NHS CALDERDALE, KIRKLEES AND WAKEFIELD: BOARD ASSURANCE FRAMEWORK 2012/13 MAY 2012 1 Strategic Objective
Board Reports
Continuously improve the quality of commissioned health services (Effectiveness, Safety and Experience) Executive Director Lead; Sue Cannon Executive Director for Quality and Governance Principal Risks Risk Owner 1.1) Implementation of cost improvement programmes has an adverse impact on the quality of services and patient safety. Risk Owner: Sue Cannon Risk Manager (s) Julie Lawreniuk Carol McKenna Gill Galdins
Risk Status RAG Amber
Key Controls All Cost Improvement Schemes to be reviewed for quality impact by Medical Directors and Directors of Nursing. Scrutiny and review of service specifications, delegated responsibility through terms of reference to CCEs. Scrutiny and review through Clinical Quality / Contract Management Boards Scrutiny and review through Transformation / QIPP governance
Assurances on Controls
Key Positive Assurance (**External / Independent)
Transition report to Board
Significant
Quality reports to CCEs and Quality Boards Audit and Governance Group report through CCE Governance Committee oversight of quality reporting
Gaps in Control (GIC) and/or Gaps in Assurance (GIA)
Corrective Action
Responsibility Target Date
(GIC)
Key controls are not fully embedded across all CCGs (GIA)
Reasonable
CCGs initial SHA rating Internal audit of governance arrangements
Limited
CCG authorisation process Participation in Board to Board reviews.
Green – the risk is being appropriately managed, all controls are in place and appropriate assurances being received. Amber – the risk is increasing either through gaps in control or as a result of actions, not being fully embedded and / or insufficient assurance on controls. Red – the risk has increased with significant gaps in control and / or insufficient assurance on controls.
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