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“A matter is significant if, in the auditor’s professional   The maintenance and integrity of the Alder Hey
        view, it is reasonable to conclude that the matter would   Children’s NHS Foundation Trust web site is the
        be of interest to the audited body or the wider public.   responsibility of the directors; the work carried out by
        Significance has both qualitative and quantitative     the auditors does not involve consideration of these
        aspects.”                                              matters and, accordingly, the auditors accept no
                                                               responsibility for any changes that may have occurred
        Our risk assessment supports the planning of sufficient   to the financial statements since they were initially
        work to enable us to deliver a safe conclusion on      presented on the web site.
        arrangements to secure value for money and enables
        us to determine the nature and extent of further       Legislation in the United Kingdom governing the
        work that may be required. If we do not identify any   preparation and dissemination of financial statements
        significant risk there is no requirement to carry out   may differ from legislation in other jurisdictions.
        further work. Our risk assessment considers both
        the potential financial impact of the issues we have
        identified, and also the likelihood that the issue will be
        of interest to local taxpayers, the Government and other
        stakeholders.
        CERTIFICATE


        We certify that we have completed the audit of the
        financial statements of Alder Hey Children’s NHS
        Foundation Trust in accordance with the requirements
        of Chapter 5 of Part 2 of the National Health Service
        Act 2006 and the Code of Audit Practice issued by the
        National Audit Office on behalf of the Comptroller and
        Auditor General (C&AG).

        Hassan Rohimun


        HASSAN ROHIMUN
        For and on behalf of Ernst & Young
        LLP Manchester
        25th May 2018




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