Trust Policies

What is a Policy?

A policy is a document approved by the Trust that sets out the employee's roles and responsibilities. It is a plan or course of action, identified to influence and determine decisions and actions. Failure to comply with the policy may contravene individual terms of employment.

Policies as approved by the Trust are available through this page. Click on the hyperlink to access the appropriate policy. Where a hyperlink does not exist, please refer the manual policy in your Policy Folder.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Policy Title	Policy Reference	Author/Contact	Date created/modified	Review Date	Comments
A
Abnormal Weather	HR.LTO.014		August 2002
Access to Health Records	CP.CR.003
Acting Witnesses to Wills	CP.CR.006
Adoption/Surrogacy Leave	HR.LTO.001		December 2004
Advance Statement (Living Wills)	CP.CR.004	Director of Clinical Services	Sept 2004	Sept 2006
Advertising & Recruitment Procedure	HR.R&S.001	T & S Policy			in draft
Agenda for Change - Terms & Conditions	HR.PAY.008
Agenda for Change - Payscales (01/04/06)	HR.PAY.009
Alcohol & Drug Abuse	HR.SH&S.001	T & S Policy	August 2002		adopted policy
Annual Leave	HR.LTO.002	T &S Policy	August 2002		adopted policy
Anti-Embolic Stockings	CLC.007	T &S Policy			adopted policy
Appearing in Court	CP.MIS.001	Director of Clinical Services	Nov 2004	Sept 2006
Appointment Codes	HR.R&S.002	T &S Policy	August 2002		adopted policy
Appraisal	HR.TPRP.001				in draft
B
Bed Mattress Decontamination	IC.D.004	T &S Policy			adopted policy
Blood Handling Policy	CLC.001	Head of Community Hospitals	December 2004	December 2007
Bomb Threat/Suspect Packages	HS.OP.007
Booking Bank/Agency Nursing staff	CP.CR.013	Hospital Manager (Sedgemoor)	January 2004	January 2006
British Summer Time	HR.PAY.002	T & S Policy	August 2002		adopted policy
Business Conduct Standards	HR.C.001	T &S Policy	August 2002		adopted policy
C
Capillary Blood Glucose Monitoring	CLC.003		April 2001	April 2003
Care of the Diseased Patient	IC.CL.001	T & S Policy			adopted policy
Caring for Patients of the Opposite Gender	CLC.014
Chicken Pox Management	IC.DM.001	T &S Policy			adopted policy
Child Protection Policy	CP.CR.015	Director of Clinical Services	June 2004	April 2005
Christmas Working Arrangements	HR.PAY.003	T &S Policy	August 2002		adopted policy
Civic/Public Duties	HR.LTO.004	T & S Policy	August 2002		adopted policy
CJD/vCJD Management	IC.DM.009	T & S Policy			adopted policy
Claims Handling Policy & Procedure	CP.FRM.005	Director of Finance	February 2005	March 2006
Clinical Audit	CP.CR.012	CLnical Effectiveness Management	April 2006	April 2009
Clinical Audit & Effectiveness Strategy	CP.CR.002	Governance Manager	August 2003
Clinical Governance Strategy	CP.CR.002	Governance Manager	August 2003
Clinical Policies Policy	CLP.001	T & S Policy	April 2001	March 2003	adopted policy
Clinical Records Policy	IT.008	Deputy Director of Clinical Services	January 2005	January 2006
Complaints Policy	CP.PIQP.002	Quality Improvement Manager	February 2005	July 2004	August 2005
Complementary Therapy	CLP.002	T &S Policy	February 1999		adopted policy
Confidentiality - Staff Code	IT.002		December 2004	December 2005
Consent Policy (for Appendices refer to H Drive/General Directory/Corporate Policies/Clinically Related/Consent)	CP.CR.005	Director of Clinical Services	November 2003
Continuing Health Care (Dorset & Somerset)	CP.CR.018
Contracts of Employment	HR.PAY.004	T &S Policy	August 2002		adopted policy
Copying Letters to Patients	IT.004	Deputy Director of Service Delivery & Development	September 2005	April 2008
Criminal Records (Protection of children and vulnerable adults)	HR.R&S.004	Director of Human Resources	January 2005		in draft
D
D & V Management	IC.DM.004	T & S Policy	December 2005	December 2007	adopted policy
Data Protection - Security & Confidentiality of Information	IT.003		December 2004	December 2005
Decontamination - Infection Control	IC.D.001	T & S Policy	December 2005	December 2007	adopted policy
Diabetes Protocol	CLC.014	T & S Policy			adopted policy
Discharge Policy	CLC.011	Head of Community Hospitals	January 2005	January 2006
Display Screen Equipment	HS.OP.001	T & S Policy	February 1999	February 2001
Doctor and Dental Appointments Attendance	HR.LTO.005	T & S Policy	August 2002		adopted policy
Doctors Whose Performance Causes Concern	CP.CR.021	Governance Manager	December 2005
Drugs Policy	CLC.009		September 2004	September 2005
E
Email Communications and Web-browsing policy	IT.006		December 2004	December 2005
Employee Relations (including Disciplinary/Grievance/Capability)	HR.ER.001	T & S Policy	August 2002		adopted policy
Employment Breaks	HR.LTO.003	T & S Policy	August 2002		adopted policy
Employment of Newly Qualified Nurses	HR.R&S.005	T & S Policy	August 2002		adopted policy
Employment of Partners/Relatives	HR.R&S.006	T & S Policy	August 2002		adopted policy
Endoscopic Equipment Decontamination	IC.D.005	T & S Policy
English Language for Dentists	HR.R&S.016	Director of Service Improvement & Strategy			in draft
Environmental Policy	CP.E.001				under review
Equal Opportunities	HR.ER.003	T & S Policy	August 2002		adopted policy
Exit Questionnaire and Interview + form	HR.TERM.005	T & S Policy	August 2002		adopted policy
F
Faxing	IT.005	ICT Coordinator	September 2005	June 2008
Fetal loss Disposal	CLC.020
Fire Policy	HS.OP.003	Head of Community Hospitals			in draft
First Aid	HS.OP.006	T & S Policy	May 2000	May 2002
	HR.PAY.005
Flexible Working	HR.PAY.006				in draft
Food Hygiene	HS.OP.004	T & S Policy	June 2001	June 2003
Freedom of Information	CP.FRM.012	Records Manager	December 2005	December 2006
Funded Nursing Care	CP.CR.020
G
Glycopeptide Resistant Enterococcus Management	IC.DM.002	T & S Policy	December 2005	December 2006	adopted policy
H
Handling & Transporting Biological Materials	HS.HS.001	T & S Policy	November 2007	November 1999	adopted policy
Harrassment in the Workplace	HR.SH&S.002	T & S Policy	August 2002		adopted policy
Hazardous Substances	HS.HS.002	T & S Policy	August 2001	August 2003	adopted policy
Hand Decontamination	IC.D.002	T & S Policy	Sept 2005	Sept 2007	adopted policy
Handling of Laundry	IC.D.003
Health & Safety Policy (overarching policy)	HS.OA.001	Director of Clinical Services	May 2005	January 2006
Honorary Contracts	HR.PAY.012	T &S Policy	August 2002
Hypnotics Policy	CLC.017	Medicines Manager	August 2004	August 2007
I
Ice Machines - Guidelines	IC.E.001	T & S Policy			adopted policy
ID Badge Policy	CP.MIS.002	Head of Community Hospitals	January 2005	January 2008
Incident - Clinical Incident Protocol	CP.FRM.003	Director of Clinical Services	November 2004	November 2005
Incident Reporting Policy incl. Serious Untoward Incidents	CP.FRM.003	Risk Manager	May 2006	May 2007
Induction (TED Policy)					in draft
Infection Control	IC.OA.001	Head of Community Hospitals	December 2005
Infection Prevention & Control Surveillance	IC.OA.004	T & S Policy	June 2006	June 2007	adopted policy
Information Technology Security	IT.001			May 2004
Internal Communications	HR.C.005	T & S Policy	August 2002		adopted policy
Interview Leave	HR.LTO.006	T & S Policy	August 2002		adopted policy
IntraVascular device - Guidelines for Prevention of Related Infections	IC.CL.002	T & S Policy			adopted policy
Isolation Policy	IC.OA.002	T & S Policy	December 2005	December 2006	adopted policy
J
Jehovah's Witnesses - Guidelines to treatment	CLP.003		April 2001