In this section, we have a 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).
Organisational
Finance
Title | Last Review | Next Review |
Clinical Commissioning Policy: Individual Funding Requests | Jul-20 | Jul-23 |
Co-Payment Treatments | May-22 | May-24 |
Counter Fraud and Corruption Policy | Apr-22 | Apr-25 |
Fundraising Policy | Mar-23 | Mar-25 |
Operational Protocol for Provider to Provider Contracts | Sep-20 | Sep-23 |
Overseas Visitors Policy | Apr-23 | Apr-26 |
Private Patient Services | Aug-20 | Aug-22 |
Tender and Bid Process Guidelines | Apr-17 | Apr-20 |
Employment
Occupational Health
Title | Last Review | Next Review |
Exposure Prone Procedures (EPPs) and Bloodborne Viruses (BBVs) - Management of Healthcare Workers (HCW) with a BBV | May-19 | Jul-22 |
First Aid Policy | Jul-20 | Jul-23 |
Health Surveillance Policy | Jan-21 | Jan-24 |
Management and Reduction of Stress Policy | Dec-20 | Dec-23 |
Management of Bodily Fluid Exposure and Innoculation Injuries Policy | Aug-20 | Aug-23 |
Medication and Vaccination Policy | Feb-22 | Feb-25 |
Pre-Placement Policy | Jul-20 | Jul-23 |
Upper Limb Disorder Policy | Mar-22 | Mar-25 |
Health and Safety
Title | Last Review | Next Review |
Control of Substances Hazardous to Health | Mar 20 | Apr 22 |
Display Screen Equipment | Oct-19 | Oct-22 |
Health and Safety Policy | Jul-20 | Jul-23 |
Latex Policy | Oct-20 | Jun-23 |
Lone Worker Policy | Jul-21 | Jul-24 |
Slips, Trips and Falls (Non Patient) Policy | Oct-19 | Oct-22 |
Smoke Free Site Policy | Feb-14 | Feb-17 |
Risk
Title | Last Review | Next Review |
Fire Safety Policy | Jul-20 | Jul-23 |
Handling of Clinical Negligence Claims | Jun-21 | Jun-24 |
Incident Reporting Policy | Jul-20 | Jul-23 |
Learning from Deaths Policy | Jul-23 | Nov-24 |
Non-Clinical Claims | May-21 | May-24 |
Prevention and Management of Adult Inpatient Falls | Apr-21 | Apr-24 |
Risk Assessment Policy | Oct-21 | Oct-24 |
Risk Management Policy | Sep-20 | Sep-23 |
Violence and Aggression Policy | Aug-23 | Aug-26 |
Security
Title | Last Review | Next Review |
Patient’s Property Policy | Oct-18 | Oct-21 |
Security Policy | Jan-21 | Jan-24 |
Medicines
Title | Last Review | Next Review |
Administration of Injectable Medicines Policy by Intravenous Route | Aug-23 | Aug-26 |
Administration of Naloxone in Adults | Sep-22 | Sep-24 |
Antimicrobial Prescribing Policy | Nov-22 | Nov-23 |
Homecare Medicine Service | Nov-22 | Nov-23 |
Intravenous and Subcutaneous Immunoglobulin Prescribing Guidance | Jul-22 | Jul-24 |
Lower Limb Immobilisation Venous Thromboembolism (VTE) Prevention Policy | Feb-21 | Jan-23 |
Medicines and Vaccines Cold Storage Policy | Nov-22 | Nov-23 |
Medicines Management Policy | Nov-22 | Nov-23 |
Parenteral Nutrition Policy for Adults | Mar-21 | Mar-24 |
Patient Group Direction Policy | Oct-21 | Oct-24 |
Purchasing Medicines for Safety Policy | Nov-22 | Nov-23 |
Self Administration Policy | Nov-22 | Nov-23 |
Self-Prescribing and Prescribing for Family Members and Colleagues | Dec-16 | Dec-18 |
Medical Devices
Title | Last Review | Next Review |
Interventional Procedures Policy | Dec-22 | Nov-25 |
Management of Medical Devices | Jun-23 | Jun-24 |
Mattress Audit Policy | Feb-19 | Feb-22 |
Medical Devices Training for Clinical Staff | Feb-20 | Feb-23 |
Point of Care Testing Policy | Jun-15 | Apr-18 |
Radiation Protection Policy | May-21 | May-24 |
Single Use, Single Patient Use, and Limited Use Medical Devices Policy | Jun-21 | Jun-24 |
Control of Infection
Patient Care
Nursing Procedures
Title | Last Review | Next Review |
Advanced Clinical Practice Policy | Jun-23 | Jun-25 |
Advanced / Specialist Nurse Prescribing of Blood Components | Nov-22 | Apr-24 |
Conservative Sharp Debridement of Wounds | Aug-21 | Aug-24 |
Guidelines for the Use of the CME T34 McKinley Subcutaneous Ambulatory Syringe Pump in Palliative Care | Nov-20 | Feb-24 |
Nurse Checking and Issuing of Discharge Medication (TTO) Policy | May-18 | May-21 |
Nurse-Led Skin Minor Procedures Policy | Aug-21 | Aug-24 |
Transcutaneous Electrical Nerve Stimulation (TENS) | Dec-17 | Nov-20 |
Major Incident
Title | Last Review | Next Review |
Adverse Weather Plan | May-23 | May-24 |
Chemical, Biological, Radiological, Nuclear and Explosive (CBRNE) Plan | Sep-23 | Sep-24 |
Communications Incident Response Plan | Sep-23 | Sep-24 |
Corporate Business Continuity Plan | Sep-23 | Sep-23 |
Counter Measures Plan | Nov-22 | Nov-23 |
Emergency Preparedness Resilience and Response (EPRR) Framework | Sep-23 | Sep-24 |
Evacuation Plan | Dec-22 | Dec-23 |
Internal Incident Plan | Sep-23 | Sep-24 |
Lockdown Plan | Jan-23 | Jan-24 |
Major Incident Plan | Sep-23 | Sep-24 |
Respiratory Virus Plan | Jun-22 | Jun-23 |
Vehicle Fuel Emergency Plan | Mar-23 | Mar-24 |
VIP Policy | Sep-23 | Sep-26 |
Information and Technology
Title | Last Review | Next Review |
Acceptable Use Policy | Jul-20 | Jul-23 |
Confidentiality and Data Protection Policy | Apr-22 | Apr-25 |
Data Quality Policy | Apr-23 | Apr-26 |
Digital Backup and Restore Policy | Jun-22 | Jun-25 |
Digital Technology Projects Policy | Apr-22 | Apr-25 |
Email Policy | Sep-22 | Jun-24 |
Freedom of Information (FOI) Policy | Oct-22 | Sep-25 |
Information Governance Policy | Nov-22 | Nov-23 |
Information Security Policy | Sep-22 | Jul-24 |
Information Technology Change Policy | Oct-22 | Oct-25 |
Internet Usage and Security Policy | Jan-23 | Jan-26 |
Log Retention Policy | Jun-22 | Jun-25 |
Microsoft Office 365 Acceptable Use Policy | Jul-21 | Jul-24 |
Portable Computer Device Policy | Sep-22 | Feb-25 |
Print and Fax Policy | Jan-22 | Jan-25 |
Registration Authority (Smartcard) Policy | Jul-21 | Jul-24 |
Remote Access Policy | Sep-22 | Jan-25 |
Transcription Service Policy | Nov-21 | Nov-24 |
Facilities and Estates
Title | Last Review | Next Review |
Catering Ward Provisions and Hospitality Services Policy | Jun-20 | Jun-23 |
Decontamination Policy | Jan-20 | Oct-22 |
Estates Operational Policy | Jan-20 | Jan-23 |
Management of Healthcare Waste | Nov-19 | Oct-22 |
Operational Cleaning Plan | Nov-19 | Oct-22 |
Operational Policy Medical Gas ASPH | Jan-20 | Jan-22 |
Strategic Cleaning Plan | Nov-19 | Oct-22 |
Telecommunications Policy | Nov-22 | Oct-23 |
Travel and Car Parking Policy | Sep-19 | Oct-22 |
Water Hygiene Policy | Oct-22 | Oct-25 |
Safeguarding
Title | Last Review | Next Review |
Baby / Child (Abduction) Security Policy | Oct-22 | Apr-24 |
Deprivation of Liberty Safeguarding Policy | Nov-21 | Nov-24 |
Did Not Attend (DNA) for Adults at Risk | Nov-19 | Nov-22 |
Domestic Abuse Policy (Patients and Visitors) | May-19 | May-22 |
Domestic Abuse Policy (Workforce) | Sep-19 | Sep-22 |
Female Genital Mutilation (FGM) Policy | Jun-20 | Jun-23 |
Mental Capacity Act Policy | Nov-20 | Nov-23 |
Mental Health Act Policy | Aug-22 | Nov-24 |
Restraint Policy for Adults and Young People | Jan-20 | Nov-22 |
Safeguarding Adults at Risk Policy | Mar-20 | Mar-23 |
Safeguarding Children Policy | Dec-21 | Dec-24 |
Safeguarding Maternity Policy | Mar-20 | Mar-23 |
Safeguarding Supervision Policy (Adults and Children) | May-22 | May-25 |
Was Not Brought Policy | Oct-21 | Oct-24 |