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Paper BSO 79/2016 1 29 September 2016 Board Corporate Risk and Assurance Report 2016-17 1. Purpose of this report The purpose of this report is to record changes to the Corporate Risk & Assurance Report made between July and September 2016 and to outline progress made to date on risk actions. 2 Changes to Corporate Risks New Risks SMT has agreed that there is an element of duplication across the range of risks relating to shared services. It is therefore proposed that risks 4, 6, 7 and 9 are removed and replaced with a single risk which reflects the corporate risk relating to shared services. The new risk has been proposed by the Head of Shared Services: Risk 3 Risk of not achieving the agreed business case outcomes for HR and Finance systems leading to financial and reputational damage. Risk 15 was added to the register in August 16 but is now proposed for removal as below. Risk 15 - There is a risk that the HSC Pensions Service will not be in a position to deliver annual benefit statements to members of the new 2015 scheme by 31 August 2016 as required under the Public Service Pensions Act (Northern Ireland) 2014. Revised Risks All risks have been updated and/or re-numbered with changes shown in red.

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Page 1: Board Corporate Risk and Assurance Report 2016-17...Paper BSO 79/2016 1 29 September 2016 Board Corporate Risk and Assurance Report 2016-17 1. Purpose of this report The purpose of

Paper BSO 79/2016

1

29 September 2016

Board

Corporate Risk and Assurance Report 2016-17

1. Purpose of this report

The purpose of this report is to record changes to the Corporate Risk &

Assurance Report made between July and September 2016 and to outline

progress made to date on risk actions.

2 Changes to Corporate Risks

New Risks – SMT has agreed that there is an element of duplication across

the range of risks relating to shared services. It is therefore proposed that

risks 4, 6, 7 and 9 are removed and replaced with a single risk which reflects

the corporate risk relating to shared services. The new risk has been

proposed by the Head of Shared Services:

Risk 3 – Risk of not achieving the agreed business case outcomes for HR and

Finance systems leading to financial and reputational damage.

Risk 15 was added to the register in August 16 but is now proposed for

removal as below.

Risk 15 - There is a risk that the HSC Pensions Service will not be in a

position to deliver annual benefit statements to members of the new 2015

scheme by 31 August 2016 as required under the Public Service Pensions Act

(Northern Ireland) 2014.

Revised Risks – All risks have been updated and/or re-numbered with

changes shown in red.

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Paper BSO 79/2016

2

Removed Risks – The following risks are recommended for removal following

the addition of the above new Shared Services risk:

Risk 4 - Lack of Resources to unlock the business case benefits for

Finance, HR, Procurement and FPS Business Systems Replacement.

Risk 6 - Shared Services may not achieve business case outcomes.

Risk 7 - Inability to implement new Shared Service for Payroll,

Payments, Income, Selection & Recruitment in line with Departmental

timetable and customer expectations. Risk of disruption to services and

damage to reputation during period of transition due to system

problems and inexperienced staff

Risk 9 - Inability to implement replacement systems for Finance, HR and Procurement in line with agreed plan.

The removal of risk 15 (which was added in August 16) is also proposed

given that the risk has now materialised.

Risk 15 - There is a risk that the HSC Pensions Service will not be in a

position to deliver annual benefit statements to members of the new 2015

scheme by 31 August 2016 as required under the Public Service Pensions Act

(Northern Ireland) 2014.

A Breach of law reported to Pensions Regulator 8 July 2016 and plans are in

place to deliver annual benefit statements by end December 2016.

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3 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 1: To Deliver Value for Money Services to our Customers

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action By Whom End Date

Comment

L I S Rate

1. Levels of savings in the overall environment for HSC are so great that BSO service provision to customers are negatively affected and/or we fail to breakeven. The Leadership Centre may be particularly affected by a reduced level of client income e.g. HSCB Risk Owner(s) DoF CX / Dirs Type of risk: Economic & Financial

4 4 16 High

Budgetary Process Breakeven Budget with specified savings programme Latest Best Estimates Service Offering Meetings held with DHSSPS sponsor branch

Budgetary Monitoring (I) SMT Accountability to CX (I) External Audit - Report to those charged with Governance (E) Budgetary Control process (I) Directorate Service Team Meetings (I) Financial Accountability Reviews with Directors (I) Financial Management Standard (I) & (E) Risk Reporting & Review (I) CX Review of Dirs Objectives (I) Dept Accountability Review (E) MIPB Assessment

.

DoF/ADFM

BSO received a 2016/17 DHSSPSNI allocation letter on 16 March 2016, providing formal confirmation that a 15% cut to the BSO recurrent RRL had been applied, effective from April 2016. 2016/17 budget was approved at Board meeting on 26

th May.

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Paper BSO /2016

4 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 1: To Deliver Value for Money Services to our Customers

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action By Whom End Date

Comment

L I S Rate

2. Inability to prove quality, productivity and VFM, and show that we are competitive and addressing customer expectations. Risk Owner(s) DoCCP Dirs Type of risk: Financial, Customer/Citizen & Partnership Contractual

2 4 8 High

Existing Processes to measure Quality Standards; SLA’S; KPI’s; Framework /Scorecard; Monthly report to Customers; Internal Audit programme; Audit Control Process; Annual Quality report.

Accredited Bodies - ISO/Lexcel (E) Monthly Reports to Customers (I) Scorecard monitoring SLA Monitoring (I) Financial Management Standard (I) & (E) Customer Survey (E) SMT Meetings (I) GAC Audit Control Review (I) Dept Accountability Review (E) MIPB Assessment

Further participation of BSO Services in Benchmarking programme for 2016-17. Annual customer surveys

DoCCP

September 2016

January 2017

Questionnaires are currently being completed by a number of service areas with an update report to Business and Development Committee in September 2016. 2016/17 SLAs have been issued. 14 of 18 have been signed and returned. SLA customer meetings are nearing completion.

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5 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 1: To Deliver Value for Money Services to our Customers

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action By Whom End

Dates

Comment

L I S Rate

3. Risk of not achieving the agreed business case outcomes for HR and Finance systems leading to financial and reputational damage. Risk Owner Head of SS Type of risk: Financial Reputational

3 4 12 High

Departmental oversight of BSF Fortnightly departmental meetings Monthly AD forum Monthly Finance AD forum Monthly HR AD forum Quarterly regional orgs customer forum BSTP programme board

WHSCT migration SEHSCT migration Execute BSF workplan FPL upgrade

Head of Shared

Services March 2017

Head of Shared

Services December

2016

Head of Shared

Services Mar 18

Head of Shared

Services

Sept 17

WHSCT rollout was completed March 2016. Further work is pending implementation decision by WHSCT and DoH. Rollout commenced Feb 2016 Upgrade has been delayed by the supplier. Phase 1 is due to be completed June 2017 and Phase 2 by September 2017

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Paper BSO /2016

6 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 1: To Deliver Value for Money Services to our Customers

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action By Whom End

Dates

Comment

L I S Rate

4. Lack of Resources to unlock the business case benefits for Finance, HR, Procurement and FPS Business Systems Replacement. Risk Owner Head of SS Dir of Ops Dept SRO Type of risk: Financial

3 4 12 High

Following completion of Procurement in October 2012 the updated OBC for FPL and HRPTS systems was approved by DHSSPS and DFP. Revised governance arrangements in place. CXs members of Programme Board and HR & Finance Directors members of Implementation Board. Money released for both systems. Resources identified for FPS systems within HSC ICT budget and OBC approved by DFP. FPS governance transferred to

Dept Accountability Review quarterly (E). Programme Board Reporting monthly (I) Implementation Board monitoring monthly. Technical groups established and meet weekly. Updated OBC for HRPTS & FPL to be submitted and approved before contract signature.

Workshops with functional groups will develop work packages including resource requirements. These will be presented to BRP and BSTP Project Boards as developed. Programme Director to work with SRO & Capital Branch to ensure that reserved monies are released as required. Dir of Ops to confirm continued funding with project SRO.

Dir Of Ops/Head of

Shared Services

March 2017

All remaining activities will be migrated to BST team within Shared Services at appropriate stage of completion and managed via BSF governance arrangements to take to completion. A time bound work plan has been agreed regionally and implemented which supports the achievement of the FPL and HRPTS benefits.

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Paper BSO /2016

7 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

HSC ICT programme. FPL go-live – all organisations September 2013. Gateway 4 (HRPTS) and Gateway 0 (BSTP) recommended a stream of work on benefits should be established.

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Paper BSO /2016

8 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 1: To Deliver Value for Money Services to our Customers

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action By Whom End Date

Comment

L I S Rate

5. HSC restructuring leads to negative impact on overall SLA funding Risk Owner(s) SMT Type of risk: Financial, Customer/Citizen & Partnership Contractual Risk added: 9.12.2015

3 4 12 High

Engage as early as possible to identify to which organisation(s) current HSCB services will transfer. SLA/ funding realignment to be identified and progressed following clarity on redistribution of services.

DoCCP

September

2016

DoCCP DoF

2016/17-

TBC

The CEx is a member of the HSC Restructuring Programme Board. The design phase is ongoing with further public consultation expected Autumn 2016. Implementation of the programme plan is likely to commence during 2017/18 with completion planned for early 2018/19.

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9 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 2: To Grow our Services and Customer Base

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action By Whom End Date

Comment

L I S Rate

6. Shared Services may not achieve business case outcomes. Risk Owner Dept SRO Head of Shared Services Dir of Finance (for charging/funding model) Type of risk: Financial, Physical & Partnership / Contractual

4 4 16 High

Feasibility Study (2007) on Shared Services Programme Board Project Structure Dept Review Strategic Outline Case (2009/10) – DFP/Dept Assurance Project re-plan presented to BSTP Programme Board on 2

nd

September 2013 and approval received.

Project Board (I) Programme Board Reporting (I) DFP/Dept OCB Reviewed (E) SS SS Quality Assurance Group (E) Dept Accountability Review (E) MIPB Assessment Engagement with Senior HSC Officers re design of Shared Services. Public consultation closed end Feb. Ministerial decision announced on 14 May 2012.

SMT reviewing the implementation plan & progress on a fortnightly basis.

Head of Shared

Services

March 2017

A delay in uptake of some initiatives in Payments will delay the realisation of benefits until March 2017. Accounts receivable benefits realisation is complete. A decision has been taken to delay the realisation of benefits in Payroll to enable a period of stabilisation. This is now expected to be complete in September 2017. Following the decision taken by the Minister around Single Pay Frequency, the original OBC outcomes will not be realised. The Payroll OBC plan will be reconfigured as a result. ESS/MSS will continue to be rolled out.

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10 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 2: To Grow our Services and Customer Base

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action By Whom End Date

Comment

L I S Rate

7. Inability to implement new Shared Service for Payroll, Payments, Income, Selection & Recruitment in line with Departmental timetable and customer expectations. Risk of disruption to services and damage to reputation during period of transition due to system problems and inexperienced staff. Risk Owner Head of Shared Services Dept SRO Type of risk: Partnership / Contractual & Customer/Citizen

5 4 20 Extreme

BSTP Governance reporting processes. BSO Shared Services Project oversight by BSO SMT. Project operated using Prince methodology. Project re-plan presented to BSTP Programme Board on 2

nd

September 2013 and approval received. - Working

Group/Project Boards in place with all organisations to deal with cut over activities

- SSIG & RIB monitoring

Strategic adviser appointed to assist BSO SMT. BSTP Programme Board reporting. PMO & reporting established bi-weekly. BSTP Implementation Group – regular reporting and review of progress.

Central administration, resources and structures to be agreed. Phased roll-out of shared services dependent on systems roll-out and stabilisation. E-Rec implementation plan currently being rolled out.

Head of Shared

Services September

2016

E-Rec has been fully rolled out. Adoption of the system continues to progress: SHSCT, BHSCT and NHSCT are complete. WHSCT roll-out is completed end March 2016 where possible. Further work is pending implementation decision by WHSCT and DoH. SEHSCT rollout commenced February 2016. Work is underway towards full rollout by December 2016. Migration of WHSCT and SEHSCT is dependent on stabilisation of Shared Services Recruitment. Stabilisation criteria have been agreed with a target completion date of Septembr 2016.

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11 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 2: To Grow our Services and Customer Base

Report on Board Action Plan

Risk

Description (Include DATE

ADDED)

Current

Risk Score

Controls Assurances Action By Whom

End

Date

Comment

L I S Rate

8. There is a risk that BSO will be unable to implement the Social Care Procurement project resulting in slippage in procurement programme to address the new light-touch regime detailed in regulations 74-77 of the Public Contracts Regulations 2015

Risk Owner

Dir of Ops

Type of risk:

Partnership /

Contractual;

Legislative /

regulatory;

Risk Added:

24/05/2016

3 4 12 High

PRINCE2 Project

methodology and

project structure

in place including

project control

strategy

Oversight by

Regional

Procurement

Board

Governance

structure

Strategic Plan

Updates provided

by Project Board

Chairman to SMT

Team recruitment

Confirm accommodation

arrangements

Support Other HSC

Organisations including

development of SCP

manual

November

2016

December

2016

December

2016

Recruitment currently underway. Job evaluations completed and posts approved for trawling by SMT 17/8/16 SMT confirmed Pinewood Villa as accommodation. Bids for VOIP approved.

Draft manual to be updated.

Recruitment of eTendersNI

support approved by SMT.

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12 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 3: To Pursue and Deliver Excellence through Continuous Improvement

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action By Whom End Date

Comment

L I S Rate

9. Inability to implement replacement systems for Finance, HR and Procurement in line with agreed plan. Risk Owner Head of SS Dir of Ops Type of risk: Partnership / Contractual

3 4 12 High

Fully resourced HRPTS and FPL teams in place. Weekly Status Reporting system in place for HLC AXON an AXON contractors. Integrated regional Implementation Board established with members drawn from all key stakeholder groups. Programme Risk Register and Report regular reviewed by Programme Board. Programme have received conditional approval of addendum OBC from DFP Supply and DHSSPS.

Quarterly Dept Accountability Review (E) Monthly Programme Board review Implementation Board monitoring resource plans monthly FPL, HRPTS and Integrated technical groups in place Self-Assessment Gateway Review (I) Gateway Review (E) CX Review of Dirs Objectives (I) Reporting to BSO Board

BRP systems enhancement initiatives are ongoing and are being managed through the project governance structures. Scoping impact and resource of mid-contract application upgrade. Project plan to be submitted to SMT E-Rec implementation plan currently being rolled out.

Dir of Ops/Head of

Shared Services

November

2016

BST/ ITS June 2017 September 2017 September

2016

FPL and HRPTS (excl E-Rec) now fully live across HSC. The outstanding contractual elements are being delivered by BRP team. Due to delays in project closedown it is anticipated that this will be delayed until November 2016. A major mid-contract application upgrade of FPL has been delayed by the supplier. It is now expected to be completed June 2017 (Phase 1) and September 2017 (Phase 2). E-Rec has been fully rolled out. Adoption of the system continues to progress: SHSCT, BHSCT and NHSCT are complete. WHSCT roll-out is completed end March 2016 where possible. Work is underway towards migration by March 2017 SEHSCT rollout commenced February 2016. Work is underway towards full rollout

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Paper BSO /2016

13 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

by November 2016. Migration of WHSCT and SEHSCT is dependent on stabilisation of Shared Services Recruitment. Stabilisation criteria have been agreed with a target completion date of September 2016.

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Paper BSO /2016

14 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 3: To Pursue and Deliver Excellence through Continuous Improvement

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action By Whom End

Date

Comment

L I S Rate

10. Benefits of the new FPPS system fail to be realised due to: (i) Contractors

declining to use the web based portal, leading to an inability to reduce staff numbers in accordance with plan

(ii) Required system fixes for defects and/or change controls not being applied, leading to an inability to reduce staff numbers in accordance with plan;

Risk Owner Dir of Ops

3 4 12 High

- Operational & Service Review Group to manage prioritisation and execution of fixes and change controls

- FPS Project Board (Benefits Realisation) will monitor the progress and consider means of increasing uptake if necessary

(i) (a) FPS has planned training events and will use roadshows and other meetings with contractor and their representatives to promote the benefits to contractor of using the portal;

(b)FPS to gain commitment from HSCB to continue to encourage contractors to use the portal;

(ii)

(a) FPS to develop an interim contingency plan to resource system impacts in the event of

Dir of Ops

December 2016

Almost all GP practices are using the portal to submit at least one Enhanced Services Claim. The roll out of the portal to early adopter dental practices commenced in August 2016. Monitoring of portal uptake is in place and will alert need to retain FPS resource. Phase 1, the implementation of the system, was completed in September 2015. Phase 2 essentially involves the on-going

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Paper BSO /2016

15 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Type of risk: Technological; Performance Management Risk Added: 17.06.2015

contractors not using the portal. (b) Prioritised change list has been presented to ITS and is subject to weekly service review by FPS and ITS.

Dec 16

roll-out of self-service and implementation of changes. The timescale for Phase 2 of the Benefits Realisation plan is being adjusted to include time for the necessary changes to the system to be designed, developed, tested and implemented. Issue of FPS resource availability to engage with testing and further development is under review.

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16 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 3: To Pursue and Deliver Excellence through Continuous Improvement

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action By Whom End Date

Comment

L I S Rate

11. Failure of key ITS Applications & Infrastructure impacting delivery of Critical Services to Customers. Risk Owner Dir of CCP Type of risk: Technological & Customer / Citizen

3 4 12 High

Security Procedures; Testing of Business Continuity Plan; Change Control Process; Testing and planning associated with significant change. Engagement of professional report (Gartner). Actions from Gartner report completed

Internal Audit (E) External Audit (E) SMT Review of ICT Programme (I) Systems Risk Assessment (I)

Additional assurances

Dir of Finance/ Dir

CCP

March 2017

A full Disaster Recovery (DR) test was completed in May 2015 based on a scenario of having to evacuate Centre House and carry on operations from the DR site at Boucher Crescent. This was successfully repeated on 19 May 2016. A further desktop DR/Continuity exercise will be facilitated during 2016/17. The mobile DR Unit was positioned within the yard in Boucher as part of the test exercise. It has been confirmed that the unit can be connected to the HSC network and the GP OOH solution has been restored

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17 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Go live of new data centre facilities

August 2016 – March 2019

from the third copy and tested within the DR unit. Final Gartner actions have been marked as complete. Any further restructuring of ITS will take place in the context of the wider shared services project.

A range of options around 24/7 cover have been developed and have been initially costed. As per former CEx direction, these will be discussed further in a potential shared services context.

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18 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 3: To Pursue and Deliver Excellence through Continuous Improvement

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action

By Whom End Date

Comment

L I S Rate 12. Fail to implement robust information governance process. Risk Owner Dir of HRCS Dirs Type of risk: Legislative / Regulatory & Performance Management

3 3 9 Medium

Policy & Procedures Information Governance / Records Mgt CA Standard Audit Control Risk Register/ Action Plans A range of IG policies renewed and agreed by Board over 2014/15 and 2015/16. IGMG to maintain and progress action plan sub-group established to review the new standard and compare with the current standard. Audits of local record management policies underway as part of IG Improvement Plan (on-going to March 2016).

CAS Assessment - Records Management /ICT/Governance (I) & (E) Information Governance Group Report (I) Service Risk Reporting & Review (I) GAC Audit Control Review (I) other CA Standards Assessment (I) & (E) Mid-Year Assurance Statement / GS (I) GAC Report (I) CX Review of Dirs Objectives (I) SIRO annual assurance letter to Permanent Secretary Regular progress reports to SMT/Board regarding action plans (I)IG update to Business Committee on a regular basis.

Ensure regular update on Data Protection and refresher training is available. Action plan being implemented and evidence gathered on ongoing basis. Regular progress reports to SMT.

DoHRCS Apr -Mar

2017

DoHRCS Apr -Mar

2017

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19 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 3: To Pursue and Deliver Excellence through Continuous Improvement

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action By Whom End Date

Comment

L I S Rate

13. Risk to Data Centres from unstable hospital power / environment may cause further outages. Risk Owner Dir of CCP Type of risk: Technological, Environmental, Physical & Partnership /Contractual Risk Added: 12.12.12

4 5 20 Extreme

Security procedures Business Continuity Plan. SIB has appointed a Project Director for the Data Centres. Surge Protectors have been installed and are operational. Gartner sub-group to reconvene with revised remit to include strategic direction for transfer of data to 3

rd

data copy. Board presentation on project

Gartner technical work streams. An SLA has been agreed with BHSCT Estates for support of the regional data centre. Disaster Recovery Plan

Review of all other elements of SLA to be carried out.

Head of Infrastructure

and Architecture

May 2013

To approval date

This Annual Review is underway. Work with Belfast Trust Estates to implement UPS back-up for the air con units has been cancelled due to inability to acquire space in BCH and RVH sufficient to house required equipment. Work is completed to transfer 350 Terabytes of data to secure 3

rd

data copy for retention in Centre House. Subscription to HP Mobile Data Centre solution has been implemented on a 2 year contract. A full recovery test from third site copy has been completed and a repeat test was

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20 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Go live of new data centre facilities

August 2016 - Mar 2019

successfully carried out on 19 May 2016. The contract has been awarded and signed. ITS will have access to the new data centre facilities from 30th August 2016. Migration of existing services to new infrastructure will begin at that point and will continue on a phased basis over 18 months. The FBC has been submitted and approved. Project underway and target date for new data centres is end August 2016. Recruitment for project management resource is complete. The plan for technical set up and migration has commenced.

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21 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 3: To Pursue and Deliver Excellence through Continuous Improvement

Report on Board Action Plan

Risk

Description (Include DATE

ADDED)

Current

Risk Score

Controls Assurances Action By Whom

End

Date

Comment

L I S Rate

14. There is a risk

that delays in the

recruitment and

selection process

leads to failure to

meet performance

targets and

significant

reputational

damage.

Risk Owner

Head of SS

Type of risk:

Partnership /

Contractual;

Customer/Citizen;

Performance

Management

Risk Added:

16.03.2016

4 4 16 High

Recovery team

established

Review of

processes,

systems and

organisational

structures

completed

Task and finish group established to deliver the recovery and stabilisation of recruitment shared services.

Weekly reports of

progress against

recovery plan to

SMT and BSTP

programme

board.

Reports also sent

to BSF AD forum

and the regional

Directors forum

chaired by

Michael McBride.

Delivery of full recovery

plan

HoSS

August 2016

August 2016

Weekly reporting of progress against recovery plan to SMT and BSTP programme board is in place.

Customer organisations also have plans in place which align with the BSO recovery plan. Achievement of September date is dependent on completion of a number of change requests relating to reporting.

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22 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 3: To Pursue and Deliver Excellence through Continuous Improvement

Report on Board Action Plan

Risk

Description (Include DATE

ADDED)

Current

Risk Score

Controls Assurances Action By Whom

End

Date

Comment

L I S Rate

15. There is a risk

that delay in

providing

information to HSC

employees on

Choice 2 following

introduction of new

Pension

arrangements

Risk Owner

Dir of Ops

Type of risk:

Partnership /

Contractual;

Customer/Citizen;

Risk Added:

22.06.2016

2 3 6 Medium

Preparation of information for staff

Oversight of

Pensions board

Issue of choice 2 letters

Availability of FAQs,

factsheets and

examples on Pensions

website

Dir of

Ops/Head of

Pensions

September

2016

September

2016

Originally planned for release

May 2016 however decision

was taken to delay by the

Pensions advisory board.

Members will have 3 months

to make their decision and

respond to HSCPS.

The issue of Choice 2 letters has commenced and is expected to be complete by end of September. Complete – now available online

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23 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 3: To Pursue and Deliver Excellence through Continuous Improvement

Report on Board Action Plan

Risk

Description (Include DATE

ADDED)

Current

Risk Score

Controls Assurances Action By Whom

End

Date

Comment

L I S Rate

16. There is a risk

that the HSC

Pensions Service

will not be in a

position to deliver

annual benefit

statements to

members of the

new 2015 scheme

by 31 August 2016

as required under

the Public Service

Pensions Act

(Northern Ireland)

2014.

Risk Owner

Dir of Ops

Type of risk:

Legal

Risk Added:

22.06.2016

5 1 5 Medium

Breach of law

reported to

Pensions

Regulator 8 July

2016

Members to be notified

of delay

Commence rollout

September

2016

October

2016

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24 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Corporate Objective No 4: To Enhance the Contribution and Development of our People

Report on Board Action Plan

Risk Description (Include DATE ADDED)

Current Risk Score

Controls Assurances Action By Whom End Date

Comment

L I S Rate

17. BSO current skill mix does not meet future business needs. Risk Owner Dir of HRCS Dirs Type of risk: Managerial / Professional

3 3 9 Medium

Revised Workforce Strategy approved by Board February 2014. Job Description/ Personal Specification Staff Survey Review PaLS Skills gaps. Staff development / strong commitment to training.

Outcome of HSC Staff Survey (E) Customer Surveys (E) SMT/Board Review of Surveys (I) Staff Appraisal - PDPs (I) CX Review of Dirs Objectives (I) A Sub-group has been established to consider a range of issues in PaLS including workforce issues. Business Case skills. Moving Forward Programme launched. Re-accreditation of IIP complete

Further work to identify recruitment issues. Workforce Planning ongoing in a number of Directorates. Scoping the direction of several Service Areas on behalf of DHSSPS. Profiling with directorates regarding skills requirements is underway. The outcomes will feed into the appraisal and PDP process and drafting the BSO training plan for 2016/17.

DoHRCS

September

2016

Discussions underway with Directors in respect of strategic work plans for the next 3 years. Workforce Plan for ITS has been completed Action plans in place for Shared Services alongside Corporate action plan. PaLS workforce plan has been drafted

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25 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

BSO Corporate Risk Score Matrix

Total Impact

Catastrophic

5 13

Major 4 2

3,4,5,8,9,10,11

1,6,14 7

Moderate 3

15 12,17

Minor 2

Insignificant 1

16

1 2 3 4 5

Rare Unlikely Possible Likely Almost Certain

LIKELIHOOD

*Risk Classification / Numbers

LOW

0

MEDIUM

4 Risks

HIGH

11 Risks

EXTREME

2 Risks

*in accordance with AS/NZS 4360:2004 guidance

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26 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk

Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Appendix A Archive Report of risks removed from Corporate Register 2016-2017

Corporate Objective

Risk Description Risk Score Comment

L I S Rate

3. 13. Delays in payroll responding to pension queries may result in fines from the Pensions Regulator. There is also a wider reputational risk associated with delays in the ability to provide estimates.

2 4 8 High Interface has been implemented – risk to be managed through appropriate service risk registers

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27 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk

Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Appendix B

Archive Report of Completed Risk Actions 2016-17

Corporate Objective

Risk No / Description Actions Completed

1 1. Levels of savings in the overall environment for HSC are so great that BSO service provision to customers are negatively affected and/or we fail to breakeven. The Leadership Centre may be particularly affected by a reduced level of client income.

Develop Service Offering The actions to achieve both these elements of savings have been factored into the BSO Budget for 2015/16 and a balanced budget has been achieved. The BSO 2015/16 budget was approved by Board on 28 May 2015. Re-submit savings plans to DHSSPS prior to final business plan approval - complete The Leadership Centre is currently engaging with HSCB to identify the impact of any change in requirements/funding - The Leadership Centre has discussed the income received from the HSCB with the Board SLA Co-coordinator and Chief Executive. Implementation of the programme plan is likely to commence during 2017/18 and as such this action will remain on the service risk register. Approval of 2016/17 budget – budget was approved May 2016

2. 5. Shared Services may not achieve business case outcomes.

7. There is a risk that BSO will be unable to

implement the Social Care Procurement project

resulting in slippage in procurement programme to

address the new light-touch regime detailed in

regulations 74-77 of the Public Contracts Regulations

2015

Meeting with DoF, HoSS and SSRO to discuss 2016/17 plan – complete Governance structure established and first board meeting held High level strategic plan developed

3 10. Fail to implement robust information governance

process

12. Risk to data centres from unstable hospital

power/environment may cause further outages

14. There is a risk that delays in the recruitment and

selection process leads to failure to meet

performance targets and significant reputational

damage.

BSO to communicate with Info Owners to advise that all medical files to be checked before forwarding to BSO – completed Develop action plan – developed and submitted to SMT Outline Business Case for new Data Centre Detailed recovery plan to be presented to SMT – moved to assurance. Complete review of processes, systems and

organisational structures – review completed –

move to control

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28 Risk Score Legend: L for Likelihood / I for Impact / S for Score – Risk Trend: = No Change / Risk

Increasing / = Risk Decreasing Assurance Legend: I for Internal Assurance / E for External Assurance

Present review to HR directors forum - complete