Public Board of Directors papers 27.01.22

15-25

Extreme

Unacceptable level of risk. Mandatory elimination or control to reduce risk to an acceptable level.

Take immediate action outside routine meeting schedule. Escalate following discussions, consider as board assurance Policy item. Monitored at corporate level, R&QGC. Senior manager responsibility (Band 8 and above). Managed at divisional board level. Senior Manager responsibility (Band 8 and above)

10-14

High

Undesirable level of risk. Attempts should be made to eliminate or control to reduce risk to an acceptable level. Shall only be acceptable when further risk reduction is impractical. Attempts should be made to eliminate or control the risk.

4-9

Moderate

Proactively managed by matrons, heads of department, service level (Band 7 and above)

1-3

Low

Acceptable; no further action required or where cost of further reduction outweighs benefits gained.

Proactively managed by all staff. Review by head of department.

13.0 RISK REGISTER The Datix-web risk register is used to collate risk information and facilitate risk management risk within the Trust at corporate, divisional and departmental level. It is used to monitor that appropriate action is taken to control, reduce or eliminate each risk. All registers must be continuously updated as circumstances change, new risks arise and established risks are treated All Trust risk registers must be populated with risks from the following sources: • Claim • Complaint • External recommendations • Incident reports • Internal audit • Legislation • Local risk registers • Non conformity • Risk assessments • Safety Alert The risk register has the following components: • Numerical identifier • Responsible division and department • Named lead • The source of the risk • A description of the risk • The initial, current and residual risk score • Risk control measures in place • Date of review / closure Access to Datix is via the intranet and requires a password. All managers with access to the risk register module on Datix can view risks for other divisions. This will help to ensure consistency of scoring across the Trust and sharing of risk management information.

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

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