Risk Management Annual Report - August 2009 ... - NHS Lanarkshire

Risk Management
Annual Report
2008 – 09
Additional risks escalated to the Strategic Risk Register include HAI risk, National Fraud
Initiative implementation risk, Medical Workforce risk specific to the implementation
of MMC, and the recognition that the Year End Finance Surplus Exceeds Threshold for
Carry Over.
The Strategic Risk Register is managed via the electronic DATIX system and the process
for review, changes, production of reports is currently facilitated by the Corporate Risk
Manager on behalf of the lead Executive Directors.
The Strategic Risk Register is part of the information considered in the development of
the Annual Internal Audit Plan.
Divisional Risk Register(s)
The 3 Operating Divisions present their Risk Registers to the RMSG on an annual basis as
agreed through the Schedule of Reporting. The Divisional risk registers are monitored
through existing management and performance structures. The monitoring and review
process is now fully owned by the Divisional Management Teams. This enables best
practice in reviewing/amending/changing the Risk Register with the Management Team.
Locality and Clinical Divisional Risk Registers
Within this year, the CHP localities and the Acute Clinical Divisions have identified their
risk profiles which have been set out as risk registers and monitored through their
respective management and performance systems. This process is evolving and will be
monitored through the DATIX system and KPI’s.
Corporate Services Risk Registers
The Property & Support Services Directorate and the eHealth Directorate developed
and presented their Risk Registers to the Risk Management Steering Group and are
working towards development of specific function registers within the Directorates.
Shared Risk Management
The North Lanarkshire Partnership Board recognised the need to have a shared approach
to identifying the risks that would undermine the success of the implementation of the
Community Plan that was dependent on many services, including Health. A Risk Register
was developed by all stakeholders (Police, Health, Fire Service, Voluntary Service, Local
Authority) and submitted to the NLP Board in 2007. A joint annual review has been
scheduled for April 2009.
Additionally, as agreed through the single–outcome agreements, the NLP Board have
initiated a Short–Life Steering Group to advise on a joint approach to risk assessment
and risk management planning for all within Lanarkshire receiving Community Care.
This group have addressed:
◦ Existing risk assessment tools in routine working practice
◦ Shared risk assessment and risk management in the event of identifying
triggers that could lead to an adverse incident or near miss
◦ Joint response to adverse incident or near miss
◦ Grading of adverse incidents or near–miss
◦ Shared investigation approach
◦ Governance/reporting structures
Performance for Year 2008 – 09
11