An assurance framework is a structure which identifies how an organisation will gain assurance (evidence of achievement, or otherwise) against a set of objectives, targets or requirements. It typically identifies a number of sources of assurance that relate to the objective to allow a judgement as to whether the organisation can be confident (assured) in its achievement.
Assurance frameworks exist in a number of areas of CCG work, including safeguarding and continuing healthcare.
Governing Body Assurance Framework
This framework is currently composed of all the red rated risks on the corporate risk register, as these are seen as the key risks to achievement of our strategic objectives. The assurance framework sets out the risks and the systems, processes and structures (controls) that are in place to manage them. It then identifies any gaps in those controls and sources of assurance that the organisation can access to enable them to assess whether they are successfully managing the risk and achieving the objective. For example, mortality rates, serious incident investigations, CQC reports and safeguarding alerts all contribute to assurance on our systems around quality and safety of services, while absence rates, turnover and training figures help inform us about our systems for recruitment and retention.
The assurance framework is seen by the Governing Body regularly and the red risks which comprise it are also reviewed by the Finance Committee, Quality and Performance Committee or Workforce Committee, as well as by our Executive Management Team.
The Audit Committee maintains oversight of the assurance framework as part of its remit to review to systems of integrated governance, risk management and internal control across NHS Kernow.
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