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

Board of Directors Meeting, 29 March 2012Agenda Item 13Directorate Assurance Framework: risks of 16 and above to be reviewed at the TrustManagement Board and escalated to Trust Assurance Framework as necessary. The Risk Escalation Matrix is given as Appendix D.12. Review of the Assurance Frameworks and Risk Registers12.1. Each Assurance Framework will identify the committee(s) responsible for reviewing,monitoring and escalating individual risks.12.2. Frequency of review of risks on the Assurance Frameworks and Risk Registers is asfollows:12.2.1. Trust (Corporate):All risks of 16+ are reviewed by the Board of Directors monthly.All risks are reviewed twice a year by the Board of Directors.All risks to quality and safety are to be reviewed by the Quality and Safety Committeeon a monthly basis.12.2.2. Directorate:All risks are presented to the Operational Risk Committee on two monthly basis.All risks are reviewed four times a year by each directorate.All risk scores of 12+ are to be reviewed at every directorate governance meeting.12.2.3. Local Delivery UnitAll risks are reviewed four times a year by each local delivery unit.All risk scores of 12+ are to be reviewed at every local delivery unit governancemeeting.12.2.4. Team All risks are reviewed four times a year by each local team. All risk scores of 12+ are to be reviewed at every team meeting.13. Organisational Learning from Investigations/Analysis13.1. Learning from experience is critical to the delivery of safe and effective services. It isrecognised that ‘human factors’ play a significant part in incidents, near misses, complaintsand claims and that such factors cannot ever be entirely eliminated.13.2. The systems and processes which operate must be designed to minimise the risk of humanerror at every stage and therefore each event must be looked upon as a learningopportunity. The Trust is committed to ensuring that lessons learned are embedded into theorganisation’s culture and practice. To achieve this, the following activities are undertaken:The Risk Management Team distributes alerts from the following agencies toappropriate managers for cascading to relevant staffNational Patient Safety AgencyMedical Device AlertsNHS EstatesClinical alerts e.g. contaminated illicit drugsCentral Alert System (CAS)Page 121 of 156