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

Trust’s risk matrix and will populate the Trust’s Risk Register and be escalated in line with
the Trust’s escalation process.
4.6 RISK GRADING AND ACCEPTABLE / UNACCEPTABLE RISK
4.6.1 Grading
Once risks are identified, it is the policy of the Trust that they must be prioritised for full
assessment and management by initially grading them, according to their impact and the
likelihood that they will occur again in the future.
The Trust has adopted a risk assessment matrix for grading all non-financial risks whether
clinical, non-clinical or organisational. The matrix is set out in the Trust’s Risk Assessment Tool
Kit, which can be found on the Trust’s Intranet. The grading matrix is attached in Appendix 1. It
has four grades of risk - low, moderate, high and extreme, which are identified respectively by the
four colours: green, yellow, orange and red.
Incidents are also graded using the same matrix in accordance with the Trust’s Incident Reporting
& SI Policy which can be accessed on the Trust’s intranet.
4.6.2 Acceptable / Unacceptable Risk
It is the policy of the Trust that control action is:
• considered for all risks where the initial grading is more than green / low
• implemented to reduce the residual risk after the action to green / low, unless the impact
and likelihood of the risk is such that the burden of the available action is disproportionate
to the reduction of risk to be achieved.
Thus, risks graded low / green need to be revisited annually unless further concerns arise.
Yellow and low orange (under a risk score of 9) represent increasing levels of risk and therefore
require control action and review at intervals depending on the impact of the risk and the
likelihood of recurrence as identified through risk assessment processes.
Red represents extreme levels of risk which are by definition unacceptable and require control
action and review at intervals to reduce them as far as reasonably practicable.
4.7 ASSESSMENTS, CONTROL AND ACCEPTANCE OF RISK
4.7.1. Assessment Process
It is the responsibility of each Clinical Directorate Directors, Senior Nurses, Directorates General
Managers/Managers, Clinical Leads, Nurse Consultants and Ward / Service Managers to ensure
that the Trust’s risk assessment programme is implemented within their areas in accordance with
this policy.
Each Directorate must undertake risk assessments locally in accordance with the Trust Risk
Assessment Tool Kit. Directorates have the responsibility to assess their clinical, environmental,
health, safety, financial and performance related risks.
The local management of risk will be carried out by various different groups of senior staff
according to the grading of the risk identified but would have an overview in regards to mitigation
Barking, Havering & Redbridge University Hospitals NHS Trust Page 16 of 40
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