REPORTItem No: 16SUBJECT:

TO:

Lead Officerfor Report:

hCoOFHealth&Social CarerNorth Lanarkshire

Risk Management

Integration Joint Board

Chief Accountable Officer

Author(s) of Head of Planning, Performance and Quality AssuranceReportDATE: 23.01.18

1. PURPOSE OF REPORT

2.

This paper is coming to the Sub Committee

For approval LjjJ For endorsement j To note

ROUTE TO THE SUB−COMMITTEEThis paper has been:

Prepared by: Head of Planning, Reviewed by: Core Senior f n d o r s e d by:Performance and Quality Assurance Leadership Team

−_________

3. RECOMMENDATION

3.1 The Integration Joint Board is asked to approve the content of the report

4. BACKGROUND/SUMMARY OF KEY ISSUES

4.1 New, closed or emerging risks and current risk profile

4.1.1 There are currently 10 live risks identified on the IJB register.4.1.2 The current risk profile and scoring template are set out below:

IMPACT

Low Minox Modezate I Major I ExtterneIScoze 1 2 1 3 1 4 1 5

AlmostCeztafl1kekPosibIeUnIilelRaze

3

432I

Risk Score Number of RisksLow (1−3) 1Moderate (4−9) 5High (10−15) 4

Very High (16+) 04.2 Very High Graded Risks

1

4.2.1 Following meetings to jointly review risks across the range of registers in place within health(e.g. corporate, acute, North and South), one risk has been increased to very high, ensuringconsistency of reporting with South and the Corporate register.

4.2.3 This risk will be reviewed at least monthly, with mitigating actions being coordinated via thePrimary Care Strategy Board and Primary Care Transformation Fund Board.

4.3 High Graded Risks and Risks Exceeding Tolerance

4.3.1 From the 10 risks identified, three have an assessed level of risk as high, and a further onehas an assessed level of risk higher than the tolerance set. Members are asked to focus onthe key actions identified to ensure mitigation to tolerance level.

w a l l

MImpact of in year Janice 3H1G11 2MED 1. JIB Finance and Audit Committee

IJB1 budget pressures Hewitt 2. HSCP Budget monitoring meetings SILT,

I 3. Budget monitoring and oversight Finance4. Prescribing Action Plans and Audit5. Capacity plans to maximise efficiency sub, JIB

Future budget Janice 3TiTH 2MED 1. JIB Finance and Audit CommitteeIJB2 settlements Hewitt 2. HSCP Budget monitoring meetings SILT,

I 3. Budget monitoring and oversight Finance4. Prescribing Action Plans and Audit5. Capacity plans to maximise efficiency sub, JIB

b6. Regular budget meetings with Chief

Executives and Directors of Finance

Failure of strategic Janice 2MED 1 . Joint Strategic Needs AssessmentIJB3 commissioning plan Hewitt 2. Locality Profiles SLT, PS&A

3. Strategic Planning Group Sub, JIB4. Locality engagement events5. Commissioning Plan ProgrammeBoard and workstreams6. Communication and engagementstrategy

Sustainability of Janice 3HIGH 1. NIL Carers Strategy ImplementationIJB10 Carer Support Hewitt Group SILT, JIB

Services in 2017/18 2. Working Group for roll out of CarersAct3. NL reps on key national workinggroups for Carers Act4. Carer representation on IntegratedService Review Board

4.3.2 Risks within this category are reviewed at least every 2−3 months.

S. CONCLUSIONS

5.1 The IJB Risk Register has been reviewed in line with NHS Lanarkshire's new self−assessmentapproach, which aims to ensure the risk management process is effective.

5.2 NHS Lanarkshire has reviewed its risk appetite to medium and has introduced a newself−assessmenttool to support officers to more accurately rate risks, review more thoroughly

and ensure the risk register is a genuinely active tool used to support decision making.

5.4 The operational social work register is being finalised in line with the developing risk strategywithin North Lanarkshire Council.

6. IMPLICATIONS

6.1 NATIONAL OUTCOMESThe risk management strategy will assist the identification, recording and mitigation of risks,thereby supporting the achievement of organisational outcomes by prioritising andmanaging risks which may threaten them.

6.2 ASSOCIATED MEASURE(S)No further measures.

6.3 FINANCIALThe risk management strategy will support the identification, prioritisation and managementof risks which may threaten financial balance and governance.

6.4 PEOPLEThe risk management strategy will support the identification, prioritisation and managementof risks which may threaten the safety of staff and patients/service users.

6.5 INEQUALITIESThe risk management strategy will support the identification, prioritisation and managementof risks which may impact on inequality.

7. BACKGROUND PAPERSNone

8. APPENDICESAppendix 1: liB Risk Register

6 6Tt...........................................................................CHIEF ACCOUNTABLE OFFICER (or Depute)

Members seeking further information about any aspect of this report, please contact Ross McGuffieon telephone number 01698 858 119.

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