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5 Boroughs Partnership NHS Foundation Trust Annual ... - Monitor

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Our Risk Management<br />

Our Risk Management Policy sets out the overall aims and objectives for risk<br />

management across the <strong>Trust</strong>. These are delivered through an annual work<br />

plan set against each of the objectives. The Risk Management Policy<br />

describes a clear structured and systematic approach to the management of<br />

risk across organisational, financial and clinical activities.<br />

Our Risk Management Policy sets out both the collective responsibilities of the<br />

<strong>Trust</strong> Board and its Committees, and the individual responsibilities of the Chief<br />

Executive, Directors and all levels of staff across the <strong>Trust</strong>. The <strong>Trust</strong> Audit<br />

Committee seeks assurance that the risk management process is<br />

comprehensive, effective, complies with regulatory requirements and is fit for<br />

purpose by taking independent objective advice through the appointment of<br />

internal auditors. It also approves the <strong>Annual</strong> Governance Statement.<br />

Risk Management Policy<br />

The overall aim of the Risk Management Policy is to ensure that high-quality<br />

healthcare services are delivered with the safety, health and well-being of<br />

services users, carers and staff at the forefront of everything we do and to<br />

provide assurance through clear reporting structures that the Risk<br />

Management System across the <strong>Trust</strong> is embedded and effective.<br />

The <strong>Trust</strong> is committed to ensuring the safety of service users, staff and the<br />

public through an integrated approach to managing risk - whether financial,<br />

organisational or clinical - within systems that are open and transparent, and<br />

demonstrate sound governance.<br />

The Risk Management Work Plan is approved by the <strong>Trust</strong> Executive Team<br />

annually and is supported by the Risk Management Policy and Incident<br />

Management Policy, which set out the framework and methodology for<br />

effective risk and incident management across the <strong>Trust</strong>.<br />

Risk Management Process<br />

In pursuit of implementing effective risk management the <strong>Trust</strong> Risk<br />

Management Policy has adopted the overarching process for managing all<br />

risk within a single framework. The Risk Management Policy details the<br />

framework for identification, evaluation, analysis, treatment, control,<br />

monitoring and review of risks within a single <strong>Trust</strong>-wide Risk Register.<br />

The risk management process begins with the identification of risks<br />

throughout the <strong>Trust</strong>. Risks are identified through a number of sources<br />

including risk assessment, audit, incidents, complaints, safety alerts, external<br />

reviews and inspection, emerging financial and environmental risks and<br />

compliance with statutory and regulatory requirements.<br />

Risks are evaluated and prioritised using a qualitative approach where the risk<br />

levels (Consequence and Likelihood) are estimated. This provides an<br />

estimate of where the most serious overall risks lie and assists both the<br />

<strong>Annual</strong> Report and <strong>Annual</strong> Accounts 2011-12 21

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