Public Board of Directors papers 241122

1. Safe

1.7 - Corporate Risks

There are 5 Trust-wide 15+ risks in September Description Score

Controls

No change to risk score - level of recurrent CIP identified at end of the August reporting period has increased by £0.6m to £3.2m which is 44% of the recurrent target. Trust has achieved a break even financial position as at end month 5 but this is required significant reliance on non recurrent delivery of efficiencies via vacancies, etc Identification of additional recurrent CIP continues to be a focus at TOG and Service Operational Review with a particular focus on reviewing / unblocking the red and amber schemes at October TOG

Achieving 2022/23 Break Even Financial Plan including CIP (ID 3293) Risk of negative impact on engagement levels, staff health & wellbeing and delivery of services, due to Trust-wide staffing gaps. (ID 2438) Risk of prolonged disruption to services, due to a severe cyber security incident. (ID 3218) Risk to delayed cancer referral and treatments due to not meeting 24 / 62 day target (ID 2407)

16

Nurse recruitment event took place - 8th October Recruitment task and finish group established - aim to reduce overall time to hire International recruitment progressing well - on track to deliver 26 international nurse recruits Christie People and Culture Plan now in final draft - will go live in November Risk will be reviewed at Workforce Committee on 10th November

15

New backup solution rollout progresses, over 50% servers completed. Training undertaken on IOT risk identification solution (Cylera), allows for prompting of our suppliers to update security issues detected, with

granular detail also to demonstrate if they have completed the tasks or not. MultiFactor Authentication security step for VDI machines planned for Dec22. Planning for a cyber response exercise via EPRR lead progressed. Clatterbridge counterparts

15

15 Existing mitigations in place. Time to first appointment in CO significantly improved. As a result, 62 for October 83% and 24 day 91%, despite late receipt of CARP. RT Improvement Manager looking at new mode of pathway management from scan to treat, which will be trialled with one disease group. 15 Data insights have produced a list of all open referrals without a next appointment (after 3 months), all service leads have been working through this and closing any open referral where there is a clear instruction to discharge the patient. The Risk Assessment Form for this risk is now complete with agreed actions to review the full appointments pathways and processes throughout the hospital. The referrals and bookings team submit daily reports on their inbox figures and overbookings list, plus audits and checklists are in place to monitor productivity. 42

Risk of patients being lost to follow up (ID 3299)

13