Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

Business ReviewTable 2. Overall ratingsAnnual Plan 2011/12 Qtr 12011/12Qtr 22011/12Qtr 32011/12Qtr 42011/12Financial risk rating 5 5 4 4Governance risk ratingAmber-GreenAmber-GreenAmber-RedGreenAnnual Plan 2012/13 Qtr 12012/13Qtr 22013/13Qtr 32012/13Qtr 42012/13Financial risk rating 3 3 3 3Governance risk rating Green Green Green Green4.4 Principal risks anduncertaintiesThe Assurance Framework (AF)provides a dynamic system for theTrust to identify and manage risks.This is reviewed monthly by the Board’sHealthcare Assurance Committee (HAC).Identification and quantification of risks,and proactive management allowsthe Board to assess risks and theirmanagement. The AF is populated fromissues arising from the risk register, andrisks to achieving the Trust’s strategicplan objectives.Within the AF, key risk controls havebeen put in place to provide necessaryassurances on identified gaps in controlsystems. Action plans to further reducerisk are mapped against the identifiedobjectives. Risk reduction is achievedthrough a continuous cycle of theidentification, assessment, control andreview of risks.These two sources of strategic, highlevel risks to the organisation’s ability toachieve its objectives ensure the AF isupdated and reviewed monthly. Each riskhas a lead executive director responsible.In 2012/13 the risks were reportedunder each of the Trust’s strategicgoals. Notable (high and moderate) risksincluded the following areas, and how therisk status changed over the year:l emergency pressures - high all yearl pressure ulcers - risk reduced asambition for 50% reduction achievedl Christchurch Hospital scheme -reduced following planning approvall bowel cancer screening and capacity/waits - moderate all year, as demandremainedl several patient safety objectives(Clostridium Difficile, falls, dementia)- remained moderate until year end,when annual objective achievedl nurse staffing levels being adequate- moved from high to low asbenchmarking completed and extrastaffing improved and recruitedl Office of Fair Trading (OFT) andCompetition Commission delay tomerger benefit - moved from moderateto high, as delays and complexityintroducedl several financial risks - moved frommoderate to low or closed as financialissues were successfully managedThe introduction of new AF risks, andchanges to their status, shows activemanagement and review of theseissues, thus providing the Board andstakeholders strong assurance that risksand uncertainties are being addressed.32Annual Report and Accounts 2012/13