Appendix 1 Risk ID and Title: ID 855 The asset base is not fit for purpose Initial Strategic Description Context and/or Category Risk Controls Gaps in controls Action Assurance Latest Notepad Objective Impact level sources at risk Be the NHS Grampian Consequence: Informa- HIGH Capital plan Expected review Link risk to Performance 24/1/2010 best has significant Buildings become tion reviews ensure of capital review, to include Governance Discussed in performing levels of backlog increasingly projects tackle allocations contingency plans Committee detail at SMT. provider of depreciation that vulnerable; highest risk areas drastically Long term - Close Controls etc health is resulting in Service delivery Additional £5m reduced from and dispose of added and care buildings that negatively 'risk' allocation 2011/12 properties not fit discussed, services in are dilapidated affected; Staff included annually Review of asset for purpose as risk level and requiring concerned about in plan base not yet soon as same. To link urgent state of buildings; Estates completed circumstances to asset maintenance. Negative impact department Contingency plans allow review. Joint There is a on morale; regular update to not yet built into Continuous ownership significant Impacts on asset investment asset review work review of capital with Director capital patient group on progress plans to of Public programme for experience; Long term - maximise Health and investment in Health and safety Property strategy investment in Planning. the asset base concerns from health and highest risk areas 22/09 but due to care framework to reviewed at limited provide focus SMT resources not all Mitigation and buildings are fit contingency plans for purpose for areas of high risk (as identified by review of asset base) Data extracted from Datix 19th January 2011
Appendix 1 Risk ID and Title: ID 855 The asset base is not fit for purpose Initial Strategic Objective at risk Description Context and/or Impact Category Risk level Controls Gaps in controls Action Assurance sources Latest Notepad Be the best performing provider of health care services in NHS Grampian has significant levels of backlog depreciation that is resulting in buildings that are dilapidated and requiring urgent maintenance. There is a significant capital programme for investment in the asset base but due to limited resources not all buildings are fit for purpose Consequence: Buildings become increasingly vulnerable; Service delivery negatively affected; Staff concerned about state of buildings; Negative impact on morale; Impacts on patient experience; Health and safety concerns Informa- tion HIGH Capital plan reviews ensure projects tackle highest risk areas Additional £5m 'risk' allocation included annually in plan Estates department regular update to asset investment group on progress Long term - Property strategy from health and care framework to provide focus Mitigation and contingency plans for areas of high risk (as identified by review of asset base) Expected review of capital allocations drastically reduced from 2011/12 Review of asset base not yet completed Contingency plans not yet built into asset review work Link risk to review, to include contingency plans Long term - Close and dispose of properties not fit for purpose as soon as circumstances allow Continuous review of capital plans to maximise investment in highest risk areas Performance Governance Committee 24/1/2010 Discussed in detail at SMT. Controls etc added and discussed, risk level same. To link to asset review. Joint ownership with Director of Public Health and Planning. 22/09 reviewed at SMT Data extracted from Datix 19th January 2011