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Risk Management Review Risk Management Strategy Northern Devon Healthcare NHS Trust Incorporating Community Services in Exeter, East and Mid Devon Correct on the day of printing. Please check on the Trust’s internet site for the most up to date version Document Control Report Title Risk Management Strategy Author Authors’ job title Dr Juliet Cross Head of Corporate Governance Annette Crew Risk Manager Directorate Sub-directorate Department Team / Specialty Finance and Corporate Risk and Health Risk Performance Governance and Safety Date Version Status Comment / Changes / Approval Issued 1.0 April 2007 Final Strategy approved at Risk Management Committee, Audit and Assurance Committee and Trust Board. 1.1 Feb. 2008 Revision Updated to reflect organisational and risk management process changes. Presented to Audit & Assurance Committee to note on 12.02.08. 1.2 March Revision Presented to Risk Management Committee to 2008 approve on 21.02.08. Approved with no amendments. Presented to Trust Board to approve on 04.03.08. Approved subject to minor amendments (Item 053/08). 2.0 April Final Amendments made including revised Equality 2008 Impact Assessment Screening form and updated Terms of Reference for Risk Management Committee and Audit & Assurance Committee. 2.1 Mar 09 Revision Annual review undertaken. Information updated. To be presented to Risk Management Committee to note on 16.04.09. Strategy approved subject to amendments. 2.2 April 2009 Revision Amendments made. To be presented to Audit & Assurance Committee to note on 09.06.09 Amendments agreed. Further meeting agreed to discuss additional details. 2.3 Nov. Revision Amendments made following feedback from Non 2009 Executive and feedback from CNST Assessment for Maternity Services undertaken in Oct.2009. Comments also updated, e.g. outcomes of section assessment (section 7). Approved at the Risk Management Committee on 19.11.09. 2.3 Dec 2009 Revision Approved at Audit and Assurance Committee on 08.12.09 with addition of Clinical Governance Committee specialist advisory groups in 6.3. 2.4 Jan 2010 Revision Presented to Trust Board on 12.01.10 and approved. 3.0 Jan 2010 Final Final version placed on Tarkanet. Corporate Governance Page 1 of 34 Annex 5.6 Board 28.02.12 - Risk Management Strategy Part 2 Risk Management Strategy Northern Devon Healthcare NHS Trust Incorporating Community Services in Exeter, East and Mid Devon Correct on the day of printing. Please check on the Trust’s internet site for the most up to date version Harmonised strategy as a result of merging of Northern Devon Healthcare NHS Trust and NHS Devon community services. A summary of key issues and differences is on page 3. 3.1 Jan 2012 Revision The monitoring section has been strengthened as a result of revised NHSLA requirements. Reformatted for document map navigation and table of contents update. Amendments made following completion of consultation exercise and feedback from Trust 3.2 Feb 2012 Revision Board Briefing session 21.02.12. For presentation to Trust Board 28.02.12 for approval. TBC 4.0 Final Approved by xxxx on xxxx following consultation. 2012 Main Contact Annette Crew Tel: Direct Dial – 01271 314074 Risk Manager Tel: Internal – 4074 Suite 1 Munro House Email: North Devon District Hospital [email protected] Raleigh Park Barnstaple EX31 4JB Lead Director Director of Finance and Performance Document Class Target Audience Strategy Staff Distribution List Distribution Method Staff Trust’s Intranet Superseded Documents (NDHT) Risk Management Strategy v3.0 Jan (2010) V3 Devon Provider Services Risk Management Strategy (2009) Issue Date Review Date February 2012 February 2013 Local Archive Reference Corporate Affairs Local Path Corporate Affairs/Corporate Governance/Policies and Procedures/ Corporate Affairs Team/ Risk Management/ Strategy 2011-12 Filename Risk Management Strategy - v3.2 21.02.12 Categories for Trust’s Intranet site Tags for Trust’s Intranet site Corporate Governance Risk Main contact for queries/ suggestions/ comments? Tel: Direct Dial – 01271 314074 Annette Crew Tel: Internal – 4074 Risk Manager Fax: - North Devon District Hospital Email: Raleigh Park [email protected] Barnstaple, EX31 4JB Corporate Governance Page 2 of 34 Annex 5.6 Board 28.02.12 - Risk Management Strategy Part 2 Risk Management Strategy Northern Devon Healthcare NHS Trust Incorporating Community Services in Exeter, East and Mid Devon Summary of key differences and main changes in this harmonised strategy compared to the Northern and Eastern strategy Staff are expected to review the complete strategy’s contents. Section Key Differences / Changes Ref. 6.1 All staff are required to identify risk and manage risk as outlined in this strategy. 6.3 Refinement of the Integrated Risk Management Committee Structure across the Trust. The key committees comprise: Risk Management Committee Quality Assurance Committee Audit and Assurance Committee Trust Board Corporate Governance Page 3 of 34 Annex 5.6 Board 28.02.12 - Risk Management Strategy Part 2 Risk Management Strategy Northern Devon Healthcare NHS Trust Incorporating Community Services in Exeter, East and Mid Devon Contents Links to Trust strategic objectives and goals............................................................... 6 Executive Summary .................................................................................................... 7 Introduction.................................................................................................................. 8 1 The Assurance framework................................................................................... 8 2 Risk Appetite ..................................................................................................... 10 3 Communication of the strategy.......................................................................... 10 4 Accountability arrangements ............................................................................. 10 4.1 Roles and Responsibilities..................................................................... 10 4.1.1 Chief Executive...................................................................................... 10 4.1.2 Non-Executive Directors........................................................................ 10 4.1.3 Executive Directors................................................................................ 11 4.1.4 Role of the Director of Finance and Performance (SIRO) ..................... 11 4.1.5 Role of the Director of Nursing – Clinical Governance Lead ................. 11 4.1.6 All Managers.......................................................................................... 12 4.1.7 Specialist Advisers................................................................................. 12 4.1.8 All Staff and Employees......................................................................... 13 4.1.9 Contractors and Agency Staff................................................................ 13 6.1 Lines of Accountability........................................................................... 13 6.2 Integrated Risk Management Committee Structure............................... 14 6.3 Key Risk Management Committees ...................................................... 16 7 Performance Monitoring Arrangements............................................................. 17 8 Risk management process................................................................................ 19 8.1 Risks Identification................................................................................. 19 8.2 Risk Assessment ................................................................................... 19 8.3 Risk Registers........................................................................................ 21 9 Significant Risks ................................................................................................ 22 10 Risk management training and support............................................................. 22 10.1 Training.................................................................................................. 22 10.2 Support .................................................................................................. 23 10.3 Validation of Risk Assessments............................................................. 23 11 Looking forward................................................................................................. 23 12 Monitoring compliance with and the effectiveness of the strategy .................... 23 Corporate Governance Page 4 of 34 Annex 5.6 Board 28.02.12 - Risk Management Strategy Part 2 Risk Management Strategy Northern Devon Healthcare NHS Trust Incorporating Community Services in Exeter, East and Mid Devon 12.1 Corporate Risk Register ........................................................................ 23 12.2 Principal Risk and Assurance Register and Action plan........................ 24 12.3 Risk Management Committee ............................................................... 24 12.4 Audit and Assurance Committee ........................................................... 24 12.5 Quality Assurance Committee ............................................................... 25 13 Equality impact assessment.............................................................................. 25 14 References ........................................................................................................ 25 15 Supporting policies and documentation............................................................
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