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

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“Risk Register”<br />

“Risk Register<br />

Manager”<br />

“Risk Register<br />

Owner”<br />

“Risk Tolerance”<br />

“Target Risk<br />

Score”<br />

The register is a refined <strong>and</strong> developed version of the Risk List. It is<br />

a table which shows – the risk assessment, risk mitigation actions,<br />

re-assessment <strong>and</strong> action plans. The table thereby shows the risk<br />

portfolio of the whole organisation or a selected part of it.<br />

Is the individual who is responsible for ensuring that the risk register<br />

is kept up to date <strong>and</strong> reviewed at least once a month.<br />

The risk register owners are as follows:<br />

Directorate Risk Register – Clinical Director<br />

Matrix/Commissioning Risk Register – Senior Commissioners<br />

<strong>Board</strong> Assurance Framework – Chief Executive/Medical Director<br />

Information Risk Register – Executive Director / Manager of<br />

Information Management <strong>and</strong> Technology/Information Governance<br />

Lead<br />

Is the level of risk the BHRUT is prepared to tolerate<br />

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

mechanisms. This score provides a measure of how controllable the<br />

risk is <strong>and</strong> will help management decide which risks they should be<br />

4. ROLES AND RESPONSIBILITIES<br />

The <strong>Trust</strong> <strong>Board</strong> is a statutory body, governed by the Act of Parliament with the function of the<br />

<strong>Trust</strong> conferred by legislation. The Code of Accountability requires clear arrangements to be in<br />

place to demonstrate that responsibilities have been delegated to Executive Directors <strong>and</strong> for<br />

BHRUT this requirement is fulfilled by the <strong>Trust</strong>’s St<strong>and</strong>ing Orders, St<strong>and</strong>ing Financial Instructions<br />

<strong>and</strong> Scheme of Delegation, all of which are available on the Intranet.<br />

The arrangements set out in this document regarding identification, assessment <strong>and</strong> control of<br />

risk, apply to the <strong>Trust</strong>’s corporate risks as they apply to all other risks. At an Executive level<br />

responsibility for their implementation is allocated as follows:<br />

• <strong>Trust</strong> Objectives Chief Executive Officer<br />

• Service objectives Chief Operating Officer<br />

• Staffing objectives Chief Operating Officer<br />

• Financial objectives Director of Finance<br />

• Clinical Governance objectives Medical Director / Director of Nursing<br />

• Corporate <strong>and</strong> Clinical Governance Director of Governance/Clinical Governance Director<br />

• Maternity Services Director of Nursing<br />

Responsibility for the maintenance <strong>and</strong> assessment of effective internal <strong>and</strong> external assurances<br />

for organisational risk <strong>and</strong> patient safety is allocated on the same basis.<br />

The <strong>Trust</strong> <strong>Board</strong><br />

The <strong>Trust</strong> <strong>Board</strong>’s monitoring responsibilities, as defined in the Scheme of Delegation are to<br />

‘receive such reports as the <strong>Board</strong> sees fit from committees in respect of their exercise of<br />

delegated powers’.<br />

The <strong>Trust</strong> <strong>Board</strong> is made up of Executive <strong>and</strong> Non Executive Directors that are required to<br />

implement sound <strong>and</strong> effective systems of internal control; challenging poor performance <strong>and</strong><br />

deciding the priority of risks carried. The <strong>Trust</strong> <strong>Board</strong> reviews all risks rated as 'red'/extreme via<br />

the <strong>Board</strong> Assurance Framework. The <strong>Trust</strong> <strong>Board</strong> will review other risks drawn to their attention<br />

through the Quality <strong>and</strong> Safety Committee <strong>and</strong> Audit Committee.<br />

The <strong>Trust</strong> <strong>Board</strong> will receive regular reports from various <strong>Trust</strong> Committees which ensures<br />

significant risks are escalated, considered <strong>and</strong> actioned accordingly. The <strong>Trust</strong> <strong>Board</strong> members<br />

will receive annual risk assessment training to support them in their assessment of risk<br />

<strong>Barking</strong>, <strong>Havering</strong> & Redbridge University Hospitals NHS <strong>Trust</strong> Page 6 of 40<br />

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