NHS Bath & North East Somerset - Policies and Procedures
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Working together for health & wellbeing

The Health and wellbeing partnership conprises NHS Bath and North east Somerset (NHS banes PCT) and Bath and North East Somerset (banes) Council working together in partnership.

Policies and Procedures

A robust policy framework is a vital asset, both in terms of the clinical management of patients and other service users and the efficient management of services and resources. It plays a key part in governance, service planning, performance management and most importantly contributes directly to the delivery of health and social care. The Trust has developed organisational policies in a number of areas.   

The Trust’s policy framework covers the following areas: 

 

Human Resources/Personnel Policies:  

The following policies and procedures are available on HR/Personnel management.                  

 
Policy Name

Version

Date Approved 

  

Annual Leave Policy

2

Aug 2009

 

Appeals Policy and Procedure

2

Mar 2010

Bullying and Harassment Policy

2

Aug 2009

Capability Policy

2

Aug 2009

Disability Leave Policy

2

Mar 2010

Disciplinary Policy

3

Sep 2009

Disputes Policy

2

Aug 2009

Equality/Diversity in Employment Policy

2

Aug 2009

Grievance Policy

2

Aug 2009

Handling Concerns About Doctors/Dentists Policy

2

Aug 2009

Health & Well-being Policy

1

Sep 2010

Induction Policy

2

Aug 2009

Job Evaluation & Assimilation Policy

2

Aug 2009

Knowledge & Skills Framework

2

Aug 2009

Lone Working Guidelines

2

May 2011

Maternity Policy

3

Aug 2009

New & Expectant Mothers at Work Policy

3

Aug 2009

Organisational Change Policy

1

Sep 2009

Pandemic Flu Policy

1

May 2009

Pay Protection Policy

1

Sep 2009

Professional Registration Policy

2

Mar 2010

Raising Concerns (Whistleblowing) Policy

2

Aug 2009

Recruitment Policy

2

Aug 2009

Secondary/Other Employment Policy

2

Aug 2009

Sickness Absence Policy

3

Mar 2010

Staff Health Policy (Infection Control)Policy

3

Jun 2009

Telephone Use Policy

3

Aug 2009

Trade Union Recognition and Facillites Agreement

2

Aug 2009

Volunteers Workers Policy

2

Aug 2009

Work Life Balance Policy

2

Aug 2009

 

Clinical Policies:

Policy Name

Version

Date Approved 

  

Admission, Transfer and Discharge Policy  

Jul 2010

Advance Directive (Living Wills) Policy

1

Oct 2007

Audit Policy for Clinical and Social Care

2

Mar 2011

Bed Rails (Use of) Policy  

5

April 2011

Being Open Policy

2

Apr 2011

Being Open (Procedure)

2

Apr 2011

Blood Transfusion in Community Hospitals Policy

4

Jul 2010

Breastfeeding Policy

3

Dec 2009

Cardiopulmonary Resuscitation and Do Not Attempt Resuscitation Policy

2

Oct 2009

Cardiopulmonary Resuscitation in Community Hospitals and Community Settings

4

Oct 2009

Chickenpox and Shingles: Management and Prevention

2

Nov 2009

Clinical Supervision Policy (for Nurses and Allied Health Professionals)

1

Sep 2010

Clostridium Difficile: Medical Management of Patients with Infection Policy

2

Sep 2009

Complementary Therapists  - Referrals (published by GPC)

1

Mar 2006

Consent to Examination and Treatment Policy

4

May 2010

Controlled Drugs Information Sharing Policy

1

Oct 2009

Copying of Letters to Patients Policy

2

Jun 2010

Decontamination Policy

2

Apr 2011

End of Life Policy

1

Jul 2011

Gastro-Oesophageal Reflux in Infants  - Management Guidelines in Primary and Secondary Care

1

Sep 2010

Glycopeptide Resistant Enterococci (GRE) Infection: Management and Prevention Policy

2

Nov 2009

Hand Decontamination Policy

2

Nov 2006

Infection Control Guidelines for the Community Setting

2

Jun 2009

Infection Prevention and Control Isolation Policy

1

Sep 2009

Influenza A - Management and Prevention Policy

2

Nov 2009

Insulin - Preloading and Administration of Insulin Policy

2

Jul 2010

Latex  - Management of Latex Allery Policy

2

Nov 2010

Linen Policy

2

Nov 2009

Medical Equipment Policy

4

Jul 2010

Medicines Policy: Management and Administration of Medicines in Clinics, Departments and Domiciliary Settings

2

Jun 2009

Medicines Policy: Management and Administration of Medicines in an Inpatient Setting

2

Jan 2009

Medicines Policy: Non Medical Prescribing Policy

2

Jun 2010

Medicines Policy: Working in Partnership with the Pharmaceutical Industry

2

Jan 2008

Meningitis: Management and Prevention Policy

2

Nov 2009

MRSA: Management and Prevention Policy

3

Sep 2009

NICE: Dissemination and Implementation Policy

2

Sep 2009

Nutrition and Health Policy

4

Nov 2009

Outbreak Control Policy

2

Nov 2009

Oxygen - Transportation of

3

Jun 2011

Patient Identification Policy

1

Jun 2009

Phenol - Podiatry Use for Nail Surgery

1

Sep 2009

Potassium Permanganate Soaks Policy

1

Nov 2009

Pressure Ulcers: Management and Prevention Policy

1

Nov 2009

Privacy and Dignity Policy

1

Jun 2010

Records Management Policy  

2

Oct 2010

Records Management - Guidelines for staff working in community setting

1

Jun 2009

Research Governance Policy

3

Dec 2010

Royal Marsden Hospital Manual of Clinical Procedures

2

Jan 2009

Scabies: Management and Prevention Policy

2

Nov 2009

Sharps Safety Policy

3

Sep 2010

Sharps: Procedures Following Sharps Injury and Contamination Incidents  

4

Sep 2010

Single Use Medical Devices Policy

3

Jul 2010

Slips, Trips and Falls: Management and Prevention Policy

1

Mar 2009

Spillage of Hazardous Chemicals

3

Jun 2011

Suprapubic Catheter Insertion

1

May 2010

Suprapubic Catheter Re-insertion: Procedure for Minimising Risks  

1

May 2010

Surveillance Policy

1

Nov 2006

Syringe Driver Policy (Graseby MS26)

2

Jun 2010

Transmissible Spongiform Encephalopathy Policy

2

Nov 2008

Tongue Tie Division (Frenulotomy) to Assist Breastfeeding Policy

2

Nov 2009

Tourniquets - Use of

2

June 2011

Tuberculosis: Management and Prevention Policy 

2

Nov 2009

Verification of Expected Death by Registered Nurse Policy

1

June 2010

Withdrawal or Re-siting of Care Provision

2

May 2011

 

Corporate/Non Clinical Policies:

 

Policy Name

Version

Date Approved 

Acceptable Use of IT Policy

4

Jul 2010

Adverse Event Policy

2

Feb 2009

Asbestos Policy

2

Feb 2008

Car Parking Policy 

4

Sep 2009

Claims Policy

1

Dec 2004

Complaints Policy (Health & Wellbeing Partnership

1

Jun 2010

Complaints Policy (Appendix 1)

1

Jun 2010

Complaints Policy (Appendix 2)

1

Jun 2010

Complaints Policy (Appendix 3)

1

Jun 2010

Control of Substances Hazardous to Health (COSHH) Policy 

2

Dec 2005

Counter Fraud Policy

N/A

Feb 2010

Cytotoxic Waste - Disposal Policy

2

May 2010

Display Screen Equipment Policy

1

Apr 2005

Dressing For Work (Uniform) Policy

1

Jun 2007

Electrical and Electrical Safety Policy

2

May 2010

Emergency Preparedness Policy

6

Sep 2010

Faxing Policy

3

May 2010

First Aid Arrangements Policy

1

Jun 2005

Food Hygiene Policy

 

 

Freedom of Information Policy

3

Jul 2010

Health & Safety Policy

3

May 2011

Interventions Not Normally Funded Policy

1

Jun 2008

Latex - Management of Latex Allergy Policy

1

Nov 2003

Leaflets - Policy for Production of and Provision 1 Feb 2011
Legionella Policy  

2

Feb 2008

Mobile Phone Policy

 4

Jun 2010

Mobile Working Policy

3

May 2010

Moving and Handling Policy

4

Nov 2009

Personal Protective Equipment Policy

1

Feb 2009

Pets as Therapy Policy

1

Nov 2006

Risk Management Policy

1

Mar 2011

Register of Interests Policy 

-

Oct 2008

SABS (Management of Alert Notices from External Agencies) Policy  

1

Feb 2008

Safeguarding of Childrens Policy

2

Dec 2008

Safeguarding of Adults Policy

1

Jun 2010

Service User Involvement Policy

1

Jun 2010

Smoking and Health Policy

3

Jul 2010

Staff Safety Checklist for Community Visits

3

Jun 2011

Violence and Agression Policy

-

Oct 2003

Volunteers  - Health & Safety Guidelines on the Use and Management

2

Jun 2010

Waste Policy

2

Jun 2010

 

Other Policies (Estates Management):

The Trust is committed to the effective management of estate and environmental issues including preventing waste and recycling materials. For more information, about activities on estate management and environmental issues, contact the Facilities Manager at St Martins Hospital, Clara Cross Lane, BATH, BA2 5RP.

Environmental Information Regulations enable similar access to environmental information as under the Freedom of Information Act. Enviromental information may feature in all classes of our Publication Scheme.


The NHS website for estates and facilities management can be located here:

NHS Estates management website

 

Alternative Formats:

If you would like a copy of the above policies in an alternative format, for example, Braille, large type or another language, please contact the Corporate Assurance Manager on 01225 831800.Alternatively, a contact address is provided at the foot of this page.

Please note that some of these documents may be quite large and it may take some time for the file to be downloaded to your PC to view. 

Contact Details

Contact: Glyn Young. Information Governance Manager 
Email:
Telephone: 01225 831763 
Fax: 01225 840407 
Address:

Corporate Affairs Department

Trust Headquarters

NHS Bath & North East Somerset

St Martins Hospital

Clara Cross Lane

BATH

BA2 5RP

Modified: 05/08/2011 10:25

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