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

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Board of Directors Meeting, 29 March 2012Agenda Item 13An action plan to reduce the risk to the lowest practicable level, or to a level determined asacceptable is included on the Assurance Framework & Risk Register. All identified risks will bemonitored and reviewed on a continuous basis by the relevant committees.The aims of the Assurance Framework & Risk Registers are;Identification of all potential risks and hazards that the Trust may be exposed toIdentify risks as Inherent (fixed cannot be removed) or Controllable (variable can bereduced)To evaluate the level of existing internal control in place to address the risk;To provide the means to deal with the riskTolerate (Accept and live with it and monitor)Eliminate or MinimiseTransfer (e.g. via Insurance cover)Treat (do something about it)A ‘living’ document to record and report risks and the risk management process.The outcome is a list of risks with agreed priority ratings from which decisions can be made aboutacceptable levels of tolerance for particular risks and where greatest effort should be focused. Thisprocess considers whether the risk level is such that action needs to be undertaken to treat therisk. Many factors will be considered in the process. These will include alternative options to avoidthe risk, practicality of treating the risk adequately to significantly minimise the risk.Where a risk is accepted, it should be monitored via reports of incidents, complaints or PALSfeedback and the acceptance reviewed in light of on going intelligence.Each Clinical Director/Managing Partner will be responsible for ensuring the administration,management and review of their Directorate’s Assurance Framework and Risk Register andensuring that any changes in the level of risk are communicated to the Assistant Director ofCorporate Development and Governance to amend the combined Trust Assurance Framework andRisk Register as necessary.Page 128 of 156
Board of Directors Meeting, 29 March 2012Agenda Item 13Appendix B Risk Assessment FormGeneral Risk Assessment RecordLocation: Assessment undertaken by: Assessment Verified by(responsible manager):Work Activity / Area Assessed: Name: Name: Name:Signed: Signed: Signed:Date: Date: Date:Staff Representative Consulted:Yes / No Name:Please indicate the reason for conducting this Risk Assessment: STEP 5Periodical review Change in room (zone) usage Assessment ReviewChange in legislation Change in equipment or work practiceDate:Other (Please specify)STEP 1 STEP 2 STEP 3ResidualRiskLikelihoodImpactRequired controls andtimescalesList any immediate or longertermaction required & timescale(complete action plan and riskregister). Also details of costswhere known.RiskLikelihoodImpactCurrent controls (if any)List existing control measures ornote where information may befound.Who mightbe harmedand how?ObservationsList significant hazards andunsafe practicesPage 129 of 156
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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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Experience 2Appendix 1: Quality, sa
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