| Title | Type | Reference | Version Number | Description | Tags | Zones | Primary Category | |
|---|---|---|---|---|---|---|---|---|
| Guidance for the support of unpaid carers within Mersey West Lancashire Teaching Hospitals NHS Trust | Guideline | PD0583 | 1.1 | To provide Trust staff with guidance on how to support unpaid carers. | Guidance for the support of unpaid carers within Mersey West Lancashire Teaching Hospitals NHS Trust,NHS |
• MWL Policies Group
• HR Policies Group |
||
| IT Change Management Policy - CONSULTATION | Policy | PD2404C | 1 | This policy is to ensure we manage the impact of changes to Infrastructure, Systems and Applications. This policy covers all.. | IT Change Management Policy - CONSULTATION,IT,Change Management | • MWL Policy Updates Group | ||
| PD0065 Health and Safety Policy | Policy | PD0065 | 1 | The Health and Safety Policy is a document to advise all those who engage in the activities of Mersey West.. | Health and Safety Policy,Health,Safety | • MWL Policies Group | ||
| PD2376 Charity Expenditure Policy | Policy | PD2376 | V1 | A Charity policy, for any member of NHS staff who wishes to apply for charitable funding. | Victoria.Burrows@merseywestlancs.nhs.uk,Charity Expenditure Policy,charitable funding | • Charity | ||
| PD2125 NHS Risk Management Framework | Policy | |||||||
| Management of Electronic Alerts - CONSULTATION | Procedure | PD1722C | 1 | Management of Electronic Alerts | • Consultation Policies | |||
| Inpatient Head Injury Advisory Guidance Medical Management of Traumatic Head Injuries in Older People | Guideline | Medical Management of Head Injuries in Older People | 1.1 | The purpose of this document is to provide guidance for the Cheshire and Merseyside Major Trauma Network (CMMTN), Aintree Major.. | DocumentControl@merseywestlancs.nhs.uk | • MWL Policies Group | ||
| Trust Paediatric Antimicrobial Policy - CONSULTATION | Policy | PD1481C | 1 | This policy provides direction on the empirical antimicrobial treatment of paediatric patients with commonly encountered infections as well as the.. | • Consultation Policies | |||
| Chemical, Biological, Radiological, Nuclear (CBRN) Plan | Plan | PD1981 | 2 | - CHEMICAL,BIOLOGICAL,RADIOLOGICAL,NUCLEAR,CBRN | • Emergency Planning Policies Group | |||
| Being Open and Duty of Candour Policy | Policy | PD0057 | 1 | This policy outlines the required communication of care and treatment related harm with relevant persons | Being Open and Duty of Candour | • Governance and Risk | ||
| Fire Policy | Policy | PD0272 | 1.2 | Policy outlines the Trust position in relation to the management of Fire Safety, incorporating all aspects from training to dealing.. | Fire | • Estates & Facilities Policies Group | ||
| Standard Operating Procedure (SOP): Role and Responsibilities of Anaesthesia Associates | Procedure | PD2610 | 1 | This SOP sets out the main roles and responsibilities of Anaesthesia Associates (AAs) at the trust. A summary of training.. | Role and Responsibilities of Anaesthesia Associates | • Anaesthetics Policies Group | ||
| Standard Operating Procedure (SOP): Patient Specific Directions for Anaesthesia Associates | Procedure | PD2609 | 1 | This document provides guidance on the use of Patient Specific Directions (PSDs) by Anaesthesia Associates at the trust. It includes.. | Patient Specific Directions for Anaesthesia Associates | • Anaesthetics Policies Group | ||
| Administration of Discretionary Medicines Policy | Policy | PD2574 | 1.1 | • Medicines that are classified as Pharmacy (P) or General Sales List (GSL) can be administered without the need for a.. | Administration of Discretionary Medicines | • Pharmacy Policies | ||
| Mental Capacity Act and Deprivation of Liberty Safeguards Policy | Policy | PD0169 | 1.1 | Guidance on adhering to the Mental Capacity Act and Deprivation of Liberty Safeguards and treating people in best interests | Mental Capacity Act and Deprivation of Liberty Safeguards,MCA,DOLS | • Safeguarding Policies Group | ||
| Incident Command Centre Standard Operating Procedure | Procedure | PD1976 | 2 | Incident Command Centre | • Emergency Planning Policies Group | |||
| Major Incident Plan Trust Communications | Policy | PD1977 | Major Incident Plan,Communications | • Emergency Planning Policies Group | ||||
| Emergency Preparedness, Response and Resilience Policy | Policy | PD1866 | Emergency Preparedness, Response and Resilience,EPRR | • Emergency Planning Policies Group | ||||
| Non-Medical Prescribing Policy | Policy | PD2623 | 1 | This policy provides clear and concise guidance on the governance framework for the Non-Medical Prescribing (NMP) within the Trust and.. | Non- Medical Prescribing,NMP | • Clinical - Nursing, Midwifery & Medical Policies Group | ||
| Breaking Bad News in Cancer Care | Procedure | PD26802 | 1 | Document Summary: Communicating bad news effectively is crucial in the management of cancer patients and is often the foundation of.. | Breaking bad news,Cancer Care | • Cancer Services | ||
| SOP 01 Standard Operating Procedure (SOP:01) for the discharge of infants requiring Home Oxygen Therapy (HOT) | Procedure | SOP 01 | 5.2 | This SOP should be utilised when an Infant has been identified as requiring HOT. To ensure HOT is successful; planning,.. | DocumentControl@merseywestlancs.nhs.uk,Haley.Harrison@MerseyWestLancs.nhs.uk,Holly.Evans@MerseyWestLancs.nhs.uk |
• MWL Policies Group
• Paediatrics Policies Group • MWL Maternity, Gynaecology and Obstetrics |
||
| Policy for the Transport of Pathology Samples | Policy | Corp 109 | 2.1 | This policy has been developed to provide robust guidance to support development of local procedures to manage the risks associated.. | Transport of Pathology Samples,Pathological | • MWL Policies Group | ||
| Infection Prevention Policy | Policy | PD0287 | 1 | The aim of the policy is to highlight the key objectives that must be met by the Trust to prevent.. | Infection,Prevention,IPC,Consultation | • Infection Control Policies Group | ||
| PD0269 (Maternity Code P001GYN) Guideline for the Management of Pelvic Inflammatory Disease | Guideline | PD0269 (Maternity Code P001GYN) | 1 | This guideline describes the condition of PID and the importance of diagnosing the condition early with consideration for any differential.. | Guideline for the Management of Pelvic Inflammatory Disease | • MWL Maternity, Gynaecology and Obstetrics | ||
| H008b North West Maternal Medicine Network Cardiac Disease in Pregnancy Pathway | Guideline | H008b | This pathway is an adaption of V2 April 2022 Greater Manchester and Eastern Cheshire Strategic Clinical Network Cardiac Disease in Pregnancy.. | North West Maternal Medicine Network Cardiac Disease in Pregnancy Pathway,Regional,NW |
• MWL Policies Group
• MWL Maternity, Gynaecology and Obstetrics |
|||
| PD0496 (maternity C015) Guideline for the Management of Chickenpox (Varicella) in Pregnancy | Guideline | PD0496 | 1 | Chickenpox (or primary VZV infection) is a common childhood disease that usually causes a mild infection, such that over 90% of.. | the Management of Chickenpox (Varicella) in Pregnancy |
• MWL Policies Group
• MWL Maternity, Gynaecology and Obstetrics |
||
| STHK0071 Attendance Management Policy & Procedure | Policy | STHK0071 | The purpose of this document is to provide guidance to employees and managers on Attendance management regarding and to give.. | Attendance Management Policy & Procedure,Attendance management | • HR Policies Group | |||
| STHK 0178 Disciplinary Policy and Procedure | Policy | STHK 0178 | 7 | The policy incorporates both informal and formal processes to resolve concerns about colleagues’ behaviours at work. It aims to secure.. | STHK 0178 Disciplinary Policy and Procedure,disciplinary,behaviours,behaviour,behavioural standards | • HR Policies Group | ||
| Clin Corp 35 North West Maternity Escalation Policy and Operational Pressures Escalation Levels Framework | Policy | Clin Corp 35 | 1 | The North West Maternity Escalation Policy & Operational Pressures Escalation Levels Maternity Framework (OPELMF) sets out the procedures for the North.. | • MWL Maternity, Gynaecology and Obstetrics | |||
| Personalised Care for Patients with Cancer Standard Operating Procedure | Procedure | PD2564 | 1 | The purpose of this SOP is to provide guidance regarding the undertaking and recording of personalised care interventions. It also.. | Personalised Care for Patients with Cancer,How to Guide | • Cancer Services | ||
| Supporting an inpatient request to attend a funeral | Procedure | PD2517 | 1 | Patients should have the choice to attend/be part of a funeral. However, to maintain patient safety this request must.. | Supporting an inpatient request to attend a funeral | • MWL Policies Group | ||
| Procedure for making, amending and cancelling any referrals for an exposure | Procedure | PD2522 | 1 | This procedure details how referrals are made into the Radiology department, how they can be amended and how referrals are.. | PD2522C Procedure for making,Procedure for making, amending and cancelling any referrals for an exposure | • MWL Policies Group | ||
| Procedure for Radiology Audit | Procedure | PD2521 | 1 | This document details the procedure for all audits performed in Radiology | PD2521C Procedure for Radiology Audit - CONSULTATION,Radiology,Audit,Procedure | • MWL Policies Group | ||
| Radiology Medical Exposures and Radiation Safety Policy | Policy | PD0120 | 1 | • All medical exposures to ionising radiation will be carried out in accordance with the Ionising Radiation (Medical Exposure) Regulations 2017 (IR(.. | Radiology Medical Exposures and Radiation Safety Policy-CONSULTATION,Radiology,Radiation Safety,Medical Exposures,Radioactive materials,Radioative waste | • MWL Policies Group | ||
| Vancomycin Resistant Enterococci (VRE) Policy | Policy | PD0289 | 1 | This policy provides guidance for the appropriate actions and responsibilities for the management of patients with vancomycin-resistant enterococci (VRE) to.. | Vancomycin Resistant Enterococci,VRE | • MWL Policies Group | ||
| STHK0093 Annual Leave Policy (Non-Medical Staff) | Policy | STHK0093 | 8.1 | Policy to define annual leave and bank holiday entitlement and the process to request and approve annual leave. | Policy to define annual leave and bank holiday entitlement and the process to request and approve annual leave. |
• MWL Policies Group
• HR Policies Group |
||
| CLIN CORP 90 Trauma Team Policy | Policy | CLIN CORP 90 | ||||||
| Delirium Guideline | Guideline | PD2471 | 1 | The Purpose of this guideline is to help all clinical staff to identify and treat delirium amongst the hospital inpatient.. | Delirium,Guideline | • MWL Policies Group | ||
| Media and Social Media Policy | Policy | PD1765 | 2 | The purpose of this document is to provide guidance to all Trust employees on media/social media/networking on the.. | Media,Social Media | • MWL Policies Group | ||
| Policy for the Management of NICE Guidance | Policy | PD0017 | 1 | This policy applies to all staff involved with the implementation of NICE guidance | NICE Guidance | • MWL Policies Group | ||
| Procedure for Quality Assurance of Radiology Documents | Procedure | PD2490 | 1 | This procedure aims to ensure that all Radiology documents are included in a quality assurance programme to ensure creation, approval,.. | Procedure for Quality Assurance of Radiology Documents,Consultation,(IR(ME)R 2017 Schedule 2 (1)d) 1 | • MWL Policies Group | ||
| Domestic Abuse Policy | Policy | PD0100 | 2 | The purpose of this policy is to inform all staff of their duties, accountabilities and responsibilities in respect of domestic.. | Domestic Abuse | • MWL Policies Group | ||
| Procedure to Correctly Identify an Individual for Imaging | Procedure | PD2487 | 1 | This procedure aims to ensure that the correct individual receives the correct diagnostic examination or interventional procedure. It will act.. | Procedure to Correctly Identify an Individual for Imaging,IRMER 2017 Schedule 2 1(a) (1) | • MWL Policies Group | ||
| Guideline for Treating Tobacco Dependency in Pregnancy | Guideline | PD2153 | 1 | Reducing smoking rates in pregnancy impacts positively on long term outcomes for families and society. Whether or not a woman.. | Tobacco Dependency in Pregnancy,Nicotine Replacement Therapy | • MWL Policies Group | ||
| PD0115 Policy to meet the Communication Needs of Patients (incl interpretation, translation and Accessible Information Standard) | Policy | PD0115 | 1 | This policy is designed to support staff working for Mersey and West Lancashire Teaching Hospitals NHS Trust (the Trust) by.. | • MWL Policies Group | |||
| Safeguarding Children and Young Adults | Policy | PD0268 | 1.1 | To provide a framework to ensure all Trust staff members are provided with the relevant guidance to carry out their.. | Safeguarding,Children,Young Adults,Identifiction and Notification of Private Fostering,Child Exploitation,Children attending with Adult Attenders or Patients,Safeguarding Children Concerns,Current Social Care Involvement,Suspecting Perplexing Presentations,Problematic or Harmful Sexual Behaviour,Discharge Process for Vulnerable infants,Abuse of Neglect,Outpatient appointments,Dog bites,3 months | • MWL Policies Group | ||
| Transitioning in the Workplace Standard Operating Procedure | Procedure | PD2480 | 1 | The purpose of this document is to provide advice and support employees who are considering undergoing, currently undergoing or have.. | Transitioning in the Workplace Standard Operating Procedure,SOP | • MWL Policies Group | ||
| PD2357 Pregnancy Loss Policy | Policy | PD2357 | 1 | The aim of this policy is to provide the support people need during this difficult time in their life, and.. | PD2357 Pregnancy Loss Policy |
• MWL Policies Group
• HR Policies Group |
||
| PD0338 Employment Break Policy and Procedure | Policy | PD0338 | 1 | The purpose of this document is to provide guidance to employees regarding Employment Breaks and to give direction to staff.. | Employment Break Policy and Procedure | • MWL Policies Group | ||
| Pers 03 Partnership Working Policy (Working with Trade Unions) | Policy | Pers 03 | Partnership Working,Working with Trade Unions | • HR Policies Group | ||||
| PD0273 Personal Protective Equipment | Policy | PD0273 | 1 | This policy provides guidance for the appropriate actions and responsibilities for the safe and appropriate use of personal protective equipment. | Personal Protective Equipment,safe and appropriate use of personal protective equipment.,PPE |
• MWL Policies Group
• Clinical Policies Group • Infection Control Policies Group |
||
| STHK0893 Fit and Proper Persons Requirement Policy | Policy | STHK0393 | 2 | The purpose of this policy is to provide the Trust with guidance on the application and management of the FPPR.. | STHK0893 Fit and Proper Persons Requirement Policy |
• MWL Policies Group
• HR Policies Group |
||
| STHK0393 Personal Relationships at Work Policy | Policy | STHK0393 | 3 | To provide employees, casual workers, volunteers and managers with guidelines on the recruitment and management of/or provision of any.. | DocumentControl@sthk.nhs.uk,STHK0393 Personal Relationships at Work Policy |
• MWL Policies Group
• HR Policies Group |
||
| PD0242 Managing Organisational Change | Policy | PD0242 | 1 | To set out the measures the Trust has put in place to ensure that organisational change is handled in a.. |
• MWL Policies Group
• HR Policies Group |
|||
| Out of Hours Emergency Surgery | Policy | Clin Corp 29 | 4 | To ensure emergency surgery theatre is available 24 hours a day, 7 days a week on both Southport District General Hospital (SDGH).. | Out of Hours Emergency Surgery | • Clinical Policies Group | ||
| Policy for the Self Administration of Medication (Inpatient) | Policy | Clin Corp 65 | 3 | Self-administration is a multi-disciplinary process designed to give patients the opportunity to continue to take their own medication whilst in.. | Policy for the Self Administration of Medication (Inpatient) | • Clinical Policies Group | ||
| PD0360 Display Screen Equipment Policy | Policy | PD0360 | 2 | This policy sets out the responsibilities and arrangements to ensure (so far as reasonably practicable) for all Trust users of.. | Display Screen Equipment,DSE | • MWL Policies Group | ||
| PD2406 Electrical Safety Policy | Policy | PD2406 | 1 | This Policy provides guidance the staff of Mersey and West Lancashire Teaching Hospitals NHS Trust (Including occupants, bank, agency, volunteers,.. | Electrical Safety | • MWL Policies Group | ||
| Health Surveillance Policy (ARCHIVED) | Policy | Corp 11 | ARCHIVED | • Corporate Policies Group | ||||
| Covert Administration of Medications (Adult Policy) (ARCHIVED) | Policy | Clin Corp 28 | Archived | • Clinical Policies Group | ||||
| Radiology Reporting Policy (IRMER 2017 schedule 2 1(j)1) | Policy | PD0451 | 1 | All image reporting professionals in radiology have a duty to report and verify reports following the departmental standards for • Reporting.. | radiology reporting,(IRMER 2017 schedule 2 1(j)1) | • MWL Policies Group | ||
| PD0031 Policy for the Production of Written Patient Information | Policy | PD0031 | 1 | leaflet,leaflets,patient leaflets,patient | • MWL Policies Group | |||
| Policy on Advance Care Planning (including Advance Decisions to Refuse Treatment) | Policy | Clin Corp 05 | Policy on Advance Care Planning (including Advance Decisions to Refuse Treatment) | • Clinical Policies Group | ||||
| MED STAFF 04 Policy for Private Practice | Policy | MED Staff 04 | Private Practice | • Medical Staffing Policies Group | ||||
| Policy for Consent to Examination or Treatment | Policy | CLIN CORP 04 | Consent to Examination,treatment | • Clinical Policies Group | ||||
| Health and Safety Risk Assessment Policy and Guidance Procedure | Policy | RM 03 | Health and Safety Risk Assesment Policy and Guidance Procedure | • Risk Policies Group | ||||
| Treatment Decisions at the End of Life | Policy | CLIN CORP 02 | Treatment Decisions at the End of Life | • Clinical Policies Group | ||||
| Procedure for Maintaining High Professional Standards in the Modern NHS | Policy | MED STAFF 1 | Procedure for Maintaining High Professional Standards in the Modern NHS | |||||
| Paediatric Procedural Sedation with Ketamine (CONSULTATION) | Policy | PD2466C | 1 | This policy outlines the safe process of procedural sedation with ketamine in children in the Emergency Department | Paediatric procedural sedation with ketamine | • MWL Policy Updates Group | ||
| PD1047 - Ketamine - Low Dose for Inpatient Adults in Acute/Complex Pain Situations | Procedure | PD1047 | 1 | Sets out the policy for the administration of Ketamine both as a standalone drug and as an adjuvant to other.. | Ketamine - Low Dose for Inpatient Adults in Acute/Complex Pain Situations | • MWL Policies Group | ||
| Central Alert System (CAS) Management Policy | Policy | PD0345 | 1 | To provide Trust staff with direction and guidance with the procedure to follow on receipt of all Safety Alerts issued.. | Central Alert System,CAS | • MWL Policies Group | ||
| Major Outbreak Policy | Policy | PD0288 | 1 | This policy provides guidance for the appropriate actions and responsibilities for outbreak management and control | Major Outbreak |
• MWL Policies Group
• Infection Control Policies Group |
||
| Management of Infestations with Lice (Pubic/ Body/ Head) | Policy | PD0274 | 1 | This policy provides guidance for the appropriate actions and responsibilities when a patient with pubic or crab lice, body lice,.. | Infestations with Lice,Pubic,Body,Head,crab | • MWL Policies Group | ||
| MRSA Policy | Policy | PD0143 | 1 | This policy provides guidance for the appropriate actions and responsibilities for the safe management of patients and staff who have.. | MRSA | • MWL Policies Group | ||
| PD0132 Policy for Care after Death | Policy | PD0132 | 1 | To provide direction for all staff of the standards the Trust expects when delivering care to deceased patients and the.. | Care after Death |
• MWL Policies Group
• Clinical Policies Group |
||
| Medical Workforce Job Planning Policy | Policy | STHK0181 | 3 | This policy describes the job planning process for Consultants and SAS doctors and gives guidance on different aspects of job.. | Medical Workforce Job Planning Policy | • HR Policies Group | ||
| Policy for Transfusion Specifications for Neonates and Children (ARCHIVED) | Policy | Clin Corp 42 | Archived | Transfusion Specifications for Neonates & Children | ||||
| Medicines Policy | Policy | PD0086 | 1 | Define the key aspects of safe & effective use of medicines including prescribing, supply and administration. Define the Trust-approved practices relating.. | Medicines,Management of Medicines,Prescribing,Dispensing,Safe and Secure Handling of Medicines,Procurement,Waste,Returns to Pharmacy | • Pharmacy Policies | ||
| Security Management Policy (ARCHIVED) | Policy | RM 05 | ARCHIVED | Security Management Policy | ||||
| Standard Operating Procedure (SOP) for Marriage in Hospital of Dying Patient | Procedure | PD2372 | 1 | To provide staff with the information needed to support End of Life Patients who ask to be married within the.. | Standard Operating Procedure (SOP) for Marriage in Hospital of Dying Patient,Marriage in Hospital,Marriage in Hospital for Dying Patients,Dying Patients,Marriage,End of Life | • MWL Policies Group | ||
| Trust Standards of Business Conduct Policy (Incorporating Managing Conflicts of Interest in the NHS) | Policy | PD0621 | 1 | To assist all staff within the Trust in maintaining strict ethical standards in the conduct of Trust business | Trust Standards of Business Conduct Policy,Conflict of Interest,Declaration of Interest | |||
| Emergency Department / AMU pathway for the management of patients with Suspected Primary Brain Malignancy / Suspected Brain Metastases | Policy | PD1734 | 1 | This policy describes the Trust Optimised Pathway for adult patients with a suspected new brain tumour and suspected new brain.. | Emergency Department / AMU pathway for the management of patients with Suspected Primary Brain Malignancy / Suspected Brain Metastases,Emergency Department,AMU Pathway for Management of Patients with Suspected Primary Brain Malignancy,Suspected Brian Metastases,Brain Cancer,Pathway,Suspected | • MWL Policies Group | ||
| Incident Management Framework (was Reporting and Management of Incidents Policy) | Policy | RM 06 | 4.2 | Incident Management Framework | • Risk Policies Group | |||
| Policy for the Safe Prescribing Handling and Administration of Cytotoxic Drugs (Chemotherapy) (ARCHIVED) | Policy | Clin Corp 97 | Archived | Safe Prescribing Handling and Administration of Cytotoxic Drugs (Chemotherapy | ||||
| PD1979 Adverse Weather & Health Plan | Policy | PD1979 | V2 | |||||
| STHK1829 Reasonable Adjustments Policy | Policy | STHK1829 | 1.1 | This policy applies to all Mersey and West Lancashire Hospitals Trust staff members/bank and agency staff as well as.. | • MWL Policies Group | |||
| PD0029 Stress & Wellbeing Policy | Policy | PD0029 | 10 | To highlight individual and work related stress | stress,stress policy,wellbeing,wellbeing policy | • MWL Policies Group | ||
| PD1490 Procurement Strategy 2024- 2027 | Guideline | PD1490 | 1 | Procurement strategy document for goods, services and works purchased by Mersey and West Lancashire Teaching Hospitals NHS Trust (excluding pharmaceuticals.. | Procurement strategy document for goods, services and works purchased by Mersey and West Lancashire Teaching Hospitals NHS Trust (excluding pharmaceuticals and purchases under the remit of PFI Estates & Facilities) | • MWL Policies Group | ||
| Clin Corp 87 Patient Respect and Dignity Policy | Policy | Clin Corp 87 | • Clinical Policies Group | |||||
| PD1281 Patient Advice and Liaison Service (PALS) Standard Operating Procedure | Procedure | PD1281 | ||||||
| Learning And Development Support Policy | Policy | PD1880 | 2 | Policy and process for application and approval of financial support/ leave for participation in / attendance at external study or development.. | • MWL Policies Group | |||
| PD0589 SOP for Carrying out Equality Impact Assessment | Procedure | |||||||
| STHK0010 Resolution and Grievance Policy | Policy | STHK0010 | ||||||
| PD2118 Freedom to Speak Up Policy | Policy | PD2118 | ||||||
| RM 09 Policy for the Risk Assessment of New and Expectant Mothers | Policy | |||||||
| RM 11 Control of Exposure to Mercury | Policy | |||||||
| RM 14 Control of Substances Hazardous to Health (COSHH) | Policy | |||||||
| RM 16 Improvised Explosive Device (IEDS) Policy | Policy | |||||||
| RM 24 Being Open and Duty of Candour Policy | Policy | |||||||
| RM 29 Management of Ligatures | Policy | |||||||
| RM19 SOP 1 Member of Parliament (MP) Enquiries | Policy | |||||||
| CORP 75 Decontamination of Medical Devices/Equipment and Reusable Surgical Instruments | Policy | |||||||
| CORP 84 Service Level Agreement (SLA) Policy | Policy | |||||||
| Corp 87 Tendable Policy | Policy | |||||||
| CORP 94 Registration Authority Policy | Policy | |||||||
| Corp 95 Policy for Work Experience Placement Organised through the Nursing Division | Policy | |||||||
| CORP 96 ID Badge Policy | Policy | |||||||
| PERS 30 - Recruitment & Retention Premia under Agenda for Change upload 05.09.14. | Policy | |||||||
| PERS 37 Dignity at Work - Prevention of Bullying & Harassment Policy | Policy | |||||||
| PERS 40 European Working Time Directive and Compensatory Rest Policy | Policy | |||||||
| PERS 43 INDUCTION, STATUTORY AND CORE MANDATORY TRAINING POLICY | Policy | |||||||
| PERS 54 Apprenticeship Policy | Policy | |||||||
| PERS 55 Personal relationships at work policy | Policy | |||||||
| IC 04 Infection Prevention & Control of Viral Gastroenteritis | Policy | |||||||
| IC01 Hand Hygiene Practice Policy | Policy | |||||||
| Infection Prevention and Operational Control Manual | Policy | |||||||
| Isolation Policy | Policy | |||||||
| MED STAFF 08 Policy for Study and Professional Leave and CPD for Non Training Grade Medical Staff | Policy | |||||||
| MED STAFF 12 Policy for all Medical Staff Applying for Annual Leave and Professional Leave | Policy | |||||||
| Med Staff 19 Development and Approval of Autonomous practice for SAS Doctors and Dentists | Policy | |||||||
| PD0008 Falls Policy | Policy | |||||||
| PD0025 Cardiopulmonary Resuscitation Policy and Procedures | Policy | |||||||
| PD0058 Clinical Consent Policy | Policy | |||||||
| PD0067 Managing Complaints, Concerns and Compliments Policy | Policy | |||||||
| PD0088 Infection Prevention Manual Chapter 24 Clostridioides (Clostridium) Difficile Policy | Policy | |||||||
| PD0106 Procedure for Requesting a Hospital Post Mortem Examination | Policy | |||||||
| PD0117 Code of Confidentiality | Policy | |||||||
| PD0131 Head Injury Policy | Policy | |||||||
| PD0182 Uniform & Dress Code Policy | Policy | |||||||
| PD0240 Policy for the Care of Adult Tracheostomy and Laryngectomy Patients | Policy | |||||||
| PD0253 Management of Intellectual Property | Policy | |||||||
| PD0267 Records Management Policy and Procedure | Policy | |||||||
| PD0326 Official Visitors Policy | Policy | |||||||
| PD0327 Procedure for the cremation of Stillborn infants | Policy | |||||||
| PD0335 Policy for the Disposal of Assets | Policy | |||||||
| PD0341 Smokefree Policy | Policy | |||||||
| PD0352 PREVENT Policy | Policy | |||||||
| PD0353 Safeguarding Supervision Policy | Policy | |||||||
| PD0356 Policy on the Conduct of Surveys | Policy | |||||||
| PD0405 Policy for the Care of People with a Learning Disability and/or Autism | Policy | |||||||
| PD0534 Policy for Trust Wide Management of Female Genital Mutilation | Policy | |||||||
| PD0535 Occupational Immunisation and Vaccination Policy | Policy | |||||||
| PD0569 Corporate Governance Manual | Policy | |||||||
| PD0596 Equality and Human Rights Policy | Policy | |||||||
| PD1340 The Transfusion Management of Major Haemorrhage | Policy | |||||||
| PD1588 Blood Transfusion Policy | Policy | |||||||
| PD1756 Menopause Policy | Policy | |||||||
| PD1764 Data Security & Protection Breaches / Incident Reporting Policy and Procedure | Policy | |||||||
| PD1807 Trust Standard Operating Procedure (SOP) for the Management of Patient Groups | Policy | |||||||
| PD1815 Data Protection Impact Assessment Procedure | Policy | |||||||
| PD1867 Business Continuity Policy | Policy | |||||||
| PD1907 Macmillan Information and Support Service Referral and Triage Process | Policy | |||||||
| PD1964 Malnutrition in Adult In-Patients Policy | Policy | |||||||
| PD2052 Patient Safety Incident Response Policy | Policy | |||||||
| PD2059 Trust Operational Escalation Policy | Policy | |||||||
| PD2061 Policy for Orthoptist Exemptions | Policy | |||||||
| PD2133 Cancer Patient Experience Policy | Policy | |||||||
| PD2169 Standard Operating Procedure for the Administration of a Morphine PCA Pump at Southport Hospital | Policy | |||||||
| PD2185 Adult Acute Pain Management Policy (Southport and Ormskirk Hospital) | Policy | |||||||
| PD2186 SOP for the Administration of Local Anaesthetic Continuous Infusion via Rectus Sheath Catheters for Post-Operative Pain Relief at Southport Hospital | Policy | |||||||
| STHK 0002 Alcohol & Drug Misuse Policy | Policy | |||||||
| STHK 0021 Verification & On-Going Monitoring Professional Registration of Clinical Staff | Policy | |||||||
| STHK0177 Respect and Dignity at Work Policy | Policy | |||||||
| STHK 1426 Pay Progression Policy | Policy | |||||||
| STHK0009 Flexible Working Policy | Policy | |||||||
| STHK0015 Medical Appraisal and Revalidation Policy | Policy | |||||||
| STHK0027 Secondment Policy | Policy | |||||||
| STHK0062 Capability Policy & Procedure (Non-Medical Staff) | Policy | |||||||
| STHK0072 DBS Policy | Policy | |||||||
| STHK0091 Missing Patient SOP | Policy | |||||||
| STHK0175 Reference Policy | Policy | |||||||
| STHK0179 Special Leave Policy | Policy | |||||||
| STHK0243 Pay Protection Policy | Policy | |||||||
| STHK0497 Travel Expense Policy | Policy | |||||||
| STHK0622 Retire and Return Policy | Policy | |||||||
| STHK1880 Learning and Development Support Policy | Policy | |||||||
| STHK2024 Safeguarding Strategy | Policy | |||||||
| PD2240C Standard Operating Procedure for Resuscitation of Adults in Additional Bed Spaces and Re-Purposed rooms at SDGH - CONSULTATION | Policy | |||||||
| STHK0079C Hand Hygiene Policy (Consultation) | Policy | |||||||
| STHK0113C Pest Prevention & Control Policy CONSULTATION | Policy | |||||||
| RM 07 First Aid Polic | Policy | |||||||
| RM 08 Moving & Handling Policy | Policy | |||||||
| CLIN CORP 10 Admission Policy | Policy | |||||||
| CLIN CORP 100 Policy for the Application of the WHO Surgical Safety Checklist | Policy | |||||||
| CLIN CORP 103 Learning from Deaths Policy | Policy | |||||||
| Clin Corp 105 Quality Impact Assessment (QIA) Policy | Policy | |||||||
| CLIN CORP 109 Urethral and Suprapubic Catheterisation and Management Policy | Policy | |||||||
| CLIN CORP 11 Transition of Young People (12-19 years) from Child Centred Care to Adult Orientated Services | Policy | |||||||
| CLIN CORP 110 Intentional Rounding Policy | Policy | |||||||
| CLIN CORP 115 Safety Standards for Invasive Procedures (LocSSIPs) | Policy | |||||||
| CLIN CORP 12 Policy for the Management of Clinical Diagnostic and Screening Procedures | Policy | |||||||
| CLIN CORP 14 New Interventional Procedures, Techniques and Advancing Practice Policy (NIP & TAP) | Policy | |||||||
| CLIN CORP 19 Point of Care Policy | Policy | |||||||
| CLIN CORP 21 Disposal of Products of Conception and Fetal Remains Policy | Policy | |||||||
| CLIN CORP 24 Policy and Procedure for the Early Release of the Deceased Patient | Policy | |||||||
| Clin Corp 32 Medical Gases Policy | Policy | |||||||
| CLIN CORP 40 Policy for the use of lasers | Policy | |||||||
| Clin Corp 45 Illicit Substances Policy | Policy | |||||||
| CLIN CORP 52 Policy for Establishing Intravenous Access | Policy | |||||||
| CLIN CORP 57 Policy for the Management of Patients Wishing to Leave Hospital Premises Against Medical Advice | Policy | |||||||
| CLIN CORP 59 Identification and Management of Malnutrition in Adults | Policy | |||||||
| CLIN CORP 64 Handover of Care Policy | Policy | |||||||
| CLIN CORP 67 Supporting Non-Medical Learners in Practice Policy | Policy | |||||||
| CLIN CORP 72 Care of Patients Property Policy | Policy | |||||||
| CLIN CORP 77A Policy for the Care of the Dying and Deceased Patient | Policy | |||||||
| CLIN CORP 81 Early Warning Track & Trigger System Operational Policy | Policy | |||||||
| CLIN CORP 85 Policy for Potential Organ Donation | Policy | |||||||
| CLIN CORP 88 Policy for Prescription and Adminstration of Emergency Oxygen in Adults and for Patients who Need Oxygen on Discharge | Policy | |||||||
| CLIN CORP 91 Policy for Non Invasive Ventilation Delivered on Specialist Respiratory Ward and Emergency Department | Policy | |||||||
| CLIN CORP 92 Pre Operative Fasting | Policy | |||||||
| CLIN CORP 93 Outpatient Parenteral Antibiotic Therapy (OPAT) Policy | Policy | |||||||
| CLIN CORP 94 Venous Thromboembolism (VTE) Prevention Policy | Policy | |||||||
| CLIN CORP 99 Policy for Swab, Instrument, Needle, Blade, Sharp Count & Traceability of Medical Devices | Policy | |||||||
| CORP 34 Medical Device SOP 1 Use of the RAM asset managament system | Policy | |||||||
| Corp 02 Password Policy | Policy | |||||||
| Corp 08 Pressure System Management Policy | Policy | |||||||
| CORP 105 DNA Policy (Did Not Attend) for Children and Young People failing to attend Health appointments | Policy | |||||||
| CORP 113 Policy for the Management of Visits to the Trust by External Regulatory Agencies | Policy | |||||||
| CORP 123 Allegations against People in a Position of Trust Policy | Policy | |||||||
| CORP 127 Petty Cash Policy | Policy | |||||||
| CORP 129 Trust Corporate Credit card useage policy | Policy | |||||||
| CORP 130 Debt Write Off Policy | Policy | |||||||
| CORP 18 - Health Records Policy | Policy | |||||||
| CORP 20 Car Parking Policy | Policy | |||||||
| CORP 21 Waste Disposal Policy | Policy | |||||||
| CORP 22 Sustainability Policy (Good Corporate Citizenship) | Policy | |||||||
| Corp 23 Staff Accommodation policy | Policy | |||||||
| CORP 25 Closed Circuit Television (CCTV) Policy | Policy | |||||||
| Corp 27 Ventilation Systems Management Policy | Policy | |||||||
| CORP 29 Diarrhoea and Vomiting Policy for Staff | Policy | |||||||
| CORP 50 Water Safety Management Policy | Policy | |||||||
| CORP 55 Administration of Private Patients Policy | Policy | |||||||
| CORP 57 Overseas Visitors Cost recovery policy | Policy | |||||||
| Corp 63 Information Security Policy | Policy | |||||||
| CORP 65 Energy/Carbon Efficiency Policy | Policy | |||||||
| CLIN CORP 109 Urethral and Suprapubic Catheterisation and Management Policy | Policy | |||||||
| Standard Operating procedure word template | Policy |