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

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Risk Management Annual Report 2008 – 09 A final report will be received by the NLP Board in June 2009 to work towards implementation of the systems and processes that will be critical to effective joint risk management for those receiving community care. The Risk Management Staff from North Lanarkshire Council, South Lanarkshire Council and NHS Lanarkshire are meeting frequently to improve joint risk approach. Outcomes impacting on the NHSL Strategy will be considered and changes made to reflect improvements. Training, Education & Development Risk Management, including incident/accident reporting, is core to the NHSL Corporate Induction Programme, delivered via Organisational Development. This programme is delivered on Monday and Tuesday of every week for all new employees including bank staff. On joining the organisation and attending the Corporate Induction, the opportunity was taken by the Risk Management Co–ordinator to undertake an audit of the content of the risk presentation. The outcomes indicated that no material change was required. Local sessions development and maintenance of Locality Risk Registers continue to be undertaken on an ad hoc basis. As part of the implementation of the web–based module within the DATIX system, there was a series of demonstrations of the system and re-iteration of the Incident and Accident Reporting requirements. Ad hoc training continues to support this as staff change positions, new staff are employed and have verifiers role. This is now managed on a 1:1 basis as the initial cohort of staff have been trained. Group sessions have extended this year to: ◦ Health Records Senior Manager Group ◦ Infection Control Team ◦ Locality Management Teams ◦ Information Governance Sessions ◦ Older Peoples Services Clinical Governance Group ◦ PSSD dedicated staff on reporting facility ◦ Pharmacy Managers ◦ Community Dental Teams The Occupational Health & Safety Team deliver a variety of in–house risk training both accredited training (IOSHH) and in response to department/organisation needs. The DATIX system is linked to the DOTS medical staff training/induction programme. Through the Medical Education Department, the Systems Administrator continues to deliver demonstrations on the DATIX system and an overview of clinical incident reporting for both junior medical staff and Consultants. A series of awareness sessions have commenced across the Management & Governance Groups to launch the revised Guidance Manual. Performance for Year 2008 – 09 12
Risk Management Annual Report 2008 – 09 Internal & External Audit In partnership with the Internal Audit Consortium (Bentley Jennison), a thematic review was undertaken on the risk maturity of NHS Lanarkshire risk system, as part of a wider benchmarking exercise across a large number of clients. The interim report will be presented to the Audit Committee in June 2009 and an improvement plan will be agreed if required. The final benchmark report is expected in September 2009. Incident Reports This is the third year that NHS Lanarkshire has had a global view of all incidents and/ or accidents reported with quarterly trends. The report does not include data from South CHP: Cambuslang/Rutherglen Locality, or North CHP: North Locality (northern corridor), as this is still held by Greater Glasgow Health Board area. However, this data will be collated within the year 2009 – 10, effective from 1 st April 2009 as the operational management of this Locality transfers to NHSL. Preparatory work has been undertaken and agreed with the General Managers, Health & Safety, Locality Management Teams and Risk Management to facilitate this. As at 31 st March 2009, there was 13,965 incidents/accidents recorded within the DATIX system for the period 1 st April 2008 – 31 st March 2009. Additionally, there are approximately 800 maternity clinical incidents held locally (awaiting specific DATIX module). There has been no real change in the distribution of incidents. The data for this year demonstrates that 75% are attributable to non–clinical incidents and 24% attributable to clinical incidents, including near–miss reports, as compared to 70% and 30% respectively for year 2006 – 07 and 76% and 24% for the year 2007 – 08. Figure 1: Outlines the number of incidents proportionate to the Operational Divisions: 1114 1 1202 Acute Operating Division Community Health Partnership North 1692 Community Health Partnership south Corporate services NHs Lanarkshire Board 9259 Sixty–one (61) incidents/accidents were RIDDOR reportable as compared to 55 in 2007 – 09 and 36 in 2006 – 07. Performance for Year 2008 – 09 13
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Risk Management Annual Report - August 2009 ... - NHS Lanarkshire

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