Public Board of Directors papers 27.01.22

Root cause analysis training is provided by the Trust and can be booked via the- christie.incidentreporting@nhs.net

12.0 SYSTEMATIC RISK ASSESSMENT APPROACH The Trust has a holistic approach to ensure that the same process for assessing risk is undertaken across the organisation for all types of risk. Although it is not possible to eliminate all risks, Trust staff have a duty to protect themselves, colleagues, patients and visitors as far as ‘reasonably practicable’. This continual, systematic approach to risk assessment ensures consistency. It has the following elements. 12.1 Risk Identification and Categories of Risk The identification of risk is an on-going and proactive process and is the responsibility of staff at all levels within the organisation. Risks are defined as the chance of anything happening that would have a negative impact upon our ability to provide high quality health services in terms of access, effectiveness, efficiency, appropriateness and safety. Risks may fall into the following categories: • Clinical Information governance • Information technology • Operational • Project • Reputational

• Security • Strategic • Corporate • Emergency Preparedness, Resilience and Response • Financial

• Health and safety • Human resource • Infection prevention and control

Risks can be identified in a number of ways within the internal environment; for example, workshops, questionnaires, SWOT analysis, audits, analysis of incidents (including near misses), claims and complaints. Risks can also be identified through information received from a number of external sources (e.g. Health & Safety Executive (HSE), Care Quality Commission (CQC), Royal College visits, Postgraduate Medical Education and Training visits, articles in professional journals, newspapers or other areas of the media etc.) Managers and supervisors must systematically collate all the risks within their areas of responsibility and clearly document them on a Trust-approved general risk assessment form, considering the following points as prompts to identify risks: • What are the divisional and/or corporate objectives? • What are the risks to achieving these objectives or affect service provision? • What are the risks within the work or care environment? • What are the risks associated with the equipment in use or the task being undertaken? • Who could be harmed and how?

• Are any groups of staff, patients or visitors at greater risk? • Have risks been identified in incidents, complaints or claims? • Are there any hazardous substances used? • What are the training requirements?

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

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