12IE – Duty to have arrangements to address severe and recurrent risks
The NHS Golden Jubilee position with this duty is reasonable (92%). The various governance structures and assurance processes in place across the organisation support compliance.
Professional leadership structures are also in place across NHS Golden Jubilee to help to support compliance. Regular Confirm and Challenge Meetings are held by Executive Director of Operations and divisional teams to review and address ongoing risks to the planned and actual clinical activity. This may include reviewing risks identified and associated mitigations. These meetings are attended by lead clinicians from the triumvirate, performance team and other executive directors including Medical and Nurse Directors. These meetings are held monthly and minutes are recorded.