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

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Board of Directors Meeting, 29 March 2012Agenda Item 13Accident: An unplanned and uncontrolled event that could lead to injury, ill health, ordamage to property or equipment.Incident: Any event or circumstance that could lead to harm, loss or damage. Theymay be clinical or non-clinical e.g. suspected suicide, drug error, missing person,violence, fire, theft.Complaint: An expression of dissatisfaction by a person in receipt of services, theirsupporters or member of the public.Hazard: Something with the potential to cause injury, ill health or damage and mayinclude substances, buildings, equipment, or work practice.Near Miss/Hit: Is an incident that did not lead to injury, harm or damage but had thepotential to do so, and where lessons can be learned from changes in procedures,processes and systems.6.2. The source or risk captures where the risk was identified; this may be internally orexternally. Examples of where a risk could be identified is as follows:In response to a incident, claim or complaintArising from an external assessment or reportRisk assessment arising from triangulated dataTrust wide risk assessmentMedicines management reviewArising from committee review and action required6.3. Some of the areas of potential risk within the Trust include the following: Buildings and Maintenance Business and Financial Risks Security Fraud Clinical Practice Infection Control Emergency Planning Health & Safety Information Governance Fire Safety Hazardous Substances Waste Management Lone Working Stress Moving, Lifting & Handling Violence & Aggression Information and Management Technology (IM & T)7. Communication7.1. Communication and reporting is essential so that informed decisions can be maderegarding risk. Utilising an effective communication system will:Develop a clear understanding of the organisation’s strategy to address riskmanagement;Clarify each party’s responsibilities and risks;Clarify the nature and complexity of the organisation’s specific risks;Minimise disruption, cost and time in negotiating an agreed risk allocation;Facilitate receipt of more information;Develop an understanding of the need for and scope of integration;Generate confidence in the risk management process.7.2. A critical issue with communication is to ensure that all stakeholders have access torelevant information, both internally and externally. Effective communication with allPage 118 of 156
Board of Directors Meeting, 29 March 2012Agenda Item 13stakeholders will ensure that there is a clear understanding of risk identification andreporting, development of action plans to address the risk and a mutual agreementpertaining to risk treatment is reached.7.3. The Trust is committed to providing clear communication and support:With its staffWith those in receipt of services and their supporters.With external agencies, authorities and other stakeholders both within and outside theNHSWith the general public7.4. During the review of serious incidents, communication issues are often one of thecontributory factors associated with the event. It is therefore imperative that we encouragegood communication between those in receipt of services, and their supporters, staff andexternal agencies to minimise the effect on those involved and provide adequate support.8. Training8.1. The provision of information, education and training is an important means of achievingcompetence and helps to ensure safe working practices. This contributes to theorganisation’s risk management culture and is required at all levels, including the ExecutiveTeam and Board of Directors.8.2. Ongoing risk assessment will help determine the level of information, instruction andtraining that will be required.8.3. The Trust will ensure that members of staff are informed in the process of riskmanagement. Staff should be adequately trained in the principles of risk management,clinical governance, health & safety, incident and near miss reporting, through induction,ongoing training and supervision, in order to promote the highest standards of riskmanagement and clinical care.8.4. The Workforce Planning and Development service supports the maintenance of thecompetences required by staff in various roles throughout the Trust to ensure that thepolicy can be implemented safely and effectively to enable high quality delivery of services.The training needs analysis details training to be undertaken by staff at all levels in theorganisation.8.5. The risk management training needs analysis will be updated/further developed, informedfrom the directorates and coordinated by the Workforce Planning and DevelopmentDepartment, to identify the training needs of all Trust staff. Training programmes aredeveloped/commissioned to ensure that identified training needs are met. The WorkforceDevelopment Steering Group will consider and monitor training needs provision andcompletion.8.6. The Trust has a responsibility to ensure that staff are released from their workplace toattend training sessions; any staff who are unable to attend their mandatory training due tophysical or other restraints must be notified to the training department.8.7. The Trust has a responsibility to ensure that adequate resources are available to implementthe organisation’s training programme for all staff.8.8. The Trust will ensure that all necessary staff (qualified, unqualified, other clinical staff, bankand agency staff) are appropriately trained in line with the organisation’s training needsanalysis.Page 119 of 156
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Action required, including Recommen
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