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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<strong>Risk</strong> <strong>Management</strong><br />
<strong>Annual</strong> <strong>Report</strong><br />
2008 – 09<br />
The rating of an incident determines the subsequent communication and investigation<br />
levels. Between December 2007 – November 2008, 10% of incidents were rated<br />
with the remaining 90% without rating this may result in poor communications and<br />
investigation levels.<br />
ACTION:<br />
In future, rating will become a mandatory field with the member of staff<br />
recording the incident rating it. This action is in line with the National Patient<br />
Safety Agency (NPSA) guidance and was agreed by the <strong>Risk</strong> <strong>Management</strong><br />
Guidance SLWG. To ensure staff are able to rate the incident, all staff will receive<br />
an aide memoir demonstrating the process. In addition, there will be links from<br />
the incident form to rating guidance.<br />
The incident will only be added to the main database once there is agreement<br />
between the person recording, rand rating the incident and the verifier.<br />
More than a third of incidents remain in the holding area each month, therefore<br />
remaining unverified. One possible outcome of is that incidents are identified but<br />
may not be investigated and timely remedial action taken as a result.<br />
ACTION:<br />
The <strong>Risk</strong> <strong>Management</strong> Guidance (SLWG) has agreed a maximum period of 5<br />
working days for incidents to remain in the holding area. The timescales will be<br />
monitored by line managers and governance structures.<br />
Template reports are currently being designed which reflect the generic incident reports<br />
developed by the <strong>Risk</strong> <strong>Management</strong> SLWG. This will support committees to provide<br />
assurances on risk management.<br />
In addition to incident management template reports, the system is being configured<br />
to produce reports which will allow <strong>NHS</strong>L to monitor the risk management key<br />
performance indicators developed by the <strong>Risk</strong> <strong>Management</strong> SLWG.<br />
<strong>Risk</strong>s Register<br />
Currently risks are placed on registers in the Datix main application. The <strong>Risk</strong><br />
<strong>Management</strong> Department is currently configuring the web based module so that in<br />
future risk registers will be entered and managed using the web interface.<br />
The <strong>Risk</strong> <strong>Management</strong> SLWG agreed a risk escalation process including questions to<br />
be answered at each escalation stage; these have been incorporated into the web <strong>Risk</strong><br />
Form. This will allow <strong>NHS</strong>L to be reassured that risks are being managed at the correct<br />
level in the organisation.<br />
Complaints<br />
Complaints across <strong>NHS</strong>L are managed through the complaints module. Recent changes<br />
to ISD dataset requirements have resulted in an upgrade to the system to version 9.3a.<br />
This will provide ISD with the revised dataset information from mid January <strong>2009</strong>.<br />
Performance for Year 2008 – 09<br />
8