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approach to internal materials and signage to keep     development projects on-site, including Phase II of the
        our goals uppermost in everybody’s mind. In addition,   Institute in the Park building and the Alder Centre re-
        there has been a continued focus on the Trust’s        development.
        Values with these being present in many different
        forms across the organisation. To reinforce our quality   We continue to work successfully in partnership with
        improvement approach and help staff identify how they   our Occupational Health provider, Team Prevent, to
        can individually contribute to this, a staff handbook   offer a range of supportive interventions for staff. We
        has been produced based upon the Care Quality          are seeing ongoing benefits from the introduction of
        Commission’s fundamental standards and domains in a    the early intervention service which provides rapid
        simple summary format.                                 treatment for staff encountering stress and musculo-
                                                               skeletal conditions. The pilot in 2017 of a dedicated
        COUNTER FRAUD                                          health trainer who has focused on supporting mental
                                                               wellbeing and training for managers has been a great
        The Local Counter Fraud Specialist, supported by the   success and this is now a permanent feature of our
        Trust, has continued to enhance the overall anti-fraud   wellbeing offer to staff.
        arrangements at Alder Hey through the conduct of a
        range of agreed activities specified in the Trust’s Anti-  EXPENDITURE ON
        Fraud work plan for 2017/18. The key to the success of   CONSULTANCY
        these activities is the achievement of outcomes across
        the defined areas of anti-fraud work.
                                                               Expenditure on consultancy during 2017/18 was for
                                                               specialist advice and operational delivery on an interim
        One of the fundamental principles of the NHS is the
                                                               basis to ensure high quality services for children and
        proper use of public funds. It is therefore important
                                                               families.
        that all those individuals or organisations that utilise, or
        have relationships with, the NHS are aware of the risks   OFF PAYROLL ENGAGEMENTS
        of fraud, bribery, corruption, theft, and other illegal acts
        involving dishonesty.                                  The Trust has continued with its policy to use off-payroll
                                                               arrangements only in circumstances where the skills
        The ultimate aim of all anti-fraud work is to support   market is limited in providing the level of expertise and
        improved NHS services and ensure that fraud within
                                                               availability required to fulfil a particular role or provide
        the NHS is clearly seen as being unacceptable.         professional advice.
        Stopping the theft of public money by fraudsters who
        are committing criminal offences, brings with it the
                                                               Details of the Trust’s off-payroll engagements during
        bonus of being able to see NHS funds being deployed    the year are set out in the tables below:
        for the public good, as the taxpayer intended. During
        the year the Local Counter Fraud Specialist undertook   Table 1: Off Payroll engagements as at 31st March
        a range of preventive and investigatory activities in   2018, for more than £245 per day and that last
        pursuit of this aim.
                                                               longer than six months
        A self-assessment against compliance with the
        Standards for Providers issued by NHS Counter Fraud     Number of Existing Engagements
        Authority for 2017/18 was undertaken. The Trust has     as at 31 March 2018                          10
        rated itself overall as green. The Counter Fraud service
        provided regular updates to the Audit Committee on      Of Which:
        work undertaken to prevent and detect fraud including
                                                                Number That Have Existed for Less Than One   3
        any investigations.
                                                                Year at Time of Reporting
        HEALTH AND SAFETY                                       Number That Have Existed for Between One     3
        PERFORMANCE AND                                         and Two Years at Time of Reporting
        OCCUPATIONAL HEALTH                                     Number That Have Existed for Between Two     0
                                                                and Three Years at Time of Reporting
        The Health and Safety Team continues to work            Number That Have existed for Between Three   1
        closely with Project Co to ensure the Trust is a safe   and Four Years at Time of Reporting
        environment for all of our patients and staff. There    Number That Have Existed for Four or More    3
        is an ongoing programme of training scheduled for       Years at Time of Reporting
        2018/19, which will cover risk assessment, COSHH
        and stress risk assessment training. In addition, the
        team continues to support the numerous new building



        Alder Hey Children’s NHS Foundation Trust           52                          Annual Report & Accounts 2017/18
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