| 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 |