KNOWLEDGE BASE
POLICY
Governance Risk Management Policy
Document No:
POL-001
Version:
1.0
Approved by:
Management
Effective Date:
30/06/2026
Review Date:
30/06/2027
Purpose
Bodyfocus Wellness Centre is committed to identifying, assessing, managing, and monitoring risks that may affect the organisation, its patients, employees, services, operations, assets, or reputation.
This policy establishes the organisation's approach to risk management and supports informed decision-making, service quality, safety, compliance, and continuous improvement.
Scope
This policy applies to all organisational activities, services, operations, and decision-making processes undertaken by Bodyfocus Wellness Centre.
Policy Statement
Bodyfocus Wellness Centre recognises that effective risk management supports:
Safe and high-quality service delivery
Patient wellbeing and safeguarding
Workplace health and safety
Organisational sustainability
Regulatory compliance
Business continuity
Information security
Continuous improvement
The organisation is committed to proactively identifying and managing risks appropriate to its size, services, and operating environment.
Risk Management Principles
Bodyfocus Wellness Centre will:
Identify risks that may affect the organisation and its stakeholders.
Assess the likelihood and potential impact of identified risks.
Implement reasonable controls to reduce or manage risks.
Monitor risks and the effectiveness of controls.
Review risks regularly and when circumstances change.
Use incident, complaint, audit, and feedback information to inform risk management activities.
Promote a culture of shared responsibility for risk management.
Risk Categories
Risks may arise from a variety of sources, including but not limited to:
Clinical Risks
Risks affecting the safety, wellbeing, or outcomes of patients.
Workplace Health and Safety Risks
Risks affecting employees, contractors, students, patients, or visitors.
Information and Cybersecurity Risks
Risks relating to privacy, confidentiality, information security, technology systems, or data management.
Workforce Risks
Risks relating to recruitment, staffing, competency, professional conduct, or workforce capability.
Compliance and Regulatory Risks
Risks relating to legal, contractual, professional, or regulatory obligations, including NDIS requirements.
Financial Risks
Risks affecting the financial sustainability or operation of the organisation.
Business Continuity Risks
Risks affecting the organisation's ability to continue delivering services during disruptions or emergencies.
Reputation Risks
Risks that may adversely affect public confidence, stakeholder relationships, or organisational reputation.
Risk Identification
Risks may be identified through:
Staff feedback
Incident reports
Complaints and feedback
Workplace inspections
Audits and reviews
Service delivery activities
Legislative or regulatory changes
Management review processes
External events or environmental changes
Personnel are encouraged to report identified risks to management.
Risk Assessment and Control
Identified risks will be assessed according to their likelihood, potential consequences, and overall impact on the organisation.
Where appropriate, controls may include:
Policies and procedures
Staff training
Supervision and monitoring
System improvements
Environmental controls
Technology controls
Business continuity measures
Other risk mitigation strategies
Risk controls should be proportionate to the nature and significance of the identified risk.
Risk Register
Bodyfocus Wellness Centre will maintain a Risk Register to document and monitor identified organisational risks.
The Risk Register may include:
Risk description
Risk category
Likelihood
Consequence
Existing controls
Responsible person
Review date
Current status
The Risk Register forms part of the organisation's governance framework and supports ongoing monitoring and review.
Monitoring and Review
Risks and associated controls will be reviewed periodically and whenever significant changes occur that may affect the organisation.
Risk information may be informed by:
Incident trends
Complaints and feedback
Audit findings
Training outcomes
Regulatory changes
Organisational performance indicators
Where required, additional controls or corrective actions may be implemented.
Continuous Improvement
Bodyfocus Wellness Centre is committed to using risk management activities to support continuous improvement.
Lessons learned from incidents, complaints, audits, reviews, and other organisational activities may be incorporated into future planning, policy development, and service improvement initiatives.
Responsibilities
Management
Management is responsible for:
Maintaining the organisational risk management framework.
Monitoring organisational risks.
Maintaining the Risk Register.
Reviewing risk controls.
Supporting continuous improvement activities.
Ensuring appropriate responses to significant risks.
Employees and Other Personnel
Personnel are responsible for:
Identifying and reporting risks where appropriate.
Following organisational policies and procedures.
Participating in risk management activities relevant to their role.
Supporting a culture of safety, compliance, and continuous improvement.
Related Documents
Figure. POL-001 continuous improvement workflow
