Clinical policies
The Trust's clinical policies and procedures form an integral part of the Trust's governance and risk management processes and are an established part of everyday practice.
Policy documents
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Abduction Of A Neonate In Maternity Services PolicyPDF365 KB
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Admission And Discharge For Children And Young People Below 18 Years Where There Are Safeguarding Concerns PolicyPDF921 KB
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Administration Of Morphine, Fentanyl Or Oxycodone Via An IV Or PCA System In Adults PolicyPDF564 KB
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Allergy And Anaphylaxis Identification And Management PolicyPDF1049 KB
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Antimicrobial Prescribing PolicyPDF1616 KB
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Aseptic Non Touch Technique PolicyPDF562 KB
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Aspergillus Infection In Immuno Compromised Patients During Demolition Construction And Renovation Activities PolicyPDF355 KB
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Assistance Dogs And Pets As Therapy (PAT) Dogs PolicyPDF448 KB
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Bed Rails PolicyPDF340 KB
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Bladder Problems And Urinary Incontinence PolicyPDF436 KB
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Blood And Body Fluid Spillage PolicyPDF371 KB
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Blood Borne Virus PolicyPDF977 KB
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Blood Cultures From Patients With Suspected Or Confirmed Infections PolicyPDF327 KB
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Blood Transfusion PolicyPDF283 KB
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Cancer Consultant Upgrade PolicyPDF293 KB
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Care After Death PolicyPDF751 KB
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Cell Salvage Intraoperative PolicyPDF981 KB
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Chaperone PolicyPDF577 KB
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Clinical Record Keeping Standards Policy (Hand Written Only)PDF422 KB
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Clostridium Difficile Infection Prevention And Control PolicyPDF948 KB
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Community Therapy Visit PolicyPDF390 KB
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Complementary Therapies In The Welcome Treatment Centre PolicyPDF345 KB
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Consent To Examination, Treatment And Care PolicyPDF1142 KB
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Conservative Sharp Wound Debridement PolicyPDF292 KB
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Controlled Drugs Policy And Associated SopsPDF1098 KB
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Covert Adminstration Of Medication PolicyPDF282 KB
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Dealing With Safeguarding Allegations Or Concerns About Individuals Undertaking Work With Children, Young People And Vulnerable People In The Trust Policy (1)PDF594 KB
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Decontamination And Disinfection Of Healthcare Equipment Within Healthcare Settings PolicyPDF656 KB
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Decontamination Of Sterile Instruments PolicyPDF560 KB
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Deprivation Of Liberty Safeguards (DOLS) PolicyPDF481 KB
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Diagnostics Results Management PolicyPDF532 KB
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Discharge PolicyPDF594 KB
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Domestic Abuse Policy (Patients)PDF732 KB
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Escalating Inter Agency Safeguarding Children Disagreements PolicyPDF329 KB
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Escort And Transfer Policy For Adult PatientsPDF459 KB
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Falls Prevention Of Patient Falls PolicyPDF482 KB
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FP10 Prescription Pads PolicyPDF480 KB
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Hand Hygiene PolicyPDF957 KB
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HIV Post Exposure Prophylaxis (PEP) PolicyPDF394 KB
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Hospital Out Of Hours PolicyPDF356 KB
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Hospital Post Mortem PolicyPDF426 KB
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Indwelling Urinary Catheter Insertion PolicyPDF308 KB
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Infectious Outbreak Incident PolicyPDF451 KB
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Intraosseous Cannulation PolicyPDF886 KB
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Intravenous (IV) Medication And Fluid Therapy Administration Through A Peripheral Venous Cannula PolicyPDF719 KB
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Invasive Procedures PolicyPDF306 KB
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Isolation Precautions For Patients With Confirmed Or Suspected Infectious Illness PolicyPDF394 KB
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IV Opioid Administration By Nurses And Odps PolicyPDF982 KB
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Last Days Of Life For Adults PolicyPDF801 KB
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Learning Disability PolicyPDF775 KB
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Management Of Children And Young People Who Are Not Brought To Or Do Not Attend (WNB,DNA) Appiontments PolicyPDF428 KB
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MAPPA PolicyPDF948 KB
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Mattress Decontamination PolicyPDF252 KB
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Measles Management And Contact Tracing PolicyPDF435 KB
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Medical Equipment User Training PolicyPDF1115 KB
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Medicines PolicyPDF2062 KB
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Meningitis PolicyPDF324 KB
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Mental Capacity Act (MCA) PolicyPDF1049 KB
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Mental Health Act (MHA) PolicyPDF499 KB
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Missing Service User Joint Policy And ProceduresPDF486 KB
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Mortality Management PolicyPDF764 KB
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MRSA Prevention And Control PolicyPDF559 KB
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MRSA Screening PolicyPDF432 KB
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Multi Drug Resistant Organisms (MDRO) Control And Prevention PolicyPDF415 KB
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Nasogastric (NG) And Nasojejunal (NJ) Feeding Tubes For The Insertion And Management In Adult Patients PolicyPDF699 KB
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Non Medical Prescribers (NMP) PolicyPDF835 KB
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Norovirus PolicyPDF692 KB
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Nutrition And Hydration PolicyPDF1362 KB
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Observations And Escalation Policy (For Adult In Patients)PDF2001 KB
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Outpatient Parenteral Antimicrobial Therapy (OPAT) PolicyPDF471 KB
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Oxygen Policy Prescription, Administration And Monitoring Of Oxygen Therapy In AdultsPDF648 KB
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Parenteral Nutrition (PN) Administration Policy (Adult Patients)PDF444 KB
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Parenteral Potassium Use And Administration PolicyPDF463 KB
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Patient Controlled Epidural Analgesia (PCEA) In Adults (Non Obstetric) PolicyPDF988 KB
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Patient Flow And Escalation PolicyPDF517 KB
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Patient Group Directions (Pgds) PolicyPDF355 KB
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PEG, PEJ, RIG, RIJ Feeding Tubes In Adults PolicyPDF631 KB
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Personal Protective Equipment (PPE) PolicyPDF365 KB
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Point Of Care Testing (POCT) PolicyPDF299 KB
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Positive Patient Identification (PPI) PolicyPDF435 KB
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Preceptorship Policy (For Nurses, Nursing Associates, Midwives And Ahps)PDF345 KB
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Pressure Ulcer Prevention And Management PolicyPDF341 KB
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Privacy And Dignity PolicyPDF476 KB
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Radiation Safety PolicyPDF463 KB
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Refusal Of Transfusion Of Blood And Blood Components PolicyPDF706 KB
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Respect PolicyPDF692 KB
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Respiratory Tract Infections (Suspected Or Confirmed) PolicyPDF1094 KB
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Restraint And Restrictive Practices PolicyPDF775 KB
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Resuscitation Policy (Adult, Maternity And Paediatric Patients)PDF585 KB
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Role Development PolicyPDF338 KB
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Safeguarding Adults PolicyPDF532 KB
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Safeguarding Children And Young People PolicyPDF783 KB
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Safeguarding Children Supervision PolicyPDF363 KB
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Safe Linen Management PolicyPDF363 KB
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Scabies Management In A Healthcare Setting PolicyPDF886 KB
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Self Prescribing And Prescribing Of Medicines For Family Members And Colleagues #PolicyPDF302 KB
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Sharps And Needlestick PolicyPDF472 KB
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Smokefree PolicyPDF575 KB
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Surveillance Policy For Infection Prevention And ControlPDF353 KB
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Syringe Use To Administer Flushes, Feeds And Medication Via The Oral And Enteral Routes PolicyPDF376 KB
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Telephoned Pathology Results PolicyPDF321 KB
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Thromboprophylaxis PolicyPDF333 KB
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Tracheostomy Laryngectomy PolicyPDF932 KB
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Transfer Of Patients To The Radiology Department For Interventional Procedures PolicyPDF316 KB
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Transfusion Emergency Planning For The Management Of Blood Shortages PolicyPDF473 KB
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Tuberculosis Policy (Prevention Of TB In Hospitals)PDF941 KB
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Unlicensed Medicines PolicyPDF626 KB
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Varicella Zoster Virus (Chickenpox And Shingles) PolicyPDF377 KB
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Venepuncture And Peripheral Venous Cannulation PolicyPDF764 KB
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Verfication Of Expected Adult Death By Registered Nurses PolicyPDF343 KB
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Wound Management PolicyPDF533 KB
