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Annual Report and Accounts - The Great Western Hospital

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14 ANNUAL GOVERNANCE STATEMENT<br />

14.1 Scope of responsibility<br />

As Accounting Officer, I have responsibility for maintaining a sound system of internal control that<br />

supports the achievement of the NHS foundation trust’s policies, aims <strong>and</strong> objectives, whilst<br />

safeguarding the public funds <strong>and</strong> departmental assets for which I am personally responsible, in<br />

accordance with the responsibilities assigned to me. I am also responsible for ensuring that the NHS<br />

foundation trust is administered prudently <strong>and</strong> economically <strong>and</strong> that resources are applied efficiently<br />

<strong>and</strong> effectively. I also acknowledge my responsibilities as set out in the NHS Foundation Trust<br />

Accounting Officer Memor<strong>and</strong>um.<br />

14.2 <strong>The</strong> purpose of the system of internal control<br />

<strong>The</strong> system of internal control is designed to manage risk to a reasonable level rather than to<br />

eliminate all risk of failure to achieve policies, aims <strong>and</strong> objectives; it can therefore only provide<br />

reasonable <strong>and</strong> not absolute assurance of effectiveness. <strong>The</strong> system of internal control is based on<br />

an ongoing process designed to identify <strong>and</strong> prioritise the risks to the achievement of the policies,<br />

aims <strong>and</strong> objectives of <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s NHS Foundation Trust, to evaluate the likelihood of<br />

those risks being realised <strong>and</strong> the impact should they be realised, <strong>and</strong> to manage them efficiently,<br />

effectively <strong>and</strong> economically. <strong>The</strong> system of internal control has been in place in <strong>Great</strong> <strong>Western</strong><br />

<strong>Hospital</strong>s NHS Foundation Trust for the year ended 31 March 2012 <strong>and</strong> up to the date of approval of<br />

the annual report <strong>and</strong> accounts.<br />

14.3 Capacity to h<strong>and</strong>le risk<br />

Leadership is given to the risk management process by embedding responsibility within the executive<br />

director’s job description <strong>and</strong> annual appraisal <strong>and</strong> personal development plans. Executive directors<br />

personally review assurances against their strategic objectives on a quarterly basis as part of the<br />

Board Assurance Framework. In December 2011, a workshop was held to provide training for<br />

Executive <strong>and</strong> Non-Executive Directors <strong>and</strong> senior managers on roles <strong>and</strong> responsibilities for<br />

leadership in risk management.<br />

Staff education <strong>and</strong> training on risk management is carried out commensurate with their roles. All<br />

new employees receive corporate induction, which includes risk management <strong>and</strong> incident reporting,<br />

alongside health <strong>and</strong> safety, manual h<strong>and</strong>ling <strong>and</strong> infection control training appropriate to their duties.<br />

In addition during 2011/12, further training on risk management has been provided to all Associate<br />

Medical Directors, General Managers <strong>and</strong> other senior staff within directorates as part of the roll out<br />

of a new electronic system for compiling <strong>and</strong> managing risk.<br />

Page 163 of 211

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