Board of Directors Meeting - 29 March 2012 - Devon Partnership ...

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ContentsBoard of Directors Meeting, 29 March 2012Agenda Item 131. Introduction ............................................................................................................................. 42. Purpose ................................................................................................................................... 43. Duties within the organisation ................................................................................................. 44. Definitions ............................................................................................................................... 65. Risk Management Structure .................................................................................................... 76. Sources of Risk ....................................................................................................................... 77. Communication ....................................................................................................................... 88. Training ................................................................................................................................... 99. Assurance Frameworks and Risk Registers ......................................................................... 1010. Risk Scoring .......................................................................................................................... 1011. Risk Escalation ...................................................................................................................... 1012. Review of the Assurance Frameworks and Risk Registers .................................................. 1113. Organisational Learning from Investigations/Analysis .......................................................... 1114. Monitor and Review: ............................................................................................................. 1215. References ............................................................................................................................ 13Appendix A - The Risk Assessment Process .................................................................................. 14Appendix B - Risk Assessment Form ............................................................................................. 19Appendix C - Governance Reporting Structure .............................................................................. 26Appendix D - Risk Escalation Matrix ............................................................................................... 29Page 112 of 156
Board of Directors Meeting, 29 March 2012Agenda Item 13Risk Management StrategyThe Trust is committed to the management of risk, both clinical and non-clinical,throughout the organisation in order to:Ensure that the safety of people in receipt of services is promoted whilst maintaining arecovery focussed approach.Ensure that risk to the quality and delivery of services are minimised.Protect the services, reputation and finances of the Trust.Create a culture where staff acknowledge risk as the responsibility of everyone, andwhich also supports the provision of realistic resources, training and information.Ensure the Trust meets its statutory obligations.In order to achieve this, the Trust has the following objectives:To understand the risks the Trust faces, their causes and how they may be controlled.To identify, control, eliminate or reduce to an acceptable level all risks which mayadversely affect the quality of care or the health, safety and welfare of those in receiptof services, their supporters, staff and members of the public, and the ability of the Trustto provide a quality service.To develop and maintain a positive image and public confidence by building a safeorganisation.To work together with partnership organisations and agencies to ensure a cohesive andcoherent approach to the management of risks.Responsibility for implementation of the strategy will be through the:Chief Executive who has overall accountability for risk management.Executive Directors with delegated responsibility for co-ordinating and implementingrisk management throughout the organisation.Quality & Safety Committee which has the responsibility to consider, monitor andreview the significant risks identified within the combined Trust Assurance Framework &Risk Register for quality and safety related risks, providing quarterly reports andassurance to the Audit Committee.Development and ratification of associated policies, procedures and guidelines to assiststaff and others in the control and supervision of risks.Use of training, learning and development in order to integrate risk management intoeveryday Trust activities.Chief Executive:Chair:Page 113 of 156
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2.2.2 The key points for the Board
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Impact across many of these issues
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Action required, including Recommen
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4 Quality improvementBoard of Direc
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6. Compliance with Trust standards
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7. The experience of using services
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7.5.4 Acting on feedbackBoard of Di
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Experience 2Appendix 1: Quality, sa
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CQUIN 4Effectiveness 3Board of Dire
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Appendix 32012/13 CQUIN targetsBoar
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