Risk Management
PURPOSE
Risk Management is an essential element to support good management practice and effective corporate governance, as it informs decision-making, improves outcomes, and enhances accountability.
The application of risk management will provide the basis for:
More informed decision making leading to improved confidence and trust in decision making;
Improved identification and exploitation of opportunities and management of threats;
Reduction of the likely impact of identified risk;
A clear understanding by all staff of their roles, responsibilities in the risk management process;
Improved corporate governance; and
A more risk aware organisation.
SCOPE
Risk management will be incorporated into the strategic, program, project, and operational planning processes within HIC (Health Informatics Centre) .
RESPONSIBILITIES
ROLE | RESPONSIBILITY |
HIC All Staff |
|
Process Manager |
|
DEFINITIONS
Control: A means of managing risk by providing safeguards. This includes policies, procedures, guidelines, other administrative controls, technical controls, or management controls.
Risk: The potential for an unwanted event to have a negative impact as a result of exploiting a weakness. It can be seen as a function of the value of the asset, threats, and vulnerabilities.
PROCEDURE
1. Identify
Identify the potential events that may have an impact on the organisation’s objectives or on the business as a whole as a result of any HIC activity. Risk identification should happen as early as possible in the activity life cycle and the process should be reiterated throughout the life cycle as the activity progresses.
2. Assess
Quantify consequence – Consider that if the risk were to happen how serious the consequence would be. It is helpful at this point to consider whether the consequence is on time, cost, quality, safety, effect on schedule, financial, reputational, number of people affected. Consequence should be scored from 1 to 5 based on severity.
Quantify likelihood – Consider how likely the risk is to occur. Likelihood should also be scored on a scale of 1 to 5 from rare to almost certain.
Consequence and Likelihood values are defined in Appendix 1.
3. Risk Appetite
The organisation’s risk appetite is shown, using a red line, in Appendix 1.
The organisation considers toleration of risks to the lower and left of the defined risk appetite.
Where a risk is classified above or to the right of the risk appetite the objective is to migrate this to an acceptable level utilising mitigation measures.
Where possible other risks should also be managed to as small a measure as possible although this should balance using cost benefit analysis.
Red risks are not tolerated and require to be managed to either amber or preferably green level.
4. Plan
For risks which are above the risk appetite, risk treatment should then be planned. There are several ways to treat risks, and these are listed below in order of desirability:
Remove – Change specification, alternative approach etc…
Transfer – insure against risk occurring, contractual transference
Reduce – put procedures in place to reduce likelihood or impact
Manage – put contingencies in place
Accept –the risk involved is not adequate to warrant the added cost it will take to reduce that risk to below the risk appetite.
5. Implement
Appropriate and cost-efficient actions taken to manage and control risks.
Decisions documented and the resulting actions implemented through business-as-usual processes.
6. Re-evaluate
Establish whether likelihood, consequence, controls that are in place, mitigation and control maturity are all still applicable or appropriate and within acceptable risk appetite.
Re-evaluation should be held to establish the following:
Identify which risks have occurred and whether contingencies have been successful.
Identify which risks could have occurred but did not.
Monitor effectiveness of mitigation on open risks.
Review risks that might occur in upcoming period and establish whether mitigation strategy remains appropriate.
To go through Risk Management process with any new risks that have been identified.
To update risk records
7. Report and Improve
Reporting on risk where residual risk exceeds the defined risk appetite will occur at the regular ISMS Management Review meetings.
APPENDICES
APPLICABLE REFERENCES
How To Review a Risk
DOCUMENT CONTROLS
Process Manager | Point of Contact |
|---|---|
Jenny Johnston |
Revision Number | Revision Date | Revision Made | Revision By | Revision Category | Approved By | Effective Date |
|---|---|---|---|---|---|---|
1.0 | 01/01/24 | Moved SOP to Confluence from SharePoint and updated into new template. | Bruce Miller and Symone Sheane | Superficial | Governance Co-Ordinator: Symone Sheane | 10/01/24 |
1.1 | 04/04/24 | Updated Roles and Responsibilities. | Bruce Miller | Superficial | Governance Co-Ordinator: Symone Sheane | 5/04/24 |
1.2 | 10/04/24 | Formatted document control table and added in revision category. | Symone Sheane | Superficial | Governance Co-Ordinator: Symone Sheane | 10/04/24 |
1.3 | 19/04/24 | Updated Approved by title. | Symone Sheane | Superficial | Governance Co-Ordinator: Symone Sheane | 19/04/24 |
1.4 | 10/04/24 | Added in responsibilities section. | Symone Sheane | Superficial | Governance Co-Ordinator: Symone Sheane | 19/04/24 |
1.5 | 30/04/24 | Updated Header to conform with BSI guidelines. | Bruce Miller | Superficial | Governance Co-Ordinator: Symone | 30/04/24 |
1.6 | 02/05/24 | Updated links to Definitions in ISMS Glossary. | Bruce Miller | Superficial | Governance Co-Ordinator: Symone Sheane | 18/11/24 |
1.7 | 19/11/24 | None - Annual Review. | Jenny Johnston | N/A | Operational Team Lead: Jenny Johnston | 19/11/24 |
1.8 | 11/07/25 | Updated point of contact email. | Symone Sheane | Superficial | Governance Co-Ordinator: Symone Sheane | 11/07/25 |
1.9 | 07/11/25 |
| Symone Sheane | Superficial | Governance Co-Ordinator: Symone Sheane Operational Team Lead: Jenny Johnston | 07/11/25 |
1.10 | 11/11/25 |
| Symone Sheane | Superficial | Governance Co-Ordinator: Symone Sheane | 11/11/25 |
Copyright Health Informatics Centre. All rights reserved. May not be reproduced without permission.
All hard copies should be checked against the current electronic version within current versioning system prior to use and destroyed promptly thereafter. All hard copies are considered Uncontrolled documents.