Executive Summary for Submission of Paper to the Trust Board
Paper No. NHST(13)014
Subject: Corporate Risk Register
Purpose: Review of High Risks to the Organisation
Summary: The paper identifies the current risks within DATIX as scoring 15 or above.
The review dates and status.
Corporate Objectives met: 5* Patient Care
Financial Implications:
Stakeholders: Patients, staff, local partners and third sector organisations
Recommendation(s): The Board is asked to a review the risks.
Review Date: 3 monthly
Author : Patient Safety Manager
Presenting Director: Chrissie Cooke Director of Nursing, Midwifery and Governance
Board date: January 30th 2013
Trust Board – Corporate Risk Register
January 2013
Page 1 of 5
Introduction
The Trust Integrated Governance and Risk Management Framework defines how risks to patients,
staff, the public and the organisation will be assessed, mitigated and managed. The administration of
this process is through an electronic operating system called Datix, which enables the recording of
risks on risk registers that are defined by organisational structure- for example there is a risk register
for each Care Group, department or team within the Trust.
Process
The policy document defines the process of risk assessment as:
 Defining the hazard
 Estimating the impact or consequence should the hazard occur
 Estimating the likelihood of the hazard occurring
The impact and likelihood are then rated according to the following matrix
Risk Scoring=Consequence x Likelihood (R=CxL)
1–3
4-6
8 - 12
15 - 25
Low risk
Moderate risk
High risk
Extreme risk
Likelihood score
1
2
3
4
5
Rare
Unlikely
Possible
Likely
Almost certain
5 Catastrophic
5
10
15
20
25
4 Major
4
8
12
16
20
3 Moderate
3
6
9
12
15
2 Minor
2
4
6
8
10
1 Negligible
1
2
3
4
5
Consequence
Refer to the Trust Governance and Risk Management Framework including Risk Assessment and Risk Procedure (available on the Trust Intranet)
The framework also gives guidance as to what would constitute a catastrophic impact versus a
moderate impact and how to assess the likelihood.
All risk registers are held together in Datix as a corporate risk register. The Trust Integrated
Governance and Risk Management Framework states that risks that are assessed as 15 or above
should be reported to the Trust Board for review on a regular basis. Risks that are currently held on
the corporate risk register that are 15 or above are shown in appendix 1.
It is recommended that the Board note this report.
Trust Board – Corporate Risk Register
January 2013
Page 2 of 5
ID
Risk Ref.
Description of Risk
Handler
365
ST
HELENS
Security access doors have to Steph
be swiped which is difficult to
Wiswell
do when staff are escorting
patients on wheelchairs and
trolleys. The doors are also
heavy, causing repetitive strain
injury due to the number of
time the staff go through the
doors on a daily basis. approx.
50 patients per day - 6 door
negotiations per patient - 300
episodes per day
Date
Opened
Type of Risk Last Review
Date
04/10/201 Operational
2
Risk
17/01/2013
Curren Next
t Level Review Date
20
01/03/2013
Update: There are currently discussions regarding the replacing of these doors with automatic doors
ID
Risk Ref.
Description of Risk
Handler
406
Q+R Legal 1 A very old database holds all Carol
third party legal information.
Freema
This database regularly is not n
accessible and crashes. It’s
not supported by the Trust IT
department, who are unable
to resolve problems as they
arise.
Date
Opened
Type of Risk
Last Review Date Curre
nt
Level
Next
Review Date
04/12/20
12
Strategic Risk
14/01/13
04/02/2013
20
Update: The Informatics department has nominated a project lead to enable this information to be integrated within the DATIX system. This
is not yet completed therefore the risk remains.
Trust Board – Corporate Risk Register
January 2013
Page 3 of 5
ID
Risk
Ref.
Description of Risk
Handler
407
SCG
069
At times of heightened
Patricia
escalation there is a
Keeley
requirement to out lie medical
patients into surgical beds.
Current use of the Outlier
Policy identifies patients from
GPAU/MAU/ED only. This has
resulted in elderly, confused
patients requiring 'all care'
being moved to surgical wards,
increasing LOS, reducing bed
stock to manage surgical
activity and placing at risk
patient safety and quality of
care.
Date
Opened
Type of Risk
10/12/201 Operational
2
Risk
Update: Following a review of the situation there is no change to the risk generated.
Trust Board – Corporate Risk Register
January 2013
Page 4 of 5
Last Review Date
15/01/13
Next
Curren
Review
t Level
Date
16
15/02/2013
ID
Risk
Ref.
41 CIP5 172SCG r
Description of Risk
Handler
As part of the SAP programme Sue
the organisation has initiated a Garnham
move from their current
provider of suture to Covidien.
Clinical feedback regarding the
suitability of the suture for
some specialities and
procedures has identified risk
in failure of Covidien sutures
which may compromise patient
safety.
Date Opened
Type of Risk
Last
Review
Date
13/12/2012
Operational Risk
10/01/13
Next
Curren
Review
t Level
Date
15
Update: A meeting planned for 24th January 2013 with executive and senior managers will identify an outcome to this risk.
Trust Board – Corporate Risk Register
January 2013
Page 5 of 5
24/01/201
3