Leeds Teaching Hospitals NHS Trust
A cultural and process improvement to the assurance framework
Leeds Teaching Hospitals NHS Trust transformed its Framework of Assurance following an external review of the trust’s risk management system, comprising the Board Assurance Framework and Corporate Risk Register.
The trust accomplished this by:
- Reducing the number of corporate risks, from almost 100 to less than 25, enabling the executive directors and trust board to focus on the most significant risks
- A revision of the Board Assurance Framework, focusing on the 3 key strategic risks: workforce, partnership working and finance
- Improvement to the trust’s culture, known as the Leeds Way, which has transformed behaviour, working relationships and engagement in the organisation.
The trust board now takes considerable assurance from the Risk Management Framework including;
- Identification of risks and their inclusion in relevant risk registers
- Effective reporting of the Corporate Risk Register and Board Assurance Framework to the trust board, Audit Committee and Risk Management Committee
- More accurate and consistent scoring of risks in line with the Risk Management Policy and accompanying Risk Appetite Statement
- An effective escalation process for deteriorating risks.
Progress was noted in the CQC well-led inspection in September 2018. The Trust regularly receives approaches from other NHS organisations to study its Risk Management Framework and attend Risk Management Committee, to learn from this good practice.