results of our procedures, nothing has    1. The maintenance and integrity of the Alder Hey
                                                                 Children’s Hospital NHS Foundation Trust’s web
        come to our attention that causes us to believe that, for
                                                                 site is the responsibility of the directors; the work
        the year ended 31 March 2018:
                                                                 carried out by Ernst & Young LLP does not involve
        • the Quality Report is not prepared in all material     consideration of these matters and, accordingly,
          respects in line with the criteria set out in the NHS   Ernst & Young LLP accept no responsibility for any
          Foundation Trust Annual Reporting Manual 2017/18       changes that may have occurred to the Quality
          and the Detailed requirements for quality reports      Report since it was initially presented on the web
          2017/18 published in January 2018 (updated in          site.
          February 2018) issued by NHS Improvement
                                                               2. Legislation in the United Kingdom governing the
        • the Quality Report is not consistent in all material   preparation and dissemination of financial statement
          respects with the sources specified, and               may differ from legislation in other jurisdictions.
        • the indicators in the Quality Report subject to
          limited assurance have not been reasonably stated
          in all material respects in accordance with NHS
          Foundation Trust Annual Reporting Manual 2017/18
          and the Detailed requirements for quality reports
          2017/18 published in January 2018 (updated in
          February 2018) issued by NHS Improvement.

        Ernst & Young LLP

        ERNST & YOUNG LLP
        Manchester
        25th February 2018






















































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