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

Where there are actual or potential risks with high or extreme consequences and/or likelihood
that require additional resources, the relevant Directorate will submit Risk assessment and
action plans for consideration by Trust Executive Leads and Trust Board.
Monitor and Review
Monitor and review the performance of the risk action plan, undertake assessment to identify
gaps and improvement. Review your risk assessment and update if necessary
Communicate and consult
Communicate and consult any difficulties with the Clinical Governance Director as appropriate
at each stage of the risk management process and concerning the process as a whole.
Shared Learning
Share knowledge and learning across other directorates. It is essential to safeguard against
incidents that could have been prevented had lessons learned elsewhere been passed on and
adopted across the organisation.
4.5 RISK IDENTIFICATION TOOLS
It is the policy of the Trust to make systematic use of the risk management tools which are
available for the identification of all risks affecting its activities.
4.5.1 What is a Risk?
Risks will and can be identified using the following approaches:
• Risk Assessments using standard tools e.g. COSHH,
• Legal Risk (mainly risks arising through non-compliance with existing legislation,
national guidance e.g. occupational health & safety legislation)
• Clinical risks (mainly associated with the diagnosis and treatment of patients)
• Incidents Management (Near misses, Serious Incidents)
• Complaints/PALS
• CQC
• Expressed concerns by service users ,visitors or stakeholders
• External reviews/ Services user satisfaction surveys
• Audits
• Organisational Risk (mainly risks arising from ineffective implementation of policies
and procedures, poor communication, poor staffing and management structures).
• Staff survey
• Sickness/Absence information
• Mortality & Morbidity review
• NICE
• NCEPOD
• NHSLA RMS
• Central Alerting system
• Information Risk (mainly risks arising from ineffective management and security of
information, including decisions on when and when not to share personally
identifiable information)
• Business and Financial Risk (mainly concerned with Contracts, revenue, capital
fund)
Proactive Risk Identification
Barking, Havering & Redbridge University Hospitals NHS Trust Page 13 of 40
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