Annual Report and Accounts - The Great Western Hospital

10.2.2 Governance risk rating
The term governance is used to describe the effectiveness of an NHS Foundation Trust's
leadership. The Trust has a rating of green for Governance (rating range from red, amber-red,
amber-green, green with green being the best). A green rating means there are no material
concerns surrounding the terms of Authorisation.
When assessing the annual and quarterly governance risk ratings Monitor considers the legality of the
constitution; growing a representative membership; appropriate board roles and structures; xooperation
with NHS bodies and local authorities; clinical quality; service performance (healthcare
targets and standards); and other risk management processes.
Further details about the risk ratings issues by Monitor can be found on their website at:
www.monitor-nhsft.gov.uk
10.2.3 Mandatory services
Mandatory services are defined in a Foundation Trust’s terms of authorisation and are the services
the Trust is contracted to supply to its commissioners.
Trust Boards are required to provide a board statement certifying that they expect to be able to
continue to provide the mandatory services required by Schedules 2 and 3 of their Authorisation and
then by exception to declare in year if this risks not being the case. During 2011/12 no such
declarations were made.
10.3 Risk Ratings 2011/12
10.3.1 Summary of rating performance throughout the year and
comparison to prior year with analysis of actual quarterly rating
performance compared with expectation in the annual plan and
comparison to prior year
Financial
Risk Rating
Governance
Risk rating
Financial
Risk Rating
Governance
Risk rating
Annual Plan Q1 2010-11 Q2 2010-11 Q3 2010-11 Q4 2010-11
2010-11
4 3 3 3 3
Green Green Green Green Green
Annual Plan Q1 2011-12 Q2 2011-12 Q3 2011-12 Q4 2011-12
2011/12
3 3 3 3 3
Amber
Green
Green Green Amber Red Green
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