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

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PARTENRSHIP<br />

PFI<br />

SIC<br />

SI<br />

TNA<br />

Partners who provide to the <strong>Trust</strong> e.g. Sodexo, Siemens<br />

Partners for whom the <strong>Trust</strong> provide services, e.g. Barts Renal Services, HCA<br />

Harley Street at Queen’s<br />

Commissioning partnerships, e.g. Commissioning Cluster, SLAs with other<br />

commissioners<br />

Private Finance Initiative<br />

Statement of Internal Control<br />

Serious Incident<br />

Training Needs Analysis<br />

Any expression, to which a meaning is given in the Health Service Act, or in the Financial<br />

Directions made under the Act, shall have the same meaning in this Policy:<br />

“Action Owner”<br />

“Serious Incident”<br />

“Clinical Risk”<br />

“<strong>Board</strong> Assurance<br />

Framework”<br />

“Corporate Risk”<br />

“Information Risk”<br />

“Initial Risk Score”<br />

“Risk List”<br />

“Risk Management<br />

System”<br />

“Risk Mitigation”<br />

Assurance on<br />

effectiveness of<br />

identified controls<br />

“Risk Owner”<br />

The individual responsible for completing the actions to mitigate the<br />

risk.<br />

Any event or circumstance that could or did lead to unintended or<br />

unexpected harm, loss or damage to persons, property or the<br />

organisation.<br />

An uncertain event or set of events which, should it occur, will have<br />

an effect upon patient care<br />

Comprehensive method for the effective <strong>and</strong> focused management<br />

of the principal risks to meeting the BHRUT objectives.<br />

An uncertain event or set of events which, should it occur, will have<br />

an effect upon the achievement of objectives.<br />

An uncertain event or set of events which, should it occur, will have<br />

an effect on persons, property or the organisation.<br />

The calculation of risk consequence <strong>and</strong> probability excluding<br />

control mechanisms.<br />

The simple list of areas of risk, derived from relevant objectives<br />

The detailed explanation of how things work in practice. It includes<br />

this procedural guidance, the reporting processes that secure<br />

implementation of the procedural guidance, the st<strong>and</strong>ard forms, IT<br />

system <strong>and</strong> processes to support implementation, together with local<br />

application of the procedural guidance<br />

Is the process of selecting <strong>and</strong> implementing appropriate controls to<br />

modify the risk. Control – a process (not a committee or group) in<br />

place that contributes to mitigating / managing risk - The real<br />

challenge is not just to design appropriate processes, but to ensure<br />

they are properly embedded into the operations <strong>and</strong> culture of the<br />

organisation. Integral to this is the quality of the reporting of risk <strong>and</strong><br />

operational performance.<br />

Assurance – evidence that control is real <strong>and</strong> operates effectively in<br />

mitigating / managing risk. (Internal <strong>and</strong> External) These assurances<br />

must be relevant in time <strong>and</strong> support the control in its effectiveness.<br />

The individual responsible for:<br />

Completing the entry on the risk register,<br />

Assigning actions to mitigate the risk <strong>and</strong> completion targets for<br />

these actions (in consultation with action owners)<br />

Reviewing the risk at least every fortnight to ensure that the action<br />

plan is being implemented, the current risk score is calculated <strong>and</strong><br />

that all stakeholders are being updated regarding the management<br />

of this risk.<br />

<strong>Barking</strong>, <strong>Havering</strong> & Redbridge University Hospitals NHS <strong>Trust</strong> Page 5 of 40<br />

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