12IE – Duty to have arrangements to address severe and recurrent risks
The NHS Golden Jubilee position with this duty is substantial. The established governance structures and assurance processes in place across the organisation support compliance with this duty.
Professional leadership structures in place across the organisation also support this. The regular Confirm and Challenge Meetings are held by Executive Director of Operations and the divisional teams to review and address any identified ongoing risks to the planned and actual clinical activity.
This may include reviewing risks identified together with the associated mitigations that have been deployed. These meetings are attended by the lead clinicians from the triumvirate, the performance team and other executive directors including the Medical and Nurse Directors.
These are held monthly and minutes are recorded as part of the governance and quality process as well as provide transparency.
Initiatives in place to support this duty include:
- Severe and/or recurrent risks are currently recorded via Datix and continuously reviewed by the Triumvirate leadership team.
- The RTS and Adverse Events processes provide further governance and reporting to support learning and improvement.
