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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Aspergillus Infection In Immuno Compromised Patients During Demolition Construction And Renovation Activities PolicyPDF355 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 Cultures From Patients With Suspected Or Confirmed Infections PolicyPDF327 KB
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Chaperone PolicyPDF316 KB
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Clinical Record Keeping Standards Policy (Hand Written Only)PDF422 KB
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Community Therapy Visit PolicyPDF390 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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Escalating Inter Agency Safeguarding Children Disagreements PolicyPDF329 KB
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FP10 Prescription Pads PolicyPDF480 KB
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Intravenous (IV) Medication And Fluid Therapy Administration Through A Peripheral Venous Cannula PolicyPDF719 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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Missing Service User Joint Policy And ProceduresPDF486 KB
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MRSA Prevention And Control PolicyPDF559 KB
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Nutrition And Hydration PolicyPDF1362 KB
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Parenteral Nutrition (PN) Administration Policy (Adult Patients)PDF444 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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Smokefree PolicyPDF575 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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Mortality Management PolicyPDF993 KB
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Escort & Transfer policy (adult pt's)PDF470 KB
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Prevention of patient falls PolicyPDF592 KB
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Mental Health Act (MHA) PolicyPDF584 KB
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Nasogastric (NG) and Nasojejunal (NJ) feeding tubes PolicyPDF657 KB
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PEG, PEJ, RIG, RIJ feeding tubes in adults PolicyPDF514 KB
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Observations & Escalation Policy for adult in-patientsPDF929 KB
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Positive patient identification PolicyPDF409 KB
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Privacy & Dignity PolicyPDF351 KB
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Registered Nursing Associate Scope of Practice PolicyPDF398 KB
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MAPPA PolicyPDF459 KB
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Learning Disability PolicyPDF733 KB
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Deprivation of Liberty PolicyPDF487 KB
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Role Development PolicyPDF383 KB
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Intraosseous Cannulation PolicyPDF809 KB
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Preceptorship policyPDF321 KB
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Allergy & Anaphylaxis Identification and Management PolicyPDF1136 KB
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Safeguarding Adults PolicyPDF545 KB
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Safeguarding CYP policyPDF782 KB
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Safeguarding Children Supervision PolicyPDF341 KB
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Venepuncture and Peripheral Venous Cannulation Policy v3.0 iss 280426.pdfPDF811 KB
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Discharge PolicyPDF1854 KB
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Patient Flow and Escalation PolicyPDF565 KB
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HIV PEP PolicyPDF654 KB
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Sharps Needlestick PolicyPDF462 KB
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Diagnostics Results Management PolicyPDF549 KB
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Last Days of Life PolicyPDF433 KB
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ReSPECT PolicyPDF848 KB
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ICP 39 - Aseptic Non-Touch Technique PolicyPDF585 KB
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ICP 36 - Assistance Dogs and Pets as Therapy (PAT) Dogs PolicyPDF302 KB
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MRSA PolicyPDF636 KB
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AT RV 5.3 ICP 32 - Blood Cultures Policy v5.0 iss 300726.pdfPDF521 KB
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Patient visiting policyPDF357 KB
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ICP 4 Blood and Body Fluid Spillage PolicyPDF351 KB
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ICP 29 - BBV PolicyPDF346 KB
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ICP 21 C-Diff PolicyPDF911 KB
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IPC Disinfection PolicyPDF613 KB
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ICP 17 Hand Hygiene PolicyPDF939 KB
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5.1 ICP 27 Infectious Outbreak-Incident PolicyPDF416 KB
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ICP 31 - Isolation PolicyPDF390 KB
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ICP 10 Safe Linen Management PolicyPDF361 KB
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Meningitis Policy ICP35PDF300 KB
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5. ICP 24 (v4.0) MRSA SCREENING AND MANAGEMENT POLICYPDF636 KB
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ICP 37 MDRO PolicyPDF417 KB
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ICP 26 Norovirus policyPDF701 KB
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ICP 9 PPE POLICYPDF509 KB
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ICP33 Respiratory Tract Infections (suspected or confirmed) PolicyPDF1099 KB
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ICP 28 - Scabies policyPDF877 KB
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ICP15 Tuberculosis Policy - Prevention of TB in hospitalsPDF508 KB
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ICP 34 Varicella PolicyPDF351 KB
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Antimicrobial Prescribing PolicyPDF1808 KB
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Covert adminIstration of medicine policyPDF354 KB
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Medicines PolicyPDF1544 KB
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Non-Medical Prescribers (NMP) PolicyPDF810 KB
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PGD policyPDF362 KB
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Concentrated Potassium Management PolicyPDF346 KB
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Self-Prescribing Prescribing of Meds for Family and Colleagues PolPDF369 KB
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Point of Care Testing policyPDF284 KB
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Telephoned Pathology Results PolicyPDF344 KB
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Refusal of transfusion of blood and blood components policyPDF402 KB
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Blood Transfusion PolicyPDF312 KB
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Transfusion - Emergency planning for the management of blood shortages policy.pdfPDF469 KB
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Radiation Safety PolicyPDF604 KB
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Parenteral Nutrition PolicyPDF449 KB
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0 Clinical Record Keeping Standards Policy (incl ApxA)PDF403 KB
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Complementary Therapies in the WTC Centre PolicyPDF342 KB
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Thromboprophylaxis PolicyPDF354 KB
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Oxygen Policy - Prescription, Administration and Monitoring of Oxygen Therapy in Adults.pdfPDF623 KB
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PU Prevention and Management PolicyPDF789 KB
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Wound Management PolicyPDF5001 KB
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IV Opioid Administration (Morphine Oxycodone + Fentanyl) by Nurses and ODPs PolicyPDF536 KB
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PCEA in adults (non obstetric) policyPDF484 KB
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PCA Policy - admin of morphine fentanyl or oxycodone via an IV PCA system in adults policyPDF400 KB
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Provision of Intraoperative Cell Salvage PolicyPDF1173 KB
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Tracheostomy & Laryngectomy policyPDF1000 KB
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Minor Invasive Procedures PolicyPDF401 KB
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Decontamination PolicyPDF473 KB
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Mattress Decontamination PolicyPDF315 KB
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CONSENT POLICYPDF1039 KB
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Indwelling Urinary Catheter Insertion policyPDF303 KB
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Hospital OOH Policy 2026PDF624 KB
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PCA Policy - Administration of morphine fentanyl or oxycodone via an IV PCA system in adults policy.pdfPDF400 KB
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Domestic Abuse Policy PatientsPDF1228 KB
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Chaperone policyPDF311 KB
