The Christie Foundation Trust Annual Report and Accounts 2021-22

Annual Governance Statement

‘Developing workforce safeguards.’ The approach includes: • Undertaking a baseline assessment, to collect up to date workforce intelligence using a specifically designed workforce planning template and supported through engagement events • Aligning this assessment with the annual planning round to ensure workforce planning is integrated with service and financial planning • Analysing returns to identify workforce availability and key workforce challenges • Developing short and medium term strategies • Monitoring implementation through the Workforce Committee Every six months the Board of Directors receives and approves a review of the nurse and allied health professional safe staffing levels. The report meets the recommendations of the ‘Developing Workforce Safeguards' recommendations. The safe staffing levels are published monthly in the integrated performance and quality report and where staffing levels fall below the accepted level an exception report is provided to the board members. The Board has engaged with NHS Improvement on their nursing retention improvement initiative and has developed an improvement plan to ensure that best practice on recruitment and retention are adopted. Our risk management strategy aims to control, manage and mitigate risk. It sets out a system for continuous improvement via risk management which extends to all areas of the

organisation. It aims to reduce clinical and non-clinical risks. Risk management is integral to Trust business and is embedded in the culture of the Trust. Individual and organisational learning from incidents, mistakes, accidents and near misses is a key component of the Trust’s risk management strategy to ensure continual improvement. Risks are quantified based on the risk management standard ISO 31000:2009 which measures risk using a combination of consequence (also described as impact or severity) and the likelihood (or probability or frequency) of an event occurring. During 2021/22 there have been 19 high scoring corporate risks (15 and above); all risks have been appropriately managed during the financial year using the Trust’s risk management systems leaving 3 high scoring corporate risks at year end. We use Datix to support our risk management and risk register processes. This database encompasses incidents, formal and informal complaints, litigation details and risks. All staff have a role in identifying risks and helping to reduce their impact. Key risks for the organisation, corporate and divisional, are reported in the integrated performance and quality report and are reviewed formally by the Risk and Quality Governance Committee, Management Board and the Board of Directors at each of their meetings. Identified risks are reported using the Trust’s integrated performance and quality reporting structures and are reviewed at Divisional, Management and Board

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