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

More documents

Recommendations

Info

Driver Objective Aim Process Metrics Reponsible Person Timescale Corporate Objective RAG Monitor Effectiveness of Use of the Guidance Ensure risk management supports decision making at senior level Risk Management KPI's Sampling of 1:5 CIR reports Compliance with agreed KPI's demonstrating a high level of performance Compliance with best practice in report writing and sharing information J Allison/Internal Audit C McGhee/ A Sommerville September 2009 – March 2010 September 2009 – March 2010 Threats and Challenges within the Systems are Risk Managed in Partnership Ensure that the risk management systems are effective in supporting staff to identify and manage risks Refresh principles of risk register development through the launch of the RM Guidance Undertake Quality Check of Current Operational Risk Registers in partnership with Owners – Clinical Divisions and Localities Staff demonstrate a competence in development and monitoring of risk registers Consistency in description of and core controls for business risks J Allison Carol McGhee June 2009 March 2010 NHS QIS CG&RM Standards Full Development and Quality Checks with Heads of Function for IM&T and PSSD Support the development of Function Risk Register for Finance with Identified Champion Consistency in description of and core controls for business risks Maintain progress towards supporting all corporate services in developing and monitoring risk registers J Allison J Allison March 2010 March 2010 Support the progression and monitoring of Directorate Risk Registers: Laboratories Continue training for DATIX verifiers for incidents and assess the need for risk register module training. Monitor the effectiveness of training Consistent development with laboratory accreditation systems Those requiring a higher level of training are identified and training completed by Systems Admin. Training schedule for DATIX J Allison March 2010 Appendix 2 26
Driver Objective Aim Process Metrics Reponsible Person Timescale Corporate Objective RAG Continue training for DATIX verifiers for incidents & assess the need for for risk register module training. Monitor the effectiveness of training Those requiring a higher level of training are identified and training completed by Systems Administrator. Training schedule for DATIX S Steven March 2010 Adequacy of risk assessments and controls are reviewed regularly Ongoing review of risk registers to ensure risks and assessments are reviewed regularly Maintain facilitation of the strategic risk register Strategic Risk Register is live and reviewed by the Executive Directors at agreed frequencies C McGhee March 2010 Quarterly Review of risk review dates Risks are reviewed on or near to the agreed review date by the owners/designated person S Steven March 2010 NHS QIS CG&RM Standards Ongoing review of incident management to ensure incidents are managed effectively KPI's monitored through risk and governance committees Effective management of incidents J Allison March 2010 Monitor Effectiveness of the Incident Reporting Forms DIF1 & DIF2 Ensure the DATIX Incident Reporting Forms are Fit for Purpose National Benchmarking and Sharing of DATIX Incident Reporting Forms with RM colleagues through Scottish DATIX Group. A review of violence and aggression codes. Annual one-to-one with DATIX Consultant DIF1 & DIF2 are effective for staff to use and capture right information for NHSL S Steven March 2010 Risk action plans are prioritised and reviewed at regular intervals To ensure systems fully support prioritisation and review of risk action plans To configure the DATIX system to enable audits of action plans Quarterly Monitoring Reports produced for relevant gov committees Compliance assurance for risk register management Compliance assurance for risk register management J Allison C McGhee March 2010 March 2010 Appendix 2 27
Page 1 and 2: Patient Safety Patient Focused Serv
Page 3 and 4: Risk Management Annual Report 2008
Page 25: Driver Objective Aim Process Metric
Page 29: Driver Objective Aim Process Metric

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

Create successful ePaper yourself

Delete template?

Save as template?