Public Board of Directors papers 27.01.22

CONTENTS 1.0 ASSOCIATED DOCUMENTS ............................................................................. 4 2.0 INTRODUCTION ................................................................................................. 4 2.1 Statement of intent...........................................................................................................4 2.1.1 Risk appetite.................................................................................................................5 2.2 Equality Impact Assessment ............................................................................................5 2.3 Good Corporate Citizen ...................................................................................................5 2.4 The Christie Commitment ................................................................................................5 2.5 Purpose ...........................................................................................................................5 2.6 Scope ..............................................................................................................................6 3.0 DEFINITIONS...................................................................................................... 6 4.0 STRATEGY......................................................................................................... 8 4.1 Objectives of this strategy 2021-2024 .............................................................. 8 SECTION TWO RISK MANAGEMENT POLICY ..................................................... 12 5.0 DUTIES ............................................................................................................. 12 5.1 Board of Directors..........................................................................................................12 5.2 Chief Executive..............................................................................................................12 5.3 Executive Directors........................................................................................................12 5.4 Non-Executive Directors ................................................................................................12 5.5 Individuals with specific responsibilities for risk management ........................................12 5.5.2 Divisional Teams ........................................................................................................12 5.5.3 Health, Safety and Emergency Planning Lead, Patient Safety and Risk Lead and Patient Experience Lead.................................................................................................................................13 5.5.4 Patient Safety and Risk Team.....................................................................................13 5.5.5 Divisional Governance Leads .....................................................................................13 5.5.6 Responsibility of all Employees, Agency and Contractors (“Staff”) ..............................13 6.0 COMMITTEES AND SUB COMMITTEES WITH RISK MANAGEMENT RESPONSIBILITIES 13 6.1 Quality Assurance Committee .......................................................................................13 6.2 Audit Committee ............................................................................................................13 6.3 Management Board .......................................................................................................14 6.4 Risk and Quality Governance Committee (R&QGC) ......................................................14 6.5 Patient Safety Committee ..............................................................................................14 6.6 Patient Experience Committee ......................................................................................14 6.7 Clinical & Research Effectiveness Committee ...............................................................14 7.0 SUPPORTING POLICY..................................................................................... 15 7.1 Board Assurance Framework ........................................................................................15 8.0 LEVELS OF RISK MANAGEMENT ACROSS THE TRUST.............................. 15 8.1 Board & corporate level .................................................................................................15 8.2 Divisional level ...............................................................................................................15 8.3 Clinical and non-clinical departmental level ...................................................................15 9.0 ACCOUNTABILITY AND REPORTING STRUCTURES ................................... 16 10.0 RISK MANAGEMENT APPROACH................................................................ 16 10.1 Just Culture .................................................................................................................16 10.2 Duty of Candour ..........................................................................................................16 10.3 Reporting Concerns.....................................................................................................16 11.0 PROCESS FOR THE MANAGEMENT OF RISK............................................. 16 11.1 Proactive risk processes ..............................................................................................16 11.2 Reactive risk processes ...............................................................................................17 12.0 SYSTEMATIC RISK ASSESSMENT APPROACH.......................................... 18

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

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