
Trust Policies
A selection of Trust policies are available via the links below, to request in alternative formats please contact the Information Governance team via email informationgovernancePHT@nhs.net or Telephone No. 01752 431547
Last Updated 12th February 2019
Acute Paediatrics
- Direct Observation of Practice Record.pdf [pdf] 102KB
- NRLS 0223 Nasogastric.pdf [pdf] 73K
- NG Policy for Children and Young People.pdf[pdf] 3MB
- NRLS 0223A Nasogastric.pdf [pdf] 34KB
- NRLS 0224 Nasogastric.pdf [pdf] 28KB
- NRLS 1253 Nasogastric.pdf [pdf] 129KB
- TRUST Paediatric Physical Intervention Policy.pdf [pdf] 460KB
- Best Interest Decision Tool.doc [doc] 85KB
- Debriefing Patients & Family Carers.docx [docx] 24KB
- Debriefing staff involved in a Physical Intervention Incident.docx [docx] 39KB
- Discharge against medical advice proforma.doc [doc] 54KB
- Flow Chart to Decision Making Before Using Restrictive Physical Intervention on a Child or Young Person.pdf [pdf] 194KB
- Positive behaviour plan.docx [docx] 39KB
- Record of Supportive Holding Episode.docx [docx] 49KB
- Risk Assessment for planned Restrictive Physical intervention.docx [docx] 44KB
- Paediatric Training Needs Analysis Policy.pdf [pdf] 342KB
- Paediatric Training Needs Analysis Policy Appendix 2.xls [xls] 51KB
- High Flow Nasal Cannula Therapy Paediatrics.pdf [pdf] 1MB
- Paediatric Nutrition and Mealtimes Policy.pdf [pdf] 570KB
Admin Procedure Notes
Charity
Corporate Governance
- Agency Capped Rate Escalation Policy.pdf [pdf] 559KB
- Counter Fraud Policy
- Standing Orders.pdf [pdf] 321KB
- Standing Financial Instructions.pdf [pdf] 407KB
Clinical
- Transition from Children to Adult Services Policy.pdf [pdf] 1MB
- Chaperoning Policy.pdf [pdf] 329KB
- Adult Nasogastric Tube Insertion and Procedure Managment Policy.pdf[pdf] 416KB
- Adult Nasogastric Tube Position Record Appendix D.pdf [pdf] 595KB
- Prevention and Management of Pressure Ulcers Policy.pdf [pdf] 273KB
- Syringe Driver Policy.pdf [pdf] 557KB
- Endoscopy Operational Policy.pdf [pdf] 352KB
- Management of Diagnostic Testing and Screening Procedures Policy.pdf [pdf] 304KB
- Haematology and Oncology Service Line Clinical Chemotherapy Service Policy.pdf [pdf] 1MB
- Essential Adult Inpatient Observations, Reporting and Escalation Policy.pdf [pdf] 870KB
- Adult Total Parenteral Nutrition Policy.pdf [pdf] 335KB
Clinical Records Management
- Subject Access Request (SAR) Policy.pdf [pdf] 344KB
- Change of Identity Policy for Adopted Patients.pdf [pdf] 387KB
Communications
Corporate Records Management
- Information Lifecycle and Records Management Policy.pdf[pdf] 283KB
- The Development and Management of Formal Documents.pdf[pdf] 259KB
- Clinical Records Keeping Policy.pdf [pdf] 383KB
- Health Records Policy.pdf [pdf] 414KB
- Data Quality Policy.pdf [pdf] 683KB
Emergency Planning
Facilities
- Linen Services Policy.pdf [pdf] 372KB
- The Safe Handling Management and Disposal of Hospital Waste.pdf [pdf] 894KB
- Trustwide Policy on Estates Services Provision.pdf [pdf] 355KB
- Operational Policy for Medical Gases.pdf [pdf] 427KB
- Asbestos Policy.pdf [pdf] 248KB
- Electrical Safety Policy.pdf [pdf] 26KB
- Environmental Cleaning Policy.pdf [pdf] 314KB
- Pest Control Policy.pdf [pdf] 447KB
- Patient Food Services Policy.pdf [pdf] 297KB
- Water Management Policy.pdf [pdf] 2MB
- Music Licence Policy.pdf [pdf] 446KB
- Control of Smoking Policy (Patients and Visitors).pdf [pdf] 642KB
- Global Location Number (GLN) Policy.pdf [pdf] 611KB
Trust Policies
Financial
- Asset Management Policy Nov 2014.pdf [pdf] 670KB
- Financial Governance Policy.pdf[pdf] 338KB
- Capital Investment Policy.pdf [pdf] 547KB
- Cash and Treasury Management Policy.pdf [pdf] 363KB
- Supplier Representative Policy.pdf [pdf] 269KB
Fire Safety
Health and Safety
- Health & Safety Policy.pdf [pdf] 377KB
- Control of Substances Hazardous to Health (COSHH) Policy.pdf [pdf] 495KB
- Ionising Radiation Safety Policy.pdf [pdf] 308KB
- Prevention and Management of Patient Falls in Hospital (Adults) Policy.pdf [pdf] 350KB
- Appendix 1 - Falls Risk Assessment & Care Plan.pdf [pdf] 156KB
- Appendix 2 - ICR.pdf [pdf] 190KB
- Appendix 3 - Visual Cue.doc [doc] 77KB
- Appendix 4 - Bed Rails.doc [doc] 1MB
- Appendix 5 - Post Fall Flowchart.doc [doc] 79KB
- Appendix 6 - Falls Sticker for Notes.pdf [pdf] 134KB
- Lift Management and Maintenance Policy.pdf [pdf] 417KB
Healthcare Governance
- Resuscitation Policy Appendices 1 - 18d.pdf[pdf] 5MB
- Resuscitation Policy.pdf[pdf] 574KB
- Emergency Blood Management Plan.pdf [pdf] 782KB
- Consent to Examination or Treatment Policy.pdf [pdf] 609KB
- The introduction of new clinical devices and procedures Policy.pdf[pdf] 344KB
- Hospital Transfusion Policy.pdf [pdf] 2MB
- Policy for the Provision of Intraoperative Cell Salvage.pdf [pdf] 1MB
- Clinical Audit Policy.pdf[pdf] 330KB
- Management and Implementation of National Guidance and Enquiries Policy.pdf[pdf] 569KB
- Organ Donation Policy.pdf [pdf] 794K
- Massive Transfusion Policy.pdf [pdf] 927KB
- Incident Management Policy.pdf [pdf] 487KB
- Care of Deceased Patients Policy.pdf[pdf] 499KB
- Access Policy For Planned Care Services.pdf [pdf] 456KB
- Mortality Review Policy.pdf [pdf] 846KB
Trust Policies: Human Resources
Human Resources
- Secondary Employment Policy.pdf [pdf] 427KB
- Secondary Employment Form.docx [docx] 17KB
- Appraisal Policy & Procedure for Consultants & SAS Doctors.pdf [pdf] 1MB
- Pastoral & Spiritual Care Departmental Policy.pdf [pdf] 247KB
- Respecting Religion at Work Policy.pdf [pdf] 300KB
- Carers Policy.pdf [pdf] 244KB
- Sickness Absence Policy.pdf [pdf] 387KB
- Maternity Leave Policy.pdf [pdf] 355KB
- Grievance and Dispute Policy.pdf [pdf] 415KB
- Uniform and Dress Code Policy.pdf[pdf] 326KB
- Recruitment and Selection Policy.pdf [pdf] 498KB
- Flexible Working Policy.pdf [pdf] 524KB
- Organisational Change Policy.pdf [pdf] 456KB
- Redeployment Policy.pdf [pdf] 397KB
- Leave Policy for Medical & Dental Consultants on the new 2003 contract & SAS Doctors.pdf [pdf] 342KB
- Remuneration for Additional Clinical Work.pdf [pdf] 418KB
- Remuneration for Senior Medical & Dental Staff Covering Absent Colleagues.pdf [pdf] 471KB
- Reception and Induction of Senior Medical and Dental Staff.pdf [pdf] 440KB
- Implementation of the Working Time Regulations to Senior Medical Staff.pdf [pdf] 477KB
- Unpaid Leave Policy for Medical & Dental Staff.pdf [pdf] 239KB
- Leave Policy.pdf [pdf] 379KB
- Paternity Leave Policy.pdf [pdf] 260KB
- Staff Leaving Policy.pdf [pdf] 467KB
- Trade Union Facility Time Policy.pdf [pdf] 234KB
- Trade Union Recognition Agreement Policy.pdf [pdf] 277KB
- Working Time Regulations Policy.pdf [pdf] 237KB
- Maintaining High Professional Standards.pdf [pdf] 529KB
- Maintaining High Professional Standards Flowchart.pdf [pdf] 19KB
- Volunteers and Volunteering Policy.pdf [pdf] 313KB
- Appeals in Senior Medical and Dental Doct Job Planning Pay Progression Dispute Policy.pdf [pdf] 251KB
- Mediation for Senior Medical and Dental Doctors in the Job Planning & Pay Progression Disputes.pdf [pdf] 245KB
- Constitution & Terms of Reference - Medical Staff Panel.pdf [pdf] 402KB
- Award of Honorary Contracts for Retired Senior Medical and Dental Staff.pdf [pdf] 326KB
- Adoption Policy.pdf [pdf] 339KB
- Retirement Policy.pdf [pdf] 258KB
- Policy for Requesting and Using Staff Taxis Charged to the Trust.pdf [pdf] 244KB
- Raising Concerns Policy.pdf [pdf] 442KB
- Protection of Earnings Policy.pdf [pdf] 523KB
- Clinical Department Rostering Policy.pdf [pdf] 814KB
- Policy for the Verification of the Identity of Agency Nurses.pdf [pdf] 277KB
- Employee Records Management.pdf [pdf] 370KB
- Managing Close Personal Relationships at Work Policy.pdf [pdf] 204KB
- Salary Overpayments and Underpayments Policy.pdf [pdf] 379KB
- Secondment Policy.pdf [pdf] 324KB
- Performance and Conduct Policy.pdf [pdf] 423KB
- Senior Medical and Dental Staff Study Leave Policy.pdf [pdf] 588KB
- Supporting Staff Policy.pdf [pdf] 493KB
- Workforce Induction and Training Policy.pdf [pdf] 866KB
- Equality,Diversity, and Human Rights Policy.pdf [pdf] 485KB
- Sabbatical Leave for Senior Medical and Dental Staff Policy.pdf [pdf] 298KB
- Plymouth University PSMD Consent Policy.pdf [pdf] 379KB
- Plymouth University Raising Concerns Policy.pdf [pdf] 350KB
- Revalidation for Nurses and Midwives.pdf [pdf] 307KB
- Appraisal and Personal Development Policy.pdf [pdf] 418KB
- Exception reporting and work schedule policy - Junior Doctors.pdf [pdf] 362KB
- Leave Policy for all Junior Doctors and Dentists including Trainees, Military Trainees and Trust Doctors.pdf [pdf] 259KB
- Preceptorship Policy for Registered Nurses, Operating Department.....pdf [pdf] 493KB
- Promoting Positive Practice and Supporting Transgender Staff Policy.pdf [pdf] 506KB
Trust Policies
Information Governance
- Information Security Policy.pdf[pdf] 296KB
- NHSMail Acceptable Use Policy.pdf[pdf] 188KB
- Confidentiality Policy.pdf [pdf] 456KB
- Information Governance Policy.pdf[pdf] 314KB
- Third Party Personal Data Handling Assurance Policy.pdf [pdf] 230KB
- Data Protection Policy.pdf [pdf] 446KB
- Audio and Visual Recording Policy.pdf[pdf] 486KB
Information Management and Technology
- Telecommunications Policy.pdf [pdf] 325KB
- Internet Use Policy.pdf [pdf] 239KB
- Network Security Policy.pdf [pdf] 194KB
Infection Control
- The Management and Control of MRSA.pdf [pdf] 779KB
- Policy for the Prevention of TSE.pdf [pdf] 1MB
- Control and Use of Antimicrobials.pdf [pdf] 254KB
Moving and Handling
Maternity
- Infant Feeding Policy.pdf [pdf] 492KB
- Maternity Training Needs Analysis.pdf [pdf] 910KB
- Maternity Operational Staffing and Escalation Policy.pdf[pdf] 470KB
- Escalation in Maternity Policy.pdf [pdf] 334KB
- Trust Policy for Maternity in the event of lift failure within the maternity building.pdf [pdf] 296KB
- Neonatal Unit Infant Feeding Policy.pdf [pdf] 321KB
Medical Devices
- The Management and Use of Medical Devices Policy.pdf [pdf] 307KB
- Medical Device Training Policy.pdf [pdf] 733KB
Medicines Management
- Non Medical Prescribing Policy.pdf[pdf] 624KB
- Medicines Management Policy.pdf [pdf] 1MB
- Medicines Reconciliation in Adults Policy.pdf[pdf] 399KB
- Policy for Reducing Dosing Errors with Opioid Medicines in Adults.pdf [pdf] 1MB
- Policy for the Procurement,Prescribing,Supply&Admin of Unlicensed Med.pdf[pdf] 588KB
- Policy forSelf-Administration of Medicines by Patients (Adult and Paediatric).pdf[pdf] 786KB
- Policy for the Safe Administration of Intrathecal Cytotoxic Drugs.pdf [pdf] 361KB
- Policy for Safe Sedation during Healthcare Procedures in Adults.pdf [pdf] 750KB
- Anticoagulant Policy.pdf[pdf] 388KB
- Policy for the Administration of Melatonin to Children for sleep EEGs in the Neurophysiology Department.pdf [pdf] 663KB
- Procedures for Administering Injectable Drugs.pdf[pdf] 416KB
- Policy to Support Administration of Selected Medication.pdf [pdf] 324KB
Nutrition
Operational Management
- Enhanced Observation Policy.pdf [pdf] 962KB
- Risk Assessment for level of Observation - Appendix A.pdf [pdf] 336KB
- Bedwatch Request Process Form - Appendix B.pdf[pdf] 305KB
- Discharge Policy for Children and Young People.pdf [pdf] 567KB
- Clinical Handover of Care and Internal Transfer of Adults SOP.pdf[pdf] 607KB
Trust Policies P-Z
Patient Services
- Translation and interpreting Policy.pdf[pdf] 1MB
- PALS Policy.pdf[pdf] 243KB
- Management of Patient Property Policy.pdf [pdf] 1MB
- Producing and Managing Patient Information Policy.pdf[pdf] 522KB
Point of Care Testing
- Point of Care Testing Training Policy.pdf [pdf] 301KB
- Point of Care Testing Audit Policy.pdf [pdf] 295KB
- Point of Care Testing Policy.pdf [pdf] 375KB
Private Care
Procurement
- Supply Chain Inventory Management Policy.pdf [pdf] 725KB
- Master Data & Catalogue Management SOP.pdf [pdf] 324KB
Research and Development
Risk Management
- Risk Management Policy.pdf[pdf] 577KB
- Identification of Patients Policy.pdf [pdf] 350KB
- Policy for the Management of Safety Alerts and Product Recall.pdf [pdf] 745KB
Safeguarding
- Mental Capacity Act (MCA, 2005), including Deprivations of Liberty (DoLS, 2007) Policy.pdf [pdf] 904KB
- The Safeguarding Adults at Risk Policy (Vulnerable Adults).pdf[pdf] 1MB
- Child Protection Policy.pdf[pdf] 1MB
- Domestic Abuse Policy for Managers and Practitioners.pdf [pdf] 332KB
- Management of Non-Physical and Physical Intervention (Restraint) for Adults in an Acute Hospital Setting Policy.pdf [pdf] 1MB
- Management of substance use in pregnancy and postnatal period.pdf [pdf] 403KB
- Did Not Attend.Was Not Brought Policy for Children and Young People.pdf[pdf] 1MB
- Carers Policy.pdf [pdf] 705KB
- Care of the Next Infant and Care of the Next Infant Plus.pdf [pdf] 357KB
- UHPNT Prevent Training Implementation Policy.pdf [pdf] 501KB
Security
- Crime Prevention Policy.pdf [pdf] 374KB
- Lone Working Policy.pdf [pdf] 265KB
- Tackling Violence and Aggression Policy.pdf [pdf] 335KB
Theatres
- Correct patient, Correct procedure and Correct Site policy.pdf [pdf] 357KB
- Swab Counts in the Operating Theatre Policy.pdf [pdf] 319KB
- Skin Preparation (Surgical Site) Policy.pdf [pdf] 412KB
- Theatre Scheduling Policy.pdf [pdf] 310KB
- Policy for the application of the Surgical Safety Checklist.pdf [pdf] 765KB
- Policy for management of Sharps in Operating Theatres and Procedural rooms.pdf [pdf] 354KB
- Policy for Instrument Count during invasive procedures.pdf [pdf] 474KB
- Theatre Relet Policy.pdf [pdf] 395KB