Public Board of Directors papers 27.01.22

12.1 Risk Identification and Categories of Risk....................................................................18 12.2 Risk quantification & assessment ................................................................................19 12.3 Risk evaluation ............................................................................................................19 12.4 Risk ranking, risk acceptability and management responsibility ...................................20 13.0 RISK REGISTER............................................................................................. 21 13.1 Corporate risk register .................................................................................................22 13.2 Divisional and Departmental risk registers ...................................................................22 13.3 Review of the organisation-wide risk register ...............................................................22 13.4 Escalation of Risk ........................................................................................................22 14.0 AGGREGATING DATA AND LEARNING FROM INCIDENTS, COMPLAINTS AND CLAIMS 22 14.1 Monthly report to Board of Directors and Management Board .....................................23 14.2 Quarterly aggregated patient safety & experience report .............................................23 14.3 Process for communicating reports/learning points......................................................24 15.0 CONSULTATION, APPROVAL AND RATIFICATION PROCESS.................. 24 16.0 DISSEMINATION & IMPLEMENTATION........................................................ 24 16.1 Dissemination ..............................................................................................................24 16.2 Implementation ............................................................................................................24 16.3 Training/Awareness .....................................................................................................24 17.0 PROCESS FOR MONITORING EFFECTIVE IMPLEMENTATION OF THE STRATEGY25 18.0 VERSION CONTROL SHEET ......................................................................... 27 19:0 APPENDICIES ................................................................................................ 29 Appendix 1: Risk management strategy ..............................................................................29 Appendix 2: Trust accountability structure – 2021................................................................30 Appendix 3: Trust Organogram - 2021.................................................................................31 Appendix 4: Annual Audit of Committee effectiveness template ..........................................32 Appendix 5 – Incident and risk grading Tool ........................................................................35

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

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