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Up until this year, it is understood that no risk register management training had been offered by the HSE nationally, yet staff should be able to access the risk register relating to their area and there is a requirement for risk registers to be in place at all levels of the system.
At a Cork University Hospital (CUH) Performance Meeting in October 2016, a discussion around quality and safety occurred, according to minutes of the meeting, seen by MI.
The minutes stated: “It was noted that capacity and capability is needed to support quality and risk. There needs to be a fit-for-purpose governance system and register. No risk register management training has yet been offered nationally.”
A review of the HSE Integrated Risk Management Policy (introduced in 2007) was finalised this year and launched with a revised suite of supporting guidance in March.
“The launch was supported by 10 national workshops, at which approximately 500 staff attended,” said a HSE spokesperson.
“As this policy is based on an international standard, the key changes related to realignment to the HSE’s structures which have changed since 2011 and a revision of the guidance to ensure that it is more relevant and accessible to front-line staff.
“The guidance to support the process has also been written in a manner so as to make it more relevant to services (a reduction in the amount of technical language used and the use of practical examples).
“A more relevant risk register tool has also been developed for services. This has been accompanied by detailed guidance for its use. The workshops carried out with over 500 staff provided training in relation to the use of this tool. The training materials are available to all staff via HSE.ie. Further support is provided through the QAV [Quality Assurance and Verification] Division on request and through the network of QPS [Quality and Patient Safety] advisors at all levels of the system.
“To embed risk management within the HSE, there is a requirement for risk registers to be in place at all levels of the system, eg, Corporate, National Divisional, Hospital Group/CHO, Hospital site/Clinical Directorate, Community Service and Ambulance Area. Staff should be able to access the risk register relating to their work area.”