Public Board of Directors papers 27.01.22

of the next working day Following investigation the complaint issues are considered to be unfounded

which can be resolved quickly

Serious complaints containing one issue Simple complaint where more than one complaint has been received regarding the same subject from different complainants ►Reasonable, physical damage / deterioration ►Reassignment of life may be acceptable based on technical tests

Serious complaints containing more than one issue

more than one complaint has been received regarding the same subject from different complainants Risk to organisational reputation ►Failure occurred ►Unaccept - able built environment ►Not appropriate to reassign life ►Estimated time to failure may be circa < 6 months ► Loss ≥ £5m ► Loss of contract / payment by results ►Failure of multiple critical components of fire safety system (high risk patient area)

►None or minimal remedial action required and/or new/recent upgrade ►Estimated time to failure may be circa > 10 years

►Normal wear and tear ►Sound, operationally safe and exhibits only minor deterioration ►Estimated time to failure may be circa < 10 years ►Loss of £100k < £500k ►Theft or loss of personal property <£750 ►Temporary (<1 month) shortfall in fire safety system / single detector etc (non patient area) ►Complies with mandatory fire safety requirements and statutory safety legislation with minor deviations of a non-serious nature ►Minor breach of confidentiality – readily resolvable ►Unplanned loss of IT facilities < 1 day ►Health records incident / documentation incident – readily resolvable

►Major physical damage/deteriorat ion ►Failure apparent / assessed as imminent or unacceptable built environment ►Not appropriate to reassign life ►Estimated time to failure may be circa < 1 year Loss of £1m < £5m ► Purchasers failing to pay on time ►Significant failure of critical component of fire safety system (patient area)

Estates

or residual robustness

►Est imated time to failure may be circa < 5 years

►Loss of < £100k ►Theft or damage of personal property <£50 ►Minor short term (<1day) shortfall in fire safety system. ►Complies with mandatory fire safety requirements and statutory safety legislation

Loss of £500k < £1m ►Theft or loss or personal property >£750 ►Fire code non - compliance / lack of single detector – patient area etc. ►Known contravention of

Financial

one or more requirements

Fire Safety

►Breach of confidentiality – no adverse outcome. ►Unplanned loss of IT facilities < half a day ►Health records / documentation incident – no adverse outcome

►Moderate breach of confidentiality – complaint initiated ►Health records documentation incident – patient care affected with short term consequence

►Serious breach of confidentiality – more than one person ►Unplanned loss of IT facilities >1 day but less than one week ►Heal th records / documentation incident – patient care affected with major consequence ►Major injury / long term incapacity / disability (e.g. loss of limb)

►Serious breach of confidentiality – large numbers ►Unplanned loss of IT facilities >1 week ►Health records / documentation incident – catastrophic consequence

Information Governance/ IT

►Adverse event requiring no/minimal intervention or treatment.

►Minor injury or illness which was remedied with first aid treatment

►Moderate injury or illness requiring

►Fatality as a result of the incident

Injury -

professional intervention

Risk management strategy and Policy 2021-2024 Document ref: RM01 Version 04

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