Risk Management Annual Report - August 2009 ... - NHS Lanarkshire
Risk Management Annual Report - August 2009 ... - NHS Lanarkshire
Risk Management Annual Report - August 2009 ... - NHS Lanarkshire
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<strong>Risk</strong> <strong>Management</strong><br />
<strong>Annual</strong> <strong>Report</strong><br />
2008 – 09<br />
The Guidance sets out:<br />
<br />
<br />
<br />
<strong>NHS</strong>L approach to reporting, recording, managing, investigation, reporting on<br />
outcomes, learning lessons regarding incidents.<br />
The <strong>Risk</strong> Register section clearly sets out the development process, grading based<br />
on the <strong>NHS</strong> QIS/AS/NZ Standard Matrix and the escalation process.<br />
Key Performance Indicators (KPI) reporting will be through the RMSG.<br />
In support of the Guidance, a revised and improved ‘Record & Learn’ was distributed<br />
to every member of staff within <strong>NHS</strong>L attached to payslips in March <strong>2009</strong> and forms<br />
part of the Corporate Induction Information Pack for all new staff. The production of a<br />
supporting poster has commenced and will be displayed in all clinical and non–clinical<br />
areas. The poster has an attached designated polythene pocket designed to hold and<br />
display incident data produced from the DATIX system to support sharing of trend<br />
information and performance against the Key Performance Indicators.<br />
<strong>Risk</strong> Register Process & Development<br />
Strategic <strong>Risk</strong> Register<br />
<strong>NHS</strong>L have an established Strategic <strong>Risk</strong> Register around the core areas of Governance:<br />
◦ Corporate Governance<br />
◦ Staff Governance<br />
◦ Financial Governance<br />
◦ Health & Clinical Governance<br />
The <strong>Risk</strong> Register has been monitored and reviewed throughout the year and overseen<br />
by the <strong>Risk</strong> <strong>Management</strong> Steering Group.<br />
The Strategic Register identifies high level risks for <strong>NHS</strong> <strong>Lanarkshire</strong> that have the<br />
potential to undermine the ability to meet the corporate objectives and include:<br />
◦ Child protection<br />
◦ Clinical service sustainability<br />
◦ Prevention and containment of infection/environmental hazards<br />
◦ Compliance with statutory requirements<br />
◦ Robustness of corporate objectives and performance management systems<br />
◦ Engagement with internal and external stakeholders<br />
◦ Timing of financial allocation through NRAC<br />
◦ External factors affecting financial balance<br />
◦ Financial control framework assurance<br />
◦ Workforce information & planning<br />
◦ Provision of safe working environment<br />
◦ Effective implementation of policies on Diversity<br />
◦ Provision of adequate staff training<br />
◦ Sickness/absence<br />
Performance for Year 2008 – 09<br />
10