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

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• ensure that they keep up to date records of staff attendance at all m<strong>and</strong>atory <strong>and</strong> best<br />

practice training as per the <strong>Trust</strong>’s TNA<br />

• ensure that all staff are given the necessary information <strong>and</strong> training together with the<br />

appropriate resources <strong>and</strong> that these are monitored, to enable them to;<br />

o work safely<br />

o raise concerns<br />

o make risk assessments<br />

o take appropriate risk reduction measures<br />

o report risk to their line managers <strong>and</strong> /or Directorate Leads when applicable.<br />

All managers have a key responsibility to ensure that risk assessment is undertaken to minimise:<br />

• Potential harm to patients, staff <strong>and</strong> visitors<br />

• Risks to the achievement of Directorates business plans <strong>and</strong> service<br />

Clinical Governance Team<br />

The Clinical Governance Team will provide leadership, advice <strong>and</strong> support in the implementation<br />

of this policy.<br />

The Clinical Governance Team will ensure that all reporting to <strong>Trust</strong> Committees is co-ordinated<br />

<strong>and</strong> provide reports, training <strong>and</strong> on-going support in relation to Ulysses database <strong>and</strong> risk<br />

registers.<br />

All Staff<br />

All staff have a key role in identifying <strong>and</strong> reporting risks <strong>and</strong> incidents promptly thereby allowing<br />

risks to be managed <strong>and</strong> added to the local risk register if appropriate. In addition, staff have the<br />

responsibility for taking steps to avoid injuries <strong>and</strong> risks to patients, staff, visitors. If in fulfilling this<br />

role, it involves staff in raising concerns about st<strong>and</strong>ards, staff must report this following the<br />

<strong>Trust</strong>’s Speaking Up for a Healthy <strong>Trust</strong> (Whistleblowing) Policy.<br />

It is the responsibility of All Staff (including agency, locums, volunteers <strong>and</strong> contractors) to be<br />

alert to, identify <strong>and</strong> report risks including those relating to patient care, health <strong>and</strong> safety or the<br />

hospital environment. It is also their responsibility to be aware of <strong>and</strong> comply with all risk<br />

management requirements including <strong>Trust</strong> policies. Information <strong>and</strong> training will be provided as<br />

necessary to enable contractors <strong>and</strong> agency/bank staff to fulfil this responsibility.<br />

All <strong>Trust</strong> employees are accountable, through the terms <strong>and</strong> conditions of their employment,<br />

professional regulations, clinical governance <strong>and</strong> statutory health <strong>and</strong> safety regulations.<br />

This responsibility also includes reporting incidents, being aware of any emergency procedures<br />

relevant to their role <strong>and</strong> place of work, e.g. resuscitation, evacuation <strong>and</strong> fire precaution<br />

procedures; being aware of the risk management strategy/policy <strong>and</strong> attendance at training as<br />

specified in the <strong>Trust</strong>’s Risk Management Training Needs Analysis.<br />

All staff have a responsibility to manage risk within their sphere of responsibility. It is a statutory<br />

duty to take reasonable care of their own safety <strong>and</strong> the safety of others who may be affected by<br />

acts or omissions of <strong>Trust</strong> employees.<br />

4.1 TRUST COMMITTEES WITH RESPONSIBILITY FOR RISK MANAGEMENT<br />

There are two committees with delegated responsibility from the <strong>Trust</strong> <strong>Board</strong> for<br />

overseeing the management of risk in the <strong>Trust</strong>, the Quality <strong>and</strong> Safety Committee <strong>and</strong><br />

the Audit Committee. A chart showing the relationship to the <strong>Board</strong> of its delegated Sub<br />

Committees is shown in Appendix 2.<br />

<strong>Barking</strong>, <strong>Havering</strong> & Redbridge University Hospitals NHS <strong>Trust</strong> Page 9 of 40<br />

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