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4. Taking informed, transparent decisions and managing risk 

 

4.1 

Towards ensuring that the NHS Board takes informed, transparent decisions and manages risk, there are a number of mechanisms in place.

NHS Board Meetings

4.2 

The Agenda for Board Meetings combines:

  • Strategic Development,
  • Service Development,
  • Performance against key targets,
  • Health Promotion/Health Protection/Public Health,
  • Clinical Governance,
  • Quality,
  • Patient Safety,
  • and Governance reports. 

The NHS Board meets on a monthly basis, with meetings being held in public. Arrangements for the meetings are publicised widely and Board papers are accessible on the NHS Lanarkshire Public Website prior to Board Meetings.

All reports to the NHS Board are full and detailed, and Board Minutes faithfully record: the information presented; the principal issues raised in discussion and the NHS Board’s decisions. 

There is in place a Scheme of Delegation and a Schedule of Decisions Reserved for the NHS Board.

Risk Management

4.3 

Risk Management is embedded within the organisation. There is a Board-level Strategic Risk Register and Divisional and Locality Risk Registers for the Acute Division and the North and South Lanarkshire Community Health Partnerships. These Risk Registers identify the key business risks and the measures in place to mitigate their impact on the organisation. Risk Registers are subject to regular review and updating as required. 

There is, in place, an Executive-level Risk Management Steering Group, Chaired by the Chief Executive, with membership drawn from Executive Directors and input from the Board Secretary, the Head of Clinical Governance and Risk Management, Risk Managers and the Head of Internal Audit. 

The Risk Management Steering Group meets monthly, and the minutes of meetings are shared widely, including with the Audit Committee and the Health and Clinical Governance Committee. A Risk Management Annual Report is produced. It is presented to the NHS Board and to the Audit Committee and the Clinical Governance Committee for consideration.

4.4 

The NHS Board’s Risk Management endeavour supports the production of the annual Statement on Internal Control which is a key component of the Annual Accounts. The Risk Management endeavour is also subject to scrutiny by Internal Audit, External Audit and rigorous review by NHS Quality Improvement Scotland, against national published Clinical Governance and Risk Management Standards.

Business Continuity

4.5 

Under the Civil Contingencies Act 2003, Lanarkshire NHS Board is a Category 1 Responder. In pursuit of this responsibility, the NHS Board has produced a Strategic Business Continuity Plan and Operational Business Continuity Plans, identifying the vital services, factors which, potentially, could disrupt continuity in their delivery, and actions to mitigate their impact. The Business Continuity endeavour is overseen by a Business Continuity Plan Steering Group, which comprises representatives from key disciplines across the organisation, and is responsible for ensuring that Business Plans are maintained up to date and are regularly tested.

Assurance and Governance

4.6 

The NHS Board has completed a comprehensive stock-take of Assurance and Governance Systems, and has a range of mechanisms in place to ensure that the organisation complies with: relevant laws and regulations; national policy and guidance; and reports from relevant bodies, such as NHS Quality Improvement Scotland.