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

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Board of Directors Meeting, 29 March 2012Agenda Item 13STEP 4 STEP 5Record your findingsReview and RevisionYou must share your findings with relevant staff. Risk assessments by law must be suitableand sufficient. You need to be able to show that:A proper check was madeSet a date for review of the assessment. On review check thatthe precautions for each hazard still adequately control the risk.If not indicate the action needed. Note the outcome. If necessarycomplete a new risk assessment.You considered who might be affectedYou dealt with all the obvious significant hazards taking into account the people who could beinvolved.Making changes in your workplace i.e. bringing in newequipment, substances or procedures may introduce significanthazards, which should prompt a review of the risk assessment.The precautions are reasonable, and the remaining risk is lowKeep the written record for future reference; it can help you if an inspector asks whatprecautions you have taken, or if you become involved in any action for civil liability. Riskassessments help to show that you have done what the law requires. Please email a copy ofyour risk assessment to the Health and Safety Manager: mark.abbotts@nhs.netPage 132 of 156
Board of Directors Meeting, 29 March 2012Agenda Item 13PROCESS OF RISK EVALUATIONASSESSMENT OF LIKELIHOOD OF RISKScore Description Description5 Certain Likely to occur on many occasions, a persistent issue: e.g. daily4 Likely Will occur, but is not persistent issue3 Possible May occur / recur occasionally: e.g. monthly2 Unlikely Could occur at some time: e.g. quarterly1 Rare Exceptional circumstances only: e.g. less than 1 per yearASSESSMENT OF IMPACT OF RISKImpact 1Minimal (includingno harm / near miss)Clinical (PatientSafetyIncidents)No injury / preventedincidentMinor cuts, bruising2MinorExtra Observation /TreatmentFirst AidMajor cuts, bruisingMinor illnessSafety Minor cuts/ bruising Under 3 daysabsence. Majorcuts / bruising3ModerateFurther treatment neededReferred to otherdepartment / hospital /A&EAdditional treatmentrequired up to 1 yearRIDDOR reportable (causedby incident)A & ERIDDOR reportable4MajorMajor InjuryMajor clinicalinterventionPermanentincapacityUnexpected deathDeath caused by theincidentUnexpected death.Permanent disability5CatastrophicMultiple deathsSuspected HomicideMultiple deaths.Out of controlinfection.Financial £1000- £20,000 £20,000-£100,000 £100,000- £500,000 £500,000- £2.5m Above £2.5mLegalTribunalNHSLAinvolvement(potential for claim)Defensible legal actionHSE prosecution orother criminalprosecution.Civil litigation (1person)HSE prosecution orother criminalprosecution (major)Civil litigation (> 1person)PerformanceReputationWritten complaints(some verbalcomplaints may beconsidered,depending uponcontext)Failure to meetlocal standardsLetters in localpressFailure to meet nationalstandardsAdverse articles in localpress.S4BH lapseFailure to meetprofessionalstandards orstatutoryrequirementsAdverseletters/articles inExtensive local presscoverage.S4BH lapseSustained failure tomeet professionalstandards orstatutoryrequirementsMajor censure byHealthcareCommission,Ombudsman, etc.Nationwide mediacoveragePage 133 of 156
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Devon Partnership NHS Trust Board o
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Board of Directors Meeting, 29 Marc
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Links to Strategic Aims:Safe x Reco
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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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9.2.4 Outbreaks and Incidents• Th
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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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Links to Strategic Aims:Safe x Reco
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PersonalisedXThis report references
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the Trust Board and all staffBoard
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Appendix 4Board of Directors Meetin
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