Document facilitator: General Manager, Quality Improvement & Patient Safety
Senior document owner: Executive Director, Quality Improvement & Patient Safety
Document number: 1.8772
Issue Date 15 July 2020
Review Date 15 July 2023
Type:
Policy
Name:
Risk Management
Purpose
The purpose of this policy is
1. to articulate the District Health Board’s (DHB’s) commitment and
accountabilities for implementation of the DHB wide risk management
approach.
2. to replace Risk Management Policy 1.8772 and align to the ISO 31000:2018
International Standard.
Background
The DHB acknowledges that the services it provides and the way it provides these
services, carries with it unavoidable and inherent risk. The identification and
recognition of these risks together with the proactive management, mitigation and
(where possible) elimination of these risks is essential for the efficient and effective
delivery of safe and high quality services.
A 2DHB Risk Management Approach was developed in February 2020. A 2DHB
Senior Risk Advisor position was recruited to guide the implementation of the
Approach. A 2DHB Executive Leadership Team Strategic Risk Group was formed in
2020 to oversee analysis and escalation of strategic risk.
Scope
This policy applies to all DHB employees (permanent, temporary and casual), visiting
medical officers, and other partners in care, contractors and consultants.
Policy Statement
The DHB recognises that risk management is an integral element of governance and
management practice.
The DHB is committed to implement the 2DHB Risk Management Approach 2020, a
system that articulates accountabilities to report, evaluate, mitigate and escalate risk
and define risk appetite at all levels.
Prerequisites
Risk management training is provided for staff according to their
responsibilities.
Risk management tools are evidence based and are current.
Risk Management
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capitalDocs ID 1.8772
Regard printed versions of this document as out of date – The CapitalDoc
document is the most current version
Document facilitator: General Manager, Quality Improvement & Patient Safety
Senior document owner: Executive Director, Quality Improvement & Patient Safety
Document number: 1.8772
Issue Date 15 July 2020
Review Date 15 July 2023
Roles and responsibilities
Board
Receive strategic risk summary report
Define risk appetite and recommend action.
Finance, Risk & Audit
Receive strategic risk summary report.
Committee (FRAC)
Provide independent assurance to the Board on risk
Executive Leadership
Manage risks that have the potential to impact
Teams
strategic or operational objectives.
2DHB ELT Strategic Risk
Define organisational strategic risk
Group
Maintain oversight of strategic risk and management
to ELT.
Directorates / Group
Manage Directorate-level risks
Services
Professional Leads /
Identify, report and monitor relevant risks.
Clinical Leads / Clinical
Support the implementation of mitigations
Council / Health & Safety
Committees / ICT
Governance groups
Senior Risk Advisor
Implement the Approach.
Develop and provide risk management training.
Manage risk systems and risk management tools.
Support leaders to manage risk
Quality Managers /
Provide support in the management of risks
Quality Advisors / Health
& Safety Advisors
All staff (clinical and non-
Participate in risk identification, reporting and
clinical)
management.
References
ISO 31000:2019 International Standard – Risk Management Guidelines
Related DHB documents
Risk Management Approach 2020
Health & Safety Policy
2DHB Quality & Safety Framework 2020
Disclaimer: This document has been developed by Capital & Coast District
Health Board (CCDHB) specifically for its own use. Use of this document and any
reliance on the information contained therein by any third party is at their own risk
and CCDHB assumes no responsibility whatsoever.
Risk Management
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capitalDocs ID 1.8772
Regard printed versions of this document as out of date – The CapitalDoc
document is the most current version
