Trust Board papers November 2012 - Barking Havering and ...

The Trust’s BAF is audited by the Trust’s internal auditors and will be the basis for reports to the
Audit Committee. It is the policy of the Trust to maintain effective assurance of the risk
management arrangements for its organisational risks, through:
• identification, assessment, review and control of the risks associated with its principal
service, staffing, financial and governance objectives, at both the corporate and
departmental / directorate level;
• assessment of both the internal and external assurances available of the effectiveness of
the control of those risks;
• action to put in place effective assurance where assessment indicates that to be
necessary;
• recognising gaps in the controls and
• regular review of organisational risk management and its associated assurance
arrangements by the Trust Board.
The BAF demonstrates the sequential actions taken quarter by quarter to reduce and remove
risks facing the organisation.
4.10 EXTERNAL RISK MANAGEMENT STANDARDS
The Trust is committed to pursue best practice in its risk control measures by continuously
applying external risk management standards, advice and recommendations relevant to its
activities.
To that end it will maintain continuous comprehensive compliance programmes with relevant
standards, including the following:
• The Care Quality Commission’s (CQC)
• The NHS Litigation Authority’s (NHSLA) risk management standards - Clinical Negligence
Scheme for Trusts (CNST)
• The standards of Clinical Pathology Accreditation Ltd (CPA)
• The advice of the National Confidential Enquiries into patient mortality
• The guidance of the National Institute for Health & Clinical Excellence (NICE).
• The guidance within National Service Frameworks and High Level Enquiries
• The Health & Safety at Work Act and subordinate legislation.
• Patient Environment Action Team
5. THE DEVELOPMENT OF THIS POLICY
This policy was written using the Trust Policy Template and giving consideration to all the
elements required within the Trust Policy for the Development and Management of Trust-
Wide Procedural Documents.
The individual/group nominated as responsible for this Policy is the Trust Board.
This Policy was developed through an update to the existing policy, consultation with
stakeholders and discussion/agreement at the Quality & Safety Committee, the Audit
Committee and the Trust Board.
Barking, Havering & Redbridge University Hospitals NHS Trust Page 21 of 40
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