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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Driver Objective Aim Process Metrics Reponsible Person Timescale Corporate Objective RAG<br />
Information is<br />
used to drive<br />
improvement,<br />
reduce risk and<br />
stimulate learning<br />
Information<br />
drives quality<br />
improvement and<br />
training needs<br />
Assess level of RCA<br />
training requirements<br />
as revised Guidance is<br />
launched through early<br />
alert through the Staff<br />
Organisational Group,<br />
staff briefing and web<br />
page communication<br />
Organisation<br />
competence in<br />
identifying root<br />
causes of adverse<br />
incidents and a<br />
competence in using<br />
the information to<br />
inform change in<br />
practice<br />
C McGhee March 2010<br />
<strong>NHS</strong> QIS CG&RM<br />
Standards<br />
Effectiveness<br />
of the risk<br />
management<br />
framework is<br />
reviewed at<br />
regular intervals<br />
and modifications<br />
made<br />
To have an overall<br />
effective risk<br />
management<br />
framework within<br />
<strong>NHS</strong>L<br />
Review the DATIX<br />
System to assess the<br />
effectiveness of the<br />
escalation process<br />
Provide the RMSG<br />
with all evaluation and<br />
monitoring reports as<br />
scheduled within the<br />
<strong>Annual</strong> Work Plan as<br />
reports are completed<br />
Effective<br />
measurement of<br />
compliance with the<br />
Escalation Procedure<br />
Alerts on constraints,<br />
reporting of success<br />
is noted by the<br />
RMSG as overseeing<br />
CMT Group. Mid<br />
year Work Plan<br />
progress report to<br />
RMSG<br />
J Allison<br />
C McGhee<br />
March 2010<br />
October <strong>2009</strong><br />
Audit the outcomes<br />
from the Verifiers Role<br />
Audit <strong>Report</strong><br />
S Steven<br />
December <strong>2009</strong><br />
Quality Event<br />
& Endorsed<br />
<strong>Annual</strong> CG&RM<br />
Work Plan<br />
Improve education<br />
and development<br />
opportunities<br />
for clinical staff<br />
in undertaking<br />
critical incident<br />
reviews using root<br />
cause analysis<br />
techniques<br />
Develop a culture<br />
of applying risk<br />
analysis and<br />
impact assessment<br />
when there is a<br />
moderate/major<br />
change in clinical<br />
practice<br />
Monitor emergence<br />
of education/<br />
development<br />
needs following<br />
the launch of<br />
the specific RM<br />
Guidance, identify<br />
with OD suitable<br />
programme of<br />
learning<br />
Review use of<br />
existing guidance<br />
and further develop<br />
guidance to include<br />
impact assessment<br />
Paper to set out<br />
potential requirements<br />
via Strategic OD Group.<br />
Monitor requirements<br />
with OD via PDP<br />
Scope out potential<br />
courses and costs<br />
Scope feasibility and<br />
methods of impact<br />
analysis, test and<br />
design methodology if<br />
appropriate.<br />
<strong>Report</strong> to RMSG on<br />
the assessed level of<br />
need.<br />
Recorded risk<br />
analysis and impact<br />
assessment for<br />
moderate/major<br />
clinical change of<br />
practice.<br />
C McGhee<br />
C McGhee<br />
C McGhee<br />
CMcGhee/P<br />
Milliken<br />
March 2010<br />
March 2010<br />
March 2010<br />
March 2010<br />
Appendix 2 28