Policies and procedures
Policies set the boundaries within which we operate. They also reflect the philosophy of our organisation.
They include:
- a commitment to standards set by the National Institute for Health and Care Excellence (NICE)
- references to other guidelines
- roles of individual post holders
Procedures, which all staff are required to follow, outline the series of steps that we use to accomplish specific tasks.
Agreed policies and procedures provide a framework in which decisions can be made. They help us to standardise clinical practice, test and improve our services, and achieve greater understanding and co-operation among our staff.
We consult staff when we develop policies and procedures, and update these regularly.
Our policies and procedures fall into the following categories: clinical, corporate, human resources, and Department of education and training. They can be found below:
- Assessment and management of self-harm procedure
- Clinical audit procedure
- Clinical data quality management procedure
- Clinical risk assessment procedure
- Clinical, line management, professional and safeguarding supervision policy
- Consent to treatment policy and procedure
- Court report procedure
- Data quality policy
- Devices maintenance procedure
- Discharge, transfer and closure of clinical cases procedure
- Equality, diversity and inclusion policy
- Health records audit procedure
- Health records management procedure
- Infection prevention and control procedure
- Learning from death policy
- Managing allegations against staff and persons in positions of trust procedure
- Managing DNA (did not attend) and cancelled appointments procedure
- National Institute for Health and Care Excellence (NICE) guidelines implementation procedure
- Obtaining consent to record patient sessions procedure
- Patient advice and liaison service (PALS) operational procedure
- Prescribing and administration of medication procedure
- Prevent policy
- Privacy and dignity (chaperoning) procedure
- Procedure for responding to national confidential enquiries and other high level inquiries
- Procedure for the rapid transfer of an acutely unwell patient
- Promoting sexual safety procedure
- Records retention schedule
- Safeguarding children policy
- Safeguarding of adults at risk policy
- Safeguarding of adults at risk procedure
- Safeguarding Supervision Policy (Children and Young People)
- Subject access request procedure
- Academic Freedom and Freedom of Speech Policy
- Acceptable use procedure
- Accessing legal advice procedure
- Admitting very important persons and celebrities to Trust premises procedure
- Anti-fraud and bribery procedure
- Business continuity plan
- Claims management procedure
- Complaints procedure
- Conducting a risk assessment procedure
- Confidentiality code of conduct for employees
- Control and management of contractors procedure
- Corporate and department of education and training records procedure
- Court report procedure
- Data sharing procedure
- Data protection policy
- Dealing with violence against trust staff procedure
- Development and approval of public information procedure
- Due diligence procedure for new prospects/services
- Emergency planning response and recovery (EPRR) policy
- Environmental management policy and procedure
- Travel expenses procedure
- First aid procedure
- Freedom of information procedure
- Freedom to speak up: Raising concerns and whistleblowing procedure
- Gifts, hospitality & interests policy
- Health and safety policy
- Information asset acceptance and registration procedure
- Information governance policy
- Information management and technology security procedure
- Information Governance and Data Security and Protection Management Framework
- IT failure contingency plan
- Major incident plan
- Media handling procedure
- Meetings in public procedure
- Patient fares reimbursement procedures
- Personal safety of lone workers procedure
- Policy and procedural documents development and management
- Procurement policy
- Procurement strategy
- Pseudonymisation and anonymisation of data procedure
- Publications scheme
- Raising concerns and whistleblowing procedure
- Records retention schedule
- Registration authority policy on smartcard management
- Responding to external recommendations procedure
- Risk management policy and strategy
- Risk management procedure
- Room booking procedure
- Safe management of participants and volunteers procedure
- Secure storage of doctoral students electronic research data procedure
- Selection of records for permanent archive procedure
- Serious incident investigation and learning procedure
- Smoke-free policy
- Space allocation procedure
- Staff safety and security procedures
- Staff use of social media
- Trust publication guidelines
- Water safety policy
- Annual leave procedure
- Bullying and harassment procedure
- Career break and sabbatical procedure
- Change management procedure
- Dealing with violence against trust staff procedure
- Disciplinary policy and procedure
- Employee capability policy and procedure
- Employment appeals procedure
- Equality, diversity and inclusion policy
- Eye and eyesight testing for display screen equipment users
- Flexible working policy and procedure
- Grievance procedure
- Honorary contract procedure
- Managing medical trainees in difficulty procedure
- Maternity, paternity and adoption procedure
- Personal safety of lone workers procedure
- Probation procedure
- Promoting cycling to work procedure
- Recruitment and selection policy and procedure
- Retirement procedure
- Sickness absence procedure
- Special leave procedure
- Staff training and development policy and procedure
- Temporary staffing procedure
- Workplace stress management procedure