Public Board of Directors papers 27.01.22

9.0 ACCOUNTABILITY AND REPORTING STRUCTURES The diagram in Appendix 2 shows the governance arrangements for The Christie NHS Foundation Trust.

10.0 RISK MANAGEMENT APPROACH 10.1 Just Culture

The Trust promotes a Just culture. An open and honest approach to reporting incidents and concerns is encouraged in accordance with the principles of ‘An Organisation with a Memory’ and in accordance with the Incident reporting and investigation policy. It is recognised that whilst it is easy to promote a culture of learning and closing the loop with regard to risk management, the effect on staff directly involved in an incident or enquiry should not be underestimated and support is provided in line with the Supporting Staff Policy. Exceptional cases will arise where there is clear evidence of wilful or gross neglect contravening the Trust’s policies and procedures and/or Professional Codes of Conduct, or where there is repeated evidence of poor performance despite intervention/support. These will be dealt with on an individual basis in accordance with Human Resources policies. 10.2 Duty of Candour 'Duty of candour' supports a culture of openness, honesty, and transparency and includes apologising and explaining what happened. Being open with patients often defuses the situation and allows open communication and learning to avoid recurrence. Patients and/or carers should receive an apology as soon as possible, within 10 working days, after a patient safety incident has occurred. Staff should feel able to apologise on the spot; saying sorry is not an admission of liability and it is the right thing to do. This culture is promoted throughout the Trust in line with the Duty of Candour Policy 10.3 Reporting Concerns All employees must ensure they are familiar with the Raising Concerns at Work Policy for raising concerns of matters relating to fitness to practice for reasons of conduct, health or competence. 11.0 PROCESS FOR THE MANAGEMENT OF RISK The Trust employs a number of mechanisms to systematically assess and manage its risks, all of which combined provide the Board of Directors with the required assurance that risks to objectives are being appropriately managed. These processes broadly fall into proactive and reactive risk processes. 11.1 Proactive risk processes The proactive risk management process has 3 stages: a. The identification of risk, as set out in section 12.1 b. The assessment of risk as set out in sections 12.2 to 12.4 c. The management and monitoring of this risk information using risk registers as set out in section 13 The following are elements of the proactive risk assessment process: • Strategies, policies and procedures - There are a range of policies that support the management of risk in the Trust. These are available on the Trust’s intranet site. Policies that link closely to the risk management strategy are detailed under Associated Documents at section 1.0 of this risk management strategy & policy. • Resilience Management – The Trust has in place a comprehensive Major Incident Plan, as well as a range of plans and other associated documents that are designed to ensure the resilience of

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

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