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

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Risk Management Annual Report 2008 – 09 Work Plan for Year 2008 – 09 The key developments for the forthcoming year are driven by, and/or underpin: NHSL Annual Accountability Review Local Delivery Plan Corporate Objectives NHS QIS Standards Internal & External Audit Reports Risk Management Steering Group Requirements Emerging Priorities from NHSL Strengthening Quality Event The Work Plan forms the basis of the Department Team Meetings and is agreed, monitored and overseen by the members of the Risk Management Steering Group. The focus this year will be on: Key Performance Indicators and Outcomes Outcomes from CIR to inform top 3 NHS systemic failures Changing the approach to the DATIX training for access, delivery and evaluation Implementing web-based risk register and monitoring effectiveness Populating and testing the standards module on DATIX Integration of data with other clinical data to improve Board reporting Reviewing codes for recording of Violence/Abuse/Harassment A summary of the prospective Work Plan for 2009 – 2010 is outlined in Appendix 2. Work Plan for Year 2008 – 09 18
Risk Management Annual Report 2008 – 09 Appendix 1a Ref. Recommendation(s) Management Action(s) 2.01 A. Management ensure that an up-to-date documented reporting structure and escalation procedure is developed and that it is included as part of the Risk Management Guidance Manual. The NHSL Risk Management Guidance Manual will include procedures for reporting and the escalation procedures. B. Management ensure that all approved groups/committees for the discussion of incidents, and implementation of planned action arising from incidents, meet at the agreed time period. All partnership groups are in place as per the agreed Locality Partnership Group. C. Management should ensure that all incidents are recorded timeously and that contingency arrangements are put in place when the agreed inputer is not available. Within Localities there has been a contingency plan effective since 2005. The Risk Management Department fast–tracked the roll out of the web system within Hamilton Locality and the CHPS Managers agreed to cross cover for any outstanding backlog. Within the Acute Division, all back logging was undertaken over a 3 month period by the RM Department Oct – Dec 2006 with no known outstanding backlog. PSSD have an internal contingency plan to maintain inputting. Management Comments In general, the audit has identified some areas for improvement at operational level whilst acknowledging the progress at Strategic and Divisional Level. In terms of incident recording and reporting, there is a demonstrable month on month increase in incident reporting. Management accept that this was an exceptional situation at a point in time resulting from both organisation change and sick leave within the identified locality, not expected to recur, following full implementation of the web system. Responsible Officer(s) Corporate Risk Manager on Behalf of the Divisional Directors. CHP Directors PSSD General Manager Implementation Date Performance Fully implemented by December 2008. (includes writing, consultation, testing, endorsement, printing, launching and refreshing of procedures). Completed Completed Appendix 1a 19
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Risk Management Annual Report - August 2009 ... - NHS Lanarkshire

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