Management of risk and performance: requires improvement

W5. Are there clear and effective processes for managing risks, issues and performance?

Characteristics of services we would rate as requires improvement in this area

Risks, issues and poor performance are not always dealt with appropriately or quickly enough. The risk management approach is applied inconsistently or is not linked effectively into planning processes. The approach to service delivery and improvement is reactive and focused on short term issues. Clinical and internal audit processes are inconsistent in their implementation and impact. The sustainable delivery of quality care is put at risk by the financial challenge.