In this section, we have an A to Z listing of all our corporate policies.

Please note that some are not published due to their nature (e.g. potential security or staff safety issues).

 

Title Last Review Next Review
Accessible Information Standard Policy Aug-26 Aug-28
Acting Up and Secondment Policy Dec-24 Nov-27
Admission, Transfer, and Discharge Policy Jun-25 Jun-28
Adoption Leave and Surrogacy Policy Jan-26 Dec-28
Advanced Practice Policy (Non-Medical) Oct-25 Oct-28
Adverse Weather Plan May-26 May-27
Antimicrobial Prescribing Policy Nov-23 Nov-26
Appeals Policy for Employees Jun-24 Jun-27
Aseptic Non-Touch Technique Policy Sep-26 Sep-29
Baby / Child (Abduction) Security Policy Jan-25 Jan-28
Bereavement Support and Care Policy Oct-24 Oct-27
Biological Incident Countermeasures Plan Feb-26 May-27
Blood Transfusion Policy for Adult Patients Sep-25 Sep-28
Blood Transfusion Policy for Neonatal and Paediatric Patients Mar-24 Mar-27
Bloodborne Viruses (BBVs) in Healthcare Workers: Management for Undertaking Exposure Prone Procedures (EPPs) Dec-23 Dec-26
Board Scheme of Delegation Jul-26 Jul-29
Board Standing Orders Jul-26 Jul-27
Business Continuity Plan and Critical Incident Response Plan Dec-25 Dec-26
Capital Investment and Prioritisation Policy Jun-26 May-29
Capital Management Policy Jun-26 May-29
Career Break Policy May-25 May-28
Catering Ward Provisions and Hospitality Services Policy Nov-24 Nov-27
Central Alert System (CAS) Policy Jun-24 Jun-27
Central Venous Access Devices (CVAD) and the Use of Midlines (Peripheral) Policy for Adults Jul-26 Jan-28
Chaperoning Guidelines for Clinical Staff Aug-22 Jul-25
Charity Scheme of Delegation Sep-25 Sep-28
Chemical, Biological, Radiological, Nuclear and Explosive (CBRNE) Response Plan Jul-26 Jul-27
Claims Management Policy Apr-25 Apr-28
Cleanliness of the Hospital Premises: Operational Plan Sep-24 Sep-27
Cleanliness of the Hospital Premises: Strategic Plan Nov-24 Nov-27
Clinical Commissioning Policy: Individual Funding Requests Feb-24 Feb-27
Clinical Procurement and Introduction of New Products Policy Jun-24 Jun-27
Clostridioides Difficile Jun-26 Jun-28
Communications Plan for Incident Response Mar-26 Mar-27
Complaints, Concerns, Patient Advice and Liaison Service (PALS), Compliments and Remedy Policy Aug-24 Jun-26
Conduct, Capability, Ill Health and Appeals Policies and Procedures for Practitioners (Doctors and Dentists) Dec-20 Nov-23
Confidentiality and Data Protection Policy Jul-26 Jul-28
Conflict of Interest Management Jan-25 Jan-28
Control of Substances Hazardous to Health (COSHH) Jun-24 Jun-27
Co-Payment Treatments Policy Jun-24 Jun-27
Counter Fraud and Corruption Policy Apr-25 Apr-28
Covert Administration of Medication Policy Mar-24 Mar-27
Data Quality Policy Apr-23 Apr-26
Deceased Patient: Early Release out of Normal Working Hours Apr-25 Apr-28
Decontamination of Surgical Instruments Policy Jun-25 Jun-28
De-Escalation, Clinical Holding, and Restraint Policy for Adults and Young People Aug-25 Mar-27
Delirium Policy Mar-24 Mar-27
Dementia Care Policy Mar-25 Mar-28
Deprivation of Liberty Safeguarding (DoLS) Policy Jan-25 Jan-28
Deteriorating Adult Inpatient Management Nov-19 Nov-22
Diarrhoea, Vomiting, Gastroenteritis and Foodborne Infections Policy Jun-26 Jun-28
Did Not Attend (DNA) / Was Not Brought: Adults at Risk Sep-23 Sep-26
Did Not Attend (DNA) / Was Not Brought: Children Mar-25 Mar-28
Digital Services Acceptable Use Policy Feb-26 Dec-28
Dignity at Work May-25 May-28
Disciplinary Policy Mar-25 Apr-26
Disclosure and Barring Services (DBS) Policy Mar-25 Mar-28
Display Screen Equipment Sep-24 Sep-27
Domestic Abuse: Patients and Relatives Dec-23 Dec-26
Domestic Abuse: Workforce Dec-23 Dec-26
Drug, Alcohol, and Substance Misuse by Staff Policy Jul-25 Jul-28
Email Policy Jun-24 Jun-27
Emergency Cover (Acting Down) Policy Sep-22 Nov-22
Emergency Preparedness Resilience and Response (EPRR) Framework Mar-26 Apr-27
Employee Performance and Capability Policy Mar-25 Mar-28
Employee Personal and Family Relationships at Work Jun-24 Jun-27
Enteral Feeding Policy for Adults Aug-24 Jun-27
Estates Operational Policy Jan-20 Jan-23
Evacuation Plan Nov-25 Nov-26
Expected Death Verification by Registered Healthcare Professionals Jul-25 Jul-28
Falls Prevention and Management for Adult Inpatients Mar-26 Oct-27
Falls, Slips, and Trips Policy for Staff and Visitors Sep-24 Sep-27
Female Genital Mutilation (FGM) Policy May-24 May-27
Fire Safety Policy May-25 May-28
First Aid Policy May-23 Jun-26
Fit and Proper Persons Policy May-25 May-27
Flexible Working Policy Dec-25 Dec-28
Freedom of Information (FOI) Policy Jun-26 Jun-28
Freedom to Speak Up: Raising Concerns (Whistleblowing) Policy Nov-26 Nov-29
Fuel Shortage Emergency Plan Mar-26 Mar-28
Fundraising Policy Mar-26 Mar-29
Grievance Policy Feb-25 Mar-28
Health and Safety Policy Oct-24 Oct-27
Healthcare Waste Management Oct-25 Oct-28
Homecare Medicine Service Nov-22 Nov-23
Infection Prevention and Control In the Built Environment Dec-23 Dec-26
Infection Prevention and Control: Multi-Drug Resistant Organisms Policy Sep-26 Jun-28
Infection Prevention and Control: Standard Precautions Policy Jun-25 Jun-28
Infectious Disease Outbreak Policy Dec-23 Dec-26
Information Systems Security Policy May-24 Jul-27
Injectable Medicines Administration Policy Sep-24 Dec-27
Inoculation Injury and Bodily Fluids Exposure Management Dec-23 Dec-26
Job Matching and Evaluation Policy Feb-25 Feb-28
Latex Management Policy Jun-24 Jun-27
Learning Disability Policy Apr-25 Mar-28
Learning from Deaths Policy Dec-25 Dec-28
Leave Policy - Annual Time Off Nov-24 Nov-27
Leave Policy for Medical Staff - Annual Time Off Dec-20 Nov-23
Leave Policy - Special Circumstances Sep-24 Jun-27
Ligature Risk Management Policy Oct-25 Oct-28
Lockdown Plan (including Invacuation) Jul-26 Jul-27
Lone Working Policy Sep-24 Oct-27
Major Incident Operational Plan Aug-25 Aug-26
Managing Allegations Against Healthcare Staff Feb-26 Feb-29
Martha's Rule Jul-26 Aug-29
Maternity Leave and Fertility Treatment Policy Oct-26 Dec-28
Media Handling Policy Sep-24 Sep-27
Medical Appraisal and Revalidation Policy Aug-24 Jun-27
Medical Devices Policy Feb-25 Jun-25
Medical Devices Policy: Single Use and Limited Use Items Feb-25 Jun-25
Medical Devices Training for Clinical Staff Feb-20 Feb-23
Medical Gases Operational Policy Jan-20 Jan-22
Medicines and Vaccines Cold Storage Policy Apr-24 Apr-27
Medicines Management Policy Oct-24 Oct-27
Medicines Patient Group Direction (PGD) Policy Jan-25 Jan-28
Medicines: Purchasing for Safety Policy Apr-26 Apr-29
Medicines: Self Administration Policy Nov-24 Nov-27
Mental Capacity Act Policy Apr-24 May-27
Mental Health Act Policy Sep-25 Sep-28
Microsoft Office 365 Acceptable Use Policy Dec-23 Dec-26
Missing Patient Policy Dec-24 Nov-27
Moving and Handling Policy May-23 May-26
MRSA: Meticillin Resistant Staphylococcus Aureus Policy Sep-26 Jun-28
Naloxone Administration in Adults Sep-24 Sep-27
Nasogastric and Orogastric Feeding Tubes (Adult) Oct-23 Oct-26
National Guidance Monitoring Framework Nov-23 Nov-26
New Interventional Procedure Introduction Policy Nov-25 Feb-26
Occupational Health Medication and Vaccination Policy Jul-25 Jul-28
Occupational Health Pre-Placement Screening Policy Nov-23 Nov-26
Operational Pressures Escalation Level (OPEL) Plan Feb-25 Feb-26
Organ Donation Policy Jun-24 Jun-27
Organisational Change Policy Dec-24 Jun-27
Overseas Visitors Policy Aug-26 Aug-29
Parent Leave Policy: New Parents Jan-26 Jan-29
Parent Leave Policy: Shared Leave Jan-26 Jan-29
Parenteral Nutrition Policy for Adults Apr-25 Jul-25
PAT Dogs and Assistance Dogs on Hospital Property Guidelines Jun-23 Jul-26
Patient Access to Services Policy Mar-25 Mar-27
Patient Consent Policy Mar-24 Mar-27
Patient Identification Policy Sep-24 Sep-27
Patient Safety Incident Response Framework Policy Feb-25 Apr-26
Patient Safety Partners Involvement Policy Jun-24 Jun-27
Patient's Property Policy Feb-25 Feb-28
Peripheral Venous Catheter Care Policy for Adults Dec-23 Dec-26
Police and Other Public Bodies: Guidance for Interacting with Them Mar-26 Nov-28
Preceptorship Policy for Newly Registered Practitioners Mar-24 Apr-27
Prescribing: Non-Medical Oct-25 Oct-28
Private Patient Policy Sep-24 Sep-27
Provider to Provider Contracts: Operational Protocol Nov-23 Nov-26
Quality and Safety Impact Assessment (QSIA) Policy May-25 Mar-26
Radiation Protection Policy Jul-24 Jul-27
Rapid Tranquilisation Policy Jul-26 Jul-29
Records Management Policy Feb-26 Nov-28
Recruitment and Selection Policy Feb-25 Feb-28
Respiratory Viruses Infection Prevention and Control Policy May-26 Mar-27
Resuscitation Policy Aug-25 Aug-28
Retirement Policy and Guidance Jul-26 Jul-29
Risk Management Policy Mar-26 Oct-27
Safe Prescribing of Non-Emergency Oxygen Policy Mar-26 Mar-29
Safe Staffing and Escalation Policy (Nursing and Midwifery) Jul-25 Jul-28
Safeguarding: Adults at Risk Sep-23 Sep-26
Safeguarding: Children Sep-25 Sep-28
Safeguarding: Maternity Sep-23 Sep-26
Safeguarding Supervision Policy: Adults, Children, and Maternity Jan-26 Jan-29
Security Policy Jan-25 Jan-28
Sexual Safety in the Workplace Policy Sep-25 Sep-28
Sickness Absence Policy Mar-25 Jun-26
Smartcard Registration Authority Policy Dec-23 Dec-26
Smoke and Vape Free Site Policy Jun-24 May-27
Staff Representatives Partnership and Recognition Agreement Oct-25 Sep-28
Staff Rostering Policy Apr-25 Apr-26
Staff Upper Limb Disorders: Policy and Management Mar-25 Mar-28
Standing Financial Instructions Jul-26 Jul-27
Supplier Representatives Policy Jun-24 Jun-26
Supportive Observation Policy for Complex Needs Patients Dec-23 Dec-26
Surgical Site Infection Prevention Treatment Jun-25 May-28
Temporary Staffing Policy Jul-25 Feb-28
Tender and Bid Process Guidelines Nov-23 Nov-26
Transcription Service Policy Feb-25 Feb-26
Travel and Car Parking Policy Aug-25 Oct-27
Trust Clinical Guidelines Development and Management Policy May-26 May-29
Uniform and Dress Code Policy Jun-25 Jun-28
Unlicensed and Off-Label Medicines Policy Sep-25 Sep-28
Venous Thromboembolism (VTE) Prevention Policy Sep-26 Mar-28
Violence and Aggression Policy Aug-23 Aug-26
VIP Plan Jun-26 Jun-27
Vital Signs Recording on Millennium ePR for Adult Patients Jan-24 Jan-27
Volunteer Utilisation Policy Mar-25 Mar-27
Water Hygiene Policy Mar-26 Mar-29
Witnessing Documents for Patients Policy Aug-24 Aug-27
Wound Care Policy Oct-24 Oct-27

 

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