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All complainants are offered the opportunity to attend                              PALS
        a meeting to resolve their concerns or to receive a       2013/14
        written response. The complaint meeting is recorded                                 1248
        and a copy is provided to the family for their own        2014/15
        records. Subsequently, a response letter from the Chief                             1133
        Executive is sent to the complainant acknowledging        2015/16                   1246
        that the meeting has taken place and highlighting the
        actions that have been agreed in response to issues       2016/17                   1294
        raised.
                                                                  2017/18                   1349
        Learning from Complaints
                                                                              An increase of 4% in PALS queries is
        Alder Hey is a learning organisation and uses            Comments     noted this year – this is the third year
        complaints as a mechanism for taking forward                           that PALS contacts have increased.
        improvements and changes in practice. Actions taken
        as a result of complaints during 2017/18 were as
        follows:                                               Improvements
        • In response to a number of concerns highlighted      • Earlier intervention from senior staff at a local level to
          relating to mental health referrals the Trust has     address the concerns raised provides a much more
          devised a letter which will be sent out to parents on   supportive approach and better outcomes.
          receipt of referral acknowledging that their child is on
                                                               • High volume of concerns regarding poor access to
          the waiting list. The letter will also be an information   speak to staff on phone lines. The Chief Operating
          tool showing the pathway stages and potential wait
                                                                Officer has led a project looking at new system
          times for appointments. The letter also highlights
                                                                providing access to landline phones on mobile via a
          a number of third sector partners (local charities /
                                                                new Avaya application.
          voluntary sector) who may be able to provide support
                                                               STAKEHOLDER RELATIONS
          during the waiting time for assessment.
        • Issues highlighted regarding concerns within
          Ophthalmology service resulted in additional         Involvement in the Local Health
          Consultants recruited to posts.
                                                               Economy
        • Access to British Sign Language (BSL) interpreters
          – this was highlighted twice to the Trust and the    Alder Hey provides more than 45 clinical specialties for
          difficulties sourcing on site BSL interpreters. A trial of   children up to the age of 16 to 18. As part of delivering
          a system that allows BSL interpreter to be accessed   individual patient care pathways prior to, during and
          via desktop computer during an Emergency             after each child’s admission to hospital, clinicians and
          Department appointment or an Outpatient              clinical teams work in partnership with referring general
          appointment has been undertaken and is currently in   practitioners, clinicians/hospitals from across the UK
          the process of being purchased permanently.          and overseas. Alder Hey also works in partnership
                                                               with Clinical Commissioning Groups (CCGs) and
        Management of Complaints and Concerns                  Specialised Commissioners at NHS England to inform
                                                               and deliver service contracts that meet the needs of
        The model of devolved governance implemented           children served within available resources. Alder Hey
        through the quality strategy is intended to drive
                                                               provides community and mental health paediatric
        early supportive intervention by the relevant clinical
                                                               services in Liverpool; its partnership with Liverpool
        teams and Divisions so that children, young people
                                                               City Council is resulting in improved collaborative
        and their families have the best experience, with any
                                                               working at neighbourhood level to better support care
        issues raised locally being dealt with immediately and   closer to home. During 2017/18 the local Children’s
        appropriately.
                                                               Transformation Board has agreed key priorities to
        Patient Advice and Liaison Service                     improve the well-being of children in Liverpool. These
                                                               priorities are also reflected in the City of Liverpool’s
                                                               growth plan and the LCCG ‘One Liverpool’ Plan for
        The PALS service has continued to provide essential
                                                               2018/19. This means that there is Liverpool system-
        informal advice to families using Alder Hey; the team
                                                               wide support and recognition of the priorities for
        is highly visible and accessible via their base in the
                                                               children.
        Atrium. In the coming year a project to understand
        the impact of addressing concerns within ward areas
                                                               Alder Hey works closely with a wide range of Trades
        will be implemented to provide immediate and local
                                                               Union, professional, voluntary organisations, volunteers
        response to issues as they arise.
                                                               and our Council of Governors to continue to improve
        Alder Hey Children’s NHS Foundation Trust           36                          Annual Report & Accounts 2017/18
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