Cardiff. CF11 9LJ Associate Director Newborn Hearing Screening Wales Wrexham Child Health Centre Wrexham Maelor Hospital Wrexham. LL13 7ZA 01978 727006 Laboratory Director Microbiology Aberystwyth Public Health Microbiology Bronglais General Hospital Caradog Road, Aberystwyth Dyfed. SY23 1ER 01970 635813 Head of Administration Screening Division St David’s Park, Jobswell Road, Carmarthen SA31 3YH 01267 225264 Laboratory Director Microbiology Bangor Public Health Microbiology Ysbyty Gwynedd Bangor. LL57 2PW 01248 384367 Laboratory Director / Laboratory Manager Microbiology Cardiff (University Hospital of & Llandough) Public Health Wales Microbiology University Hospital of Wales Heath Park, Cardiff CF14 4XW 02920 744515 Laboratory Director Microbiology Carmarthenshire (Carmarthen & Llanelli) Public Health Wales Microbiology West Wales General Hospital Glangwili, Carmarthen 01267 237271/236964 Laboratory Director Microbiology Rhyl Public Health Microbiology Glan Clwyd District General Hospital Rhyl LL18 5UJ 01745 583737 Laboratory Director / Laboratory Manager Microbiology Abertawe Bro Morgannwg (Swansea and Bridgend) Public Health Wales Microbiology Singleton Hospital, Sgeti Swansea SA2 8QA 01792 285055 Director Communicable Disease Surveillance Centre Temple of Peace and Health Cathays Park, Cardiff CF10 3NW 02920 402471 General Manager Microbiology & Health Protection Division Temple of and Health Cathays Park, Cardiff CF10 3NW 402530 Quality Manager Microbiology Division Public Health Microbiology Singleton Hospital, Swansea SA2 8QA Microbiology H&S Advisor Microbiology Health and Safety Public Health Wales Microbiology University Hospital of Heath Park, Cardiff CF14 4XW
Quality/ complaints/ Peripheral element of treatment or service suboptimal Overall treatment or service suboptimal Treatment or service has significantly reduced effectiveness Non-compliance with national standards with significant risk to patients if unresolved Totally unacceptable level or quality of treatment/service Informal complaint/inquiry Formal complaint 1) Formal complaint (stage 2) complaint Multiple complaints/ independent review Gross failure of patient safety if findings not acted on Local resolution Local resolution (with potential to go to independent review) Low performance rating Inquest/ombudsman inquiry Single failure to meet internal standards Repeated failure to meet internal standards Critical report Gross failure to meet national standards Minor implications for patient safety if unresolved Major patient safety implications if findings are not acted on Reduced performance rating if unresolved resources/ organisational development/staffing/ competence low staffing level that temporarily reduces service quality (< 1 day) Low staffing level that reduces the service quality Late delivery of key objective/ service due to lack of Uncertain delivery of key objective/service due to lack of staff Non-delivery of key objective/service due to lack of staff Unsafe staffing level or competence (>1 day) Unsafe staffing level or competence (>5 days) Ongoing unsafe staffing levels or competence Low morale Loss of key staff Loss of several key staff
Poor attendance for mandatory/key training Very low staff morale No staff attending mandatory training /key training on an ongoing basis No staff attending mandatory/ key training Statutory duty/ inspections No or minimal impact or breech of guidance/ statutory duty Breech of statutory legislation Single breech in statutory duty Enforcement action Multiple breeches in statutory duty Reduced performance rating if unresolved Challenging external recommendations/ improvement notice Multiple breeches in statutory duty Prosecution Improvement notices Complete systems change required Low performance rating Zero performance rating Critical report Severely critical report Adverse publicity/ reputation Rumours Potential for public concern Local media coverage – short term reduction in public confidence Local media coverage – reduction in public confidence National media coverage with <3 days service well below reasonable public expectation National media coverage with >3 days service well below reasonable public expectation. MP concerned (questions in the House) Total loss of public confidence Business objectives/ projects Insignificant cost increase/ schedule slippage 5–10 per cent over project budget Non-compliance with national 10–25 per cent over project budget Incident leading >25 per cent over project budget
Schedule slippage Schedule slippage Schedule slippage Schedule slippage Key objectives not met Key objectives not met Finance including claims Small loss Risk of claim remote Loss of 0.1–0.25 per cent of budget Loss of 0.25–0.5 per cent of budget Uncertain delivery of key objective/Loss of 0.5–1.0 per cent of budget Non-delivery of key objective/ Loss of >1 per cent of budget Claim less than £10,000 between £10,000 and £100,000 between £100,000 and £1 million Failure to meet specification/ slippage Purchasers failing to pay on time Loss of contract / payment by results Service/business interruption Environmental impact Loss/interruption of >1 hour Loss/interruption of >8 hours Loss/interruption of >1 day Loss/interruption of >1 week Permanent loss of service or facility Minimal or no impact on the environment Minor impact on environment Moderate impact on environment Major impact on environment Catastrophic impact on environment Table 2 Likelihood score (L) Likelihood score 1 2 3 4 5 Descriptor Rare Unlikely Possible Likely Almost certain Frequency May only in exceptional circumstances Do not expect it to happen/recur but it is possible it may do so Might happen or recur occasionally Will probably happen/recur but it is not a persisting issue Will undoubtedly happen/recur, possibly frequently Scoring Likelihood