Meeting of Avon Primary Care Support Management Board – 14 October 2009: Agenda Item 7
Avon PCSA Risk Register
Type of Risk
Description of Risk
Action to be taken/controls
and Internal sources of
assurance
Lead
Financial
Child Health funding for BNSSG Actions: Process for agreeing AM (Alison
service to be transferred from UH transfer from WHAT needs to Moroz, NHS
Bristol to BNSSG PCTs. Shortfall be negotiated.
Bristol)
in funding.
Internal Sources of
UH Bristol have agreed figure to Assurance: Funding
be transferred but some of this
requirements have been
funding is held by Weston Area
ascertained and PCTs advised
Health Trust (WHAT).
of potential shortfall. UH
Bristol have agreed transfer
figure.
Service Delivery
Public Health
PCT’s are not provided with vital
sign target data with sufficient
time to analyse and put
necessary plans in place to
increase achievement rates.
Previous Last
risk
review
score
date
Current risk
score
15
7.10.09
6 (Improbable
x Major)
7.10.09
9 (Possible x
Major)
Actions: PCSA has
Julie Cooper, N/A
documented processes and
PCSA
needs to seek agreement with
PCT colleagues. PCSA Board
members have been asked for
nominees to attend a future
meeting. KPI’s will be
developed as a result.
Risk Register Page 1 of 3
Meeting of Avon Primary Care Support Agency Management Board – 14 October 2009: Agenda Item 7
Healthcare standard &
principal objective
Description of risk
Action to be taken/controls
and Internal sources of
assurance
Lead
Previous Last
risk
review
score
date
Current risk
score
Eileen
Grindey,
PCSA
N/A
7.10.09
15 (Certain x
Major)
Julie Cooper, N/A
PCSA
7.10.09
10 (Certain x
Major)
Internal Sources of
Assurance: By working
collaboratively targets have
been achieved to date; but not
effectively as possible.
Financial
Accommodation Costs for South Action: Full analysis of costs
Plaza are greater than predicted. to be undertaken.
Internal Sources of
Assurance: None at present
other than current under
spend on staff costs in PCSA.
Health and Safety, Public National Patient Safety Alert:
Acceptability
NPSA/2008/SPN002 issued 24
June 2009 said that Primary Care
Organisations should inform
patients about their NHS Number
in writing whenever they register
as a new patient. This maybe
when a patient has changed
practices or has never registered
before and will therefore have
held a NHS Number recently
allocated to them. PCSA do not
carry out this function currently
(the production of medical cards
ceased in 2005).
Action: See Agenda item
8.3.2.
Internal Sources of
Assurance: Systems used
within PCSA all record an
NHS Number for each patient.
All communications display
patient NHS Number.
Risk Register Page 2 of 4
Meeting of Avon Primary Care Support Agency Management Board – 14 October 2009: Agenda Item 7
How to use this risk register
This register sets out the Agency’s high priority risks that are operational/other core priorities. For each risk the principal type and the
actual risk is described. Risk types are:






Financial
Service delivery
Public Health
Health and safety
Public acceptability – potential outcomes that would be unacceptable to stakeholders
Organisation resilience – these are risks to the organisation’s ability to respond to the situation.
The actions to be taken, controls in place and the manager with lead responsibility are given in the register. The last review
date refers to the date when the risk was last reviewed by the respective manager who is the lead for the particular risk. A risk
score is given for each risk. The score is decided by using the NHS Bristol risk assessment process. A brief description is given
below.
Scoring risks
Risks are scored using the matrix below. The level of consequence is decided which gives a sum between 1 (insignificant) and
5 (fatal); the probability of the risk happening is then decided which gives a sum between 1 (remote) and 5 (certain). Multiplying
the two sums together will give the risk score, e.g. consequence (major) x probability (possible) would be 3 x 3 = risk score of 9.
The risk scores are given on the matrix below. Risks scored at 15 and above are included in this register.
Risk Register Page 3 of 4
Meeting of Avon Primary Care Support Agency Management Board – 14 October 2009: Agenda Item 7
Risk assessment scoring matrix
Probability of happening again
Certain = 5
5
Act soon
10
Act now
15
Act now
20
Probable = 4
4
Act soon
8
Act soon
12
Act now
16
Possible = 3
3
6
Act soon
9
Act soon 12
Act now
15
Improbable = 2
2
4
6
Act soon
8
Act soon
10
Remote = 1
1
2
3
4
5
Insignificant = 1
Minor = 2
Major = 3
Severe = 4
STOP 25
Act now
20
Fatal = 5
Consequences/severity
Risk Register Page 4 of 4