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

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PRINCIPAL RISK<br />

What could prevent the objective being<br />

achieved<br />

Risk no, Date on Risk Register<br />

& Risk Scoring:<br />

KEY EXISTING CONTROLS<br />

What controls/systems are in<br />

place to assist in securing delivery<br />

of objective <strong>and</strong> managing<br />

principle risks?<br />

CQC REF:<br />

RESIDUAL RISK<br />

ASSURANCES ON<br />

CONTROLS & IMPACT<br />

Where we gain evidence<br />

that our controls/systems, on<br />

which we are placing<br />

reliance, are effective? The<br />

impact following assurances.<br />

PROGRESS AGAINST<br />

RISKS/ ACTION<br />

PLAN UPDATE<br />

What Actions are undertaken to<br />

mitigate the actual risks?<br />

GAPS IN ASSURANCE<br />

Where we are failing to gain<br />

evidence that our controls /<br />

systems, on which we place<br />

reliance, are effective<br />

GAPS IN<br />

CONTROL<br />

Where are we<br />

failing to put<br />

controls / systems<br />

in place? Where are<br />

we failing in making<br />

them effective?<br />

LEAD<br />

Strategic Objective 5 – To Ensure BHRUT is Financially Secure<br />

Principal Objective: The CIP be delivered fully to the agreed timescales without affecting the quality of care adversely<br />

Risk No: 292 Clinical<br />

Directorates will not<br />

achieve financial target<br />

<strong>and</strong> CIP deliveries<br />

Previous descriptor: <strong>Trust</strong><br />

would not achieve financial<br />

balance<br />

Date on Register: 15.06.2011<br />

Rating Scoring:<br />

Severity:5 x Likelihood:5 = 25<br />

Area: All Clinical<br />

Impact on:<br />

Patient: Poor patient outcome<br />

Staff: none<br />

<strong>Trust</strong>: The <strong>Trust</strong> sustaining<br />

progressive measures<br />

Details updated 24.10.12<br />

**All financial risks will be<br />

reviewed by the newly<br />

appointed Finance Director<br />

8.10.12<br />

- <strong>Trust</strong> has prepared Clinical<br />

Strategy <strong>and</strong> Long-Term<br />

Financial Model (with support<br />

from EY) - reviewed at<br />

October <strong>Trust</strong> <strong>Board</strong>. Model<br />

shows <strong>Trust</strong> reducing but not<br />

eliminating deficit by 2017/18,<br />

although further options are<br />

now being reviewed.<br />

- PMO with support from EY is<br />

developing CIP plans for<br />

2013/14 <strong>and</strong> ensuring full year<br />

benefit from existing schemes<br />

meets <strong>2012</strong>/13 target<br />

4 16<br />

Extreme Red<br />

8.10.12<br />

- Review of Clinical<br />

Strategy, LTFM,<br />

CIP/Transformation<br />

programme by<br />

Transformation <strong>Board</strong>,<br />

Finance Committee,<br />

<strong>Trust</strong> <strong>Board</strong>, NHS<br />

London <strong>and</strong><br />

Commissioners.<br />

Executive sponsorship of<br />

all programmes.<br />

8.10.12<br />

Ongoing work to finalise<br />

clinical strategy <strong>and</strong> LTFM<br />

<strong>and</strong> CIP plan for 2013 /14<br />

8.10.12<br />

- Further options to be<br />

fully developed to<br />

demonstrate financial<br />

viability in the longer<br />

term<br />

- Full year CIP<br />

programme yet to be fully<br />

developed<br />

None identified<br />

following review<br />

David Gilburt Finance Director / Alan Davies Deputy Director of Finance<br />

BHRUT BAF 2nd Quarter <strong>2012</strong>: SB/PS<br />

14

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