HSE Integrated Risk Management Policy, 2017

HSE RISK ASSESSMENT TOOL

1. IMPACT TABLE Negligible Minor Moderate Major Extreme
Adverse event leading to minor injury not Minor injury or illness, first aid treatment Significant injury requiring medical treatment
requiring first aid. required e.g. Fracture and/or counselling. Major injuries/long term incapacity or Incident leading to death or major
<3 days absence Agency reportable, e.g. HSA, Gardaí (violent disability (loss of limb) requiring medical permanent incapacity.
No impaired Psychosocial functioning. < 3 days extended hospital stay and aggressive acts). treatment and/or counselling
Harm to a Person >3 Days absence
Impaired psychosocial functioning greater
Event which impacts on large number of
Impaired psychosocial functioning greater 3-8 Days extended hospital Stay service users or member of the public
than 3 days less than one month than six months.
Impaired psychosocial functioning greater Permanent psychosocial functioning
than one month less than six months incapacity.
Reduced quality of service user experience Unsatisfactory service user experience Unsatisfactory service user experience Unsatisfactory service user experience Totally unsatisfactory service user
related to inadequate provision of related to less than optimal treatment and/or related to less than optimal treatment related to poor treatment resulting in long outcome resulting in long term effects, or
information inadequate information, not being to talked resulting in short term effects (less than 1 term effects extremely poor experience of care
Service User Experience to & treated as an equal; or not being treated week) provision
with honesty, dignity & respect - readily
resolvable

Minor non-compliance with internal PPPG’s. Single failure to meet internal PPPG’s. Minor Repeated failure to meet internal PPPG’s. Repeated failure to meet external standards. Gross failure to meet external standards
Small number of minor issues requiring recommendations which can be easily Important recommendations that can be Failure to meet national norms and Repeated failure to meet national norms
improvement addressed by local management addressed with an appropriate management standards / Regulations (e.g. Mental Health, and standards / regulations.
Compliance (Statutory, action plan. Child Care Act etc).
Clinical, Professional & Critical report or substantial number of Severely critical report with possible
significant findings and/or lack of adherence major reputational or financial
Management) to regulations. implications.

Barely noticeable reduction in scope, quality Minor reduction in scope, quality or Reduction in scope or quality of project; Significant project over – run. Inability to meet project objectives.
Objectives/Projects or schedule. schedule. project objectives or schedule. Reputation of the organisation seriously
damaged.

Interruption in a service which does not Short term disruption to service with minor Some disruption in service with Sustained loss of service which has serious Permanent loss of core service or facility.
impact on the delivery of service user care impact on service user care. unacceptable impact on service user care. impact on delivery of service user care or Disruption to facility leading to significant
Business Continuity or the ability to continue to provide service. Temporary loss of ability to provide service service resulting in major contingency plans ‘knock on’ effect
being involved
Rumours, no media coverage. No public Local media coverage – short term. Local media – adverse publicity. National media/ adverse publicity, less than National/International media/ adverse
concerns voiced. 3 days. News stories & features in national publicity, > than 3 days. Editorial follows
Some public concern. Significant effect on staff morale & public papers. Local media – long term adverse days of news stories & features in
Little effect on staff morale. No perception of the organisation. Public calls publicity. National papers.
review/investigation necessary. Minor effect on staff morale / public (at local level) for specific remedial actions. Public confidence in the organisation Public confidence in the organisation
attitudes. Internal review necessary. undermined. HSE use of resources undermined.
Adverse Publicity/ Reputation Comprehensive review/investigation questioned. Minister may make comment. HSE use of resources questioned. CEO’s
necessary. Possible questions in Dail. Public calls (at performance questioned. Calls for
national level) for specific remedial actions individual HSE officials to be sanctioned.
to be taken possible HSE Taoiseach/Minister forced to comment or
review/investigation intervene. Questions in the Dail. Public
calls (at national level) for specific
remedial actions to be taken. Court
action. Public (independent) Inquiry.

Financial 0.33% of budget deficit 0.33 – 0.5% of budget deficit 0.5 – 1.0% budget deficit 1.0 – 2.0% of budget deficit > 2.0% of budget deficit

Nuisance Release. On site release contained by organisation. On site release contained by organisation. Release affecting minimal off-site area Toxic release affecting off-site with
requiring external assistance (fire brigade, detrimental effect requiring outside
Environment radiation, protection service etc.) assistance.

2. LIKELIHOOD SCORING 3. RISK MATRIX Negligible (1) Minor (2) Moderate (3) Major (4) Extreme (5)

Rare/Remote (1) Unlikely (2) Possible (3) Likely (4) Almost Certain (5)
Almost Certain (5) 5 10 15 20 25
Likely (4) 4 8 12 16 20
Actual Actual Actual Actual Actual
Frequency
Probability
Frequency
Probability
Frequency
Probability
Frequency
Probability
Frequency
Probability Possible (3) 3 6 9 12 15
Occurs Occurs Occurs
every 5 1% every 2-5 10% every 1-2 50% Bimonthly 75%
At least
monthly
99% Unlikely (2) 2 4 6 8 10
years or years years
more Rare/Remote (1) 1 2 3 4 5