East Cheshire NHS Trust - Policy & Regulation

Transcription

1 st ASBESTOS RISK MANAGEMENT POLICY

2 Policy Title: Executive Summary: Asbestos Risk Management Policy. It is the Policy of East Cheshire NHS Trust (the Trust) to provide and maintain a safe and healthy environment for all staff, patients and visitors, and to provide such resources, information, training and supervision as is necessary to achieve this purpose. The Trust will do all that is reasonably practicable to manage the risk from Asbestos to it s employees and others and to follow the steps laid out in the following Policy. Supersedes: Asbestos Risk Management Policy Description of Updated reference to legislation documents. Amendment(s): Minor amendments to some job / committee titles. Re-wording of some text. Addition of sections 4, 5 & 6. This policy will impact on: The policy will be applicable to all departments within the Trust. Financial Implications: No additional financial implications Policy Area: All areas within the Document Health & Safety Trust. Reference: Version Number: Version 4.0 Effective Date: September 2012 Issued By: Neil Cook Director of Finance Review Date: September 2015 Author: Estates Officer - Statutory Compliance Impact Assessment Date: August 2012 APPROVAL RECORD Committees / Group Date Consultation: Asbestos Steering Group Approved by Associate Directors Received for information: Risk Management Sub Committee Associate Directors September

3 CONTENTS 1 ASBESTOS MANAGEMENT POLICY 1.1 Scope of the Policy Policy Statement 4 2 ROLES AND RESPONSIBILITIES 2.1 Duty Holder Responsible Person Deputy Director of Governance Deputy Responsible Person Asbestos Co-ordinator 5 3 ASBESTOS STEERING GROUP 3.1 Group Structure Meeting Frequency Group Responsibility Group Meeting Agenda Reporting Routes Schematic of Trust s Management Team Management arrangements as defined by the Responsible Person (Asbestos) 8 4 THE REGULATIONS AND DUTIES 4.1 The Management of Asbestos materials in buildings Information Summary Legislation Documents 12 5 AUDIT 12 6 POLICY REVIEW 12 7 Appendix 1: Equality Analysis (Impact assessment) 13 3

4 1 ASBESTOS MANAGEMENT POLICY 1.1 Scope of the policy This policy covers the management of asbestos, and applies to all buildings owned, occupied or maintained by East Cheshire NHS Trust. It covers activities where inadvertent exposure to asbestos may occur (e.g. maintenance work). 1.2 Policy Statement East Cheshire NHS Trust recognise their duties under the Health and Safety at Work Act 1974, the Control of Asbestos Regulations 2012 and all associated Approved Codes of Practices and is committed to the effective management of asbestos. East Cheshire NHS Trust recognise their responsibilities to contractors and others involved in building and maintenance projects established through the Construction (Design and Management) Regulations 2007 and its duties as the Duty Holder of East Cheshire NHS Trust managed buildings as defined by Regulation 4 of the Control of Asbestos Regulations This policy enables East Cheshire NHS Trust to manage the risk from asbestos to its employees (& others) in all of their workplaces. It is the policy of East Cheshire NHS Trust that a documented risk assessment is made of all known and presumed asbestos materials that exist in all workplaces that are occupied by our employees. These risk assessments will meet the requirements of the Control of Asbestos Regulations 2012, and any other relevant legislation. The organisation will ensure that all assessments are performed in accordance with HSG 264 and that all assessments performed by external consultants are conducted to a similar standard. All external consultants shall be ISO 9001 accredited and either have, or be working towards UKAS accreditation for asbestos surveying with ISO Testing and calibration laboratories and ISO competence to carry out tests and/or calibrations, including sampling. All assessments will be completed as soon as possible, in accordance with the Regulations, and shall be subject to regular review and audit. It shall be the responsibility of the Associate Director for Estates & Facilities with the assistance of the members of the Asbestos Steering Group and Asbestos Management Team to ensure that the assessments are performed and documented for each workplace, and that they are reviewed on a proscribed basis. In addition the Responsible Person is to ensure that the information contained in these assessments is made available to all relevant personnel, including non-staff working on site, e.g. building contractors. This document and the procedures outlined, require the cooperation of all employees, all staff, building users and contractors who also have responsibilities to ensure a safe and healthy working environment is maintained at all times. This policy shall be subject to formal audit, and reviewed every 6 to 12 months, or upon the issue of new or amended Regulations. Further review requirements are laid out in the separate Procedures document. 4

5 2.0 ROLES AND RESPONSIBILITIES: Management Responsibilities 2.1 Duty Holder The Chief Executive is the statutory duty holder for the control of Asbestos The Chief Executive has appointed a Asbestos Steering Group, a Asbestos Operational Group, a Responsible Person (Asbestos) and a Health & Safety Risk Manager. These Groups / Persons are charged with the responsibility of ensuring a satisfactory policy and procedure is established for the control of Asbestos throughout all the Trust s properties. 2.2 Responsible Person (Asbestos) Director of Finance Executive Responsible for Estates The Associate Director for Estates and Facilities has been confirmed by the Chief Executive as the Responsible Person (Asbestos). 2.3 Director of Corporate Affairs and Governance The Director of Corporate Affairs and Governance has executive responsibility for health and safety arrangements across the Trust. 2.4 Deputy Director of Corporate Affairs and Governance The function of the Deputy Director of Corporate Affairs and Governance is to ensure health and safety advice is provided by the competent person to Responsible person (Asbestos) and that assurance processes are in place. The Deputy Director Corporate Affairs and Governance is responsible for ensuring that systems and processes are in place to support effective health and safety arrangements and implemented across the Trust. 2.5 Deputy Responsible Person (Asbestos) The Head of Estates Operations has been confirmed by the Associate Director of Facilities to act as the Deputy Responsible Person (Asbestos) on all occasions when the Responsible Person is not available. 2.6 Asbestos Co-ordinator The Estate Officer for (Statutory & Mandatory Compliance) has been confirmed by the Associate Director of Facilities to act as the Asbestos co-ordinator, to undertake day to day management of asbestos surveys, management systems, advising on appropriate training and the implementation of asbestos awareness training. This includes providing assurance reports to the appropriate committees eg Health & Safety Committee, Risk Management Sub Committee. 2.7 Health Safety and Risk Manager Health Safety & Risk Manager works in collaboration with the Asbestos Co-Ordinator to ensure preventative and corrective actions are taken to reduce risk of asbestos exposure. 5

6 2.8 Associate Directors Responsible/accountable for operational implementing of this policy across their respective Business Group/Departmental area. 2.9 Line Managers Responsible for implementing policy with service areas 3. ASBESTOS STEERING GROUP 3.1 Group Structure East Cheshire NHS Trust acknowledges the need to draw upon the internal skills based in the organisation, and to develop a team willing and able to manage the asbestos risks and remedial activities. As a result, the following individuals have been identified as members of the asbestos management group for EAST CHESHIRE NHS TRUST: Responsible Person (Asbestos) Deputy Director of Governance Deputy Responsible Person (Asbestos) Co-ordinator (Asbestos) Health & Safety Manager Occupational Health Manager Cheshire ICT Representative East Cheshire NHS Trust may engage the services of an Asbestos Analysts to provide general support or assistance with any asbestos surveys. 3.2 Meeting Frequency Discussed as an agenda item at the two monthly, Estates & Facilities Statutory Compliance Meeting. 3.3 Group Responsibility East Cheshire NHS Trust Asbestos Team will ensure that the following actions are implemented. Refer to section 1.14 in the separate Procedures document for individual responsibilities: Take reasonable steps to determine the location and condition of materials likely to contain asbestos (ACM s); 6

7 Presume materials contain asbestos unless there is strong evidence that they do not; Make and keep an up-to-date record of the location and condition of ACM s or presumed ACM s; Assess risk of anyone being exposed to fibres from these materials; Prepare a plan setting out how risk from materials is to be managed; Take the necessary steps to put the plan into action; Review and monitor the plan periodically; Provide information on the location and condition of materials to anyone liable to work on or disturb them. Ultimate responsibility for the management of these issues lies with the Responsible Person (Asbestos). 3.4 Group Meeting Agenda The asbestos group meetings will be used as a formal vehicle for the audit of progress with regards to asbestos risk management. The meetings will be formally documented, and will form part of the asbestos risk management records. A typical agenda for the asbestos group meetings is: 1. Present / Apologies; 2. Notes of last Meeting; 3. Matters Arising; 4. Asbestos surveys a. Management Surveys b. Refurbishment & Demolition 5. Risk Register; 6. Management Plan; 7. Training; 8. Any Other Business; 9. Date of next Meeting; 7

8 3.5 Reporting Routes All asbestos related reports will be submitted to the Asbestos Co-ordinator, who will co-ordinate data entry to the Trust Asbestos Risk Management database. 3.6 Schematic of the Trust s Asbestos Management team Associate Director for Estates & Facilities Responsible Person(Asbestos) Head of Estates Operations Deputy Responsible Person (Asbestos) Deputy Cheshire ICT. Estates & Facilities (Hard FM) Designer / Statutory & Mandatory Co-ordinator (Asbestos) Heallth Safety & Risk Manager Occupational Health Manager Estates & Facilities (Hard FM) Design Manager Estates & Facilities (Hard FM) Operations Engineering Manager Estates & Facilities (Soft FM) 3.7 Management arrangements as defined by the Responsible Person (Asbestos) Arrangements for managing the risk from asbestos in Trust premises will be generally in accordance with a Policy that has been: Formulated to incorporate the requirements of current legislation and guidance; Ratified and accepted by the Trust s Risk Management Group sub committee (RMG); Adopted by the Trust Executive Board (TEB); and 8

9 Given wide circulation to ensure that all persons who need, or may need, information on the whereabouts of asbestos within Trust premises have access to the information. This Policy will be implemented and managed on behalf of the Trust by the Associate Director for Estates & Facilities, who is the appointed Responsible Person (Asbestos), herein after called the Responsible Person. In his absence this responsibility shall fall to the Deputy Responsible Person (Asbestos), herein after called the Deputy Responsible Person. The Responsible Person shall ensure that: Wherever appropriate, the Asbestos Management Group is consulted for advice, direction, or general comment on proposals. In any event, it will be kept up-to-date through regular meetings; Management arrangements are kept under review and revised as and when necessary. Any proposed revisions shall be submitted to the Trust Board for approval before being incorporated into the Policy; The Policy is reviewed biennial by the Asbestos Steering Group and any amendments considered necessary, approved by the Trust Board. The Appointment of the Deputy Responsible is made by the Responsible Person The names and contact telephone numbers of the Responsible Person and the Deputy Responsible Person are publicised and kept up-to-date and can be obtained by contacting extension 1616 during normal working hours, or the Duty Engineer via the Switchboard out of normal working hours: In conjunction with the Deputy Responsible Person, procedures are implemented on all capital works to incorporate fully both the requirements of the Policy and those laid out in current legislation and guidance. A fully documented survey is carried out as required, by competent persons in all Trust premises, to determine: o o o o The presence, or otherwise, of asbestos containing materials (ACM s) through sampling; If present, its specific location; The quantity of asbestos present; and The condition it is in. An up-to-date plan or drawing is kept for each of the Trust s premises; A fully documented Risk Assessment is prepared following the survey; The Trust Board is made aware of the financial implications of compliance; An Action Plan setting out in detail how the risk from any ACM s will be managed, is prepared; Steps are taken to put the plan into action; A fully documented regular reassessment is carried out by a competent person; 9

10 Based on the reassessment, both the Risk Assessment and Action Plan are revised if necessary; Information on the location and condition of the material is provided to anyone who is liable to work on it or disturb it. This will include contractors to the Trust and the Emergency Services; Any changes occurring between annual reassessments, are fully documented and existing records updated accordingly; Estates staff are given initial Asbestos Awareness Training to make them familiar with the content of the Policy, the newly introduced legal duty to manage the risk and the newly introduced legal duty to co-operate with whoever manages the risk. Twoyearly update training will be given thereafter; All staff through the Asbestos Steering Group are kept up-to-date on asbestos issues; All documentation is kept for a period of 40 years, or life of the building (which ever is longest). 4.0 THE REGULATIONS AND DUTIES 4.1 The Management of Asbestos materials in buildings - information Asbestos materials may be found virtually anywhere within a buildings fabric. For this reason, it is of vital importance that a register of asbestos materials is produced for every building, and it is even more important that this document is maintained and reviewed regularly. In general, the legal responsibility for the management of asbestos in a property lies with the employer. The Control of Asbestos Regulations 2012, states that non-domestic properties must have an asbestos risk assessment and formal register of an approved standard. The purpose of these risk assessments and registers is to inform any occupants working in the building, of the locations and condition of all suspect materials within the building, so that accidental damage may be avoided. The risk assessment / register should address the following points as a minimum: The location of all asbestos materials positively identified and analysed; their composition and the action required should they become damaged. The location of all suspect materials identified and the action required should they become damaged. A risk assessment of the hazards posed by the above materials. A management plan, which addresses the long-term maintenance of the materials. 10

11 An annotated plan of the property indicating the locations of all known and suspected asbestos materials. Wherever asbestos materials are identified in an asbestos register, the materials themselves are labelled as containing asbestos and that they are not to be disturbed. All rooms where asbestos is present, or thought to be present will have a 30mm diameter red sticker affixed to the main entry door, adjacent to the room number. Upon observing this sticker, anybody seeking to work on the fabric of this area should first consult the asbestos management team, unless information has already been provided. Asbestos materials in non-patient areas will usually be labelled with a standard asbestos warning sticker. It is not necessary under the current Regulations for every building to be comprehensively surveyed in order to compile an asbestos register, although this will usually produce the best results. However, all buildings must be assessed, prior to compiling the register. This can take the form of a walk over inspection, performed by someone such as the Lead Asbestos officer or a specialist consultant, who should compile a list of suspect materials. Materials should only be discounted as non-suspect with valid reason: e.g. brick, glass, presence of records that show that the material has been analysed, or recently installed. Where doubt exists, a material should be regarded as suspect, and treated accordingly. Use should also be made of any historical documentation, including plans, specifications, site diaries etc. Additionally, maintenance staff should be interviewed for their local knowledge. East Cheshire NHS Trust will arrange the conduct of Refurbishment and Demolition survey to form the basis of a suitable and sufficient assessment under the Management of Health and Safety at Work Regulations. Upon completion of the assessment, any materials that have been identified as damaged, or in an area where they are prone to damage, should be sampled and then analysed by an independent United Kingdom Accreditation Service (UKAS) accredited laboratory, in order to determine the composition of the suspect material. If the material is found to contain asbestos, the material may then be encapsulated or removed as deemed necessary. Once established, it is vitally important that the register is maintained, reviewed and used on a regular basis. The information should be checked regularly for accuracy, and the suspect materials themselves should be inspected on a proscribed basis. There is no guidance as to how often these inspections should happen, but a common sense approach should be adopted, with materials in high traffic/occupancy areas being inspected more often than those concealed in ceiling voids for example. 4.2 Summary All properties must be assessed for the presence of suspicious materials and a register compiled. 11

12 This information should be provided to all personnel concerned: building managers, maintenance personnel, maintenance contractors etc. A management procedure should be put into place, to ensure that the materials are regularly inspected and maintained in a safe condition, or removed as necessary. Asbestos Surveys and Asbestos Risk Register are all available to view in the Estate & Facilities Department (Hard FM) as necessary. (Ext 1616). The register should be reviewed for accuracy regularly, and updated as required. All managers of properties containing asbestos should be made aware that: it is present, the location of materials that they may encounter, and what to do if it becomes damaged. All relevant staff shall attend their next Approved Asbestos Awareness Training in March Legislation Documents The defective Premises Act 1972 in England or Wales or the Civic Government. Health and Safety at Work etc Act 1974 The Workplace (Health,Safety and Welfare) Regulations 1992 Management of Health and Safety at Work Regulations 1999 Construction (Design and Management) Regulations 2007 Control of Asbestos Regulations AUDIT This policy will be audited annually. The Deputy Responsible Person (Asbestos) will provide audit reports and will take them to the Risk Management Sub Committee annually. 6.0 POLICY REVIEW This policy will be reviewed every 3 year s or as new knowledge on the subject evolves and subsequent guidance is issued. The policy will also be reviewed annually by an independent asbestos specialist. 12

13 Equality Analysis (Impact assessment) What is being assessed? Name of the policy, procedure, proposal, strategy or service: ASBESTOS RISK MANAGEMENT POLICY Details of person responsible for completing the assessment: Name: Gregory Acton Job title: Statutory & Mandatory Compliance office Team: Estates & Facilities Department State main purpose or aim of the policy, procedure, proposal, strategy or service: (usually the first paragraph of what you are writing. Also include details of legislation, guidance, regulations etc which have shaped or informed the document) Overview: This policy covers the management of asbestos, and applies to all buildings owned, occupied or maintained by East Cheshire NHS Trust. It covers activities where inadvertent exposure to asbestos may occur (e.g. maintenance work). Legislation: The defective Premises Act 1972 in England or Wales or the Civic Government. Health and Safety at Work etc Act 1974 The Workplace (Health,Safety and Welfare) Regulations 1992 Management of Health and Safety at Work Regulations 1999 Construction (Design and Management) Regulations 2007 Control of Asbestos Regulations Consideration of Data and Research To carry out the equality analysis you will need to consider information about the people who use the service and the staff that provide it. 2.1 Give details of RELEVANT information available that gives you an understanding of who will be affected by this document The population of Cheshire as at the 2005 mid year figures (Cohesia Report 2008) is 684,400. Age: 17.8% (30,500) of the population in Cheshire East is over 65 compared with 15.9% nationally. This results in a high old age dependency ratio, i.e. low numbers of working-age people supporting a high non-working dependant older population. The percentage of older or frail old is also considerably higher, with 2.3% (8,200) persons 85 and over compared to 2.1% nationally. Cheshire East has the fastest growing older population in the North West. By 2016, the population aged 65+ will increase by 29.0% (8,845) and the population aged 85+ by 41.5% (3,403). This will have an impact on the number of patients being managed by ECT and the complexity of the health and social care issues that the older person is experiencing. In addition the staffing profile of ECT will 13

14 change to include an increasing number of staff over 65 in the workforce. Race: The 2005 mid year estimate (Cohesia Report 2008) show that the majority of the population in Cheshire (94.6%) is White British, with 5.4% non White British. The Cheshire Local Area Agreement identified that minority ethnic communities account for around 3% of the population. Issues for BME communities include lack of knowledge of services, access to services, access to translation/interpretation, cultural differences, family values. Many people from BME communities experience poverty, poor housing and unemployment which make it difficult for them to lead healthier lives migrant workers registered in Cheshire in 2006/07 and comparison to the mid year population estimates for Cheshire in 2005 strongly suggests that Cheshire s migrant worker population is larger than every individual BME group other than the White-Other White group. Gypsies and travellers at the last count (July 2006) the highest number was recorded in the Borough of Congleton (125). 42% of gypsies and travellers report limiting long term illness compared to 18% of the settled population, with an average life expectancy years less than settled population. 18% of gypsy and traveller mothers have experienced the death of a child compared to 1% in the settled population. Disability: There are over 10 million disabled people in Britain, of whom 5 million are over state pension age. Nearly 1 in 5 people of working age (7 million, or 18.6%) in Great Britain have a disability. Hearing loss: 1 in 4 has a hearing problem. Sight problems: There are 2 million people with sight problems in the UK. Learning disabilities: There is quite a high proportion of people with learning disabilities in the local area due to there being a number of residential homes/institutions in the area. Problems encountered can be lack of staff awareness, communication issues, information requirements. Dementia Approximately six in 100 people aged over 65 develop dementia and this rises to around 20 in 100 people aged 85 or over. Dementia affects 750,000 people in the UK. Carers Around 6 million people (11 per cent of the population aged 5+) provided unpaid care in the UK in April While 45% of carers were aged between 45 and 64, a number of the very young and very old also provided care. By 2037, it is anticipated that the number of carers will increase to 9 million. Gender On average in Cheshire, 49% of the population are male and 51% are female Transgender: No local data available, national trends show: 1/12,000 males, transgender from male to female 1/33,000 females, transgender from female to male Specific issues around access to services, specific services for men or women, and single sex facilities. In terms of the transgender population, GIRES (Gender Identity Research and Education Society ) gives an estimate of 600 per 100,000. If these figures were applied to the Cheshire East community based on the 2005 mid year estimates, there may be around 2,100 trans people in the area. Religion/Belief In the Cheshire East area the 2001 census showed: Christian - 80% Buddhists % Hindu % Jewish % Muslim % Sikh % 14

15 Other religion % No religion % Not stated % The Muslim population has the highest levels of ill health amongst faith groups this includes higher smoking rates amongst men and higher rates of coronary heart disease and diabetes. Sexual Orientation Lesbians, gay men and bi sexual people (LGB) make up to 5-7% of the UK population (Dept of Trade and Industry, 2003). 13% of Gay men and 31% Lesbian women are parents (Morgan and Bell, First Out: Report of the findings of Beyond the Barriers national survey of LGB people) The experience and health needs of gay men and women will differ. However, both groups are likely to experience discrimination, higher levels of mental ill health and barriers to accessing health care National Health Inequalities data shows that lesbian, gay, bisexual and transgender (LGBT) people are significantly more likely to smoke, to have higher levels of alcohol use and to have used a range of recreational drugs than heterosexual people. They are also at greater risk of deliberate self-harm. Although most LGBT people do not experience poor mental health, research suggests that some are at higher risk of mental health disorder, suicidal behaviour and substance misuse. 2.2 Evidence of complaints on grounds of discrimination: (Are there any complaints either from patients or staff (grievance) relating to the policy, procedure, proposal, strategy or service or its effects on different groups?) No 2.3 Does the information gathered from indicate any negative impact as a result of this document? No 15

16 Assessment of Impact Now that you have looked at the purpose, etc. of the policy, procedure, proposal, strategy or service (part 1) and looked at the data and research you have (part 2), this section asks you to assess the impact of the policy, procedure, proposal, strategy or service on each of the strands listed below. RACE: From the evidence available does the policy, procedure, proposal, strategy or service affect, or have the potential to affect, racial groups differently? Yes No Explain your response: Asbestos management and the potential threat of exposure of Asbestos has no differential impact due to race. All trust staff and contractors are required to adhere to this policy. If anyone has difficulty understanding the requirements of the policy it can be translated in accordance with the trust interpreting policy GENDER (INCLUDING TRANSGENDER): From the evidence available does the policy, procedure, proposal, strategy or service affect, or have the potential to affect, different gender groups differently? Yes No Explain your response: Asbestos management and the potential threat of exposure of Asbestos has no differential impact due to gender. All trust staff and contractors are required to adhere to this policy. DISABILITY From the evidence available does the policy, procedure, proposal, strategy or service affect, or have the potential to affect, disabled people differently? Yes No Explain your response: Asbestos management and the potential threat of exposure of Asbestos has no differential impact due to disability. All trust staff and contractors are required to adhere to this policy. If anyone has a visual impairment the policy could be provided in large print AGE: From the evidence available does the policy, procedure, proposal, strategy or service, affect, or have the potential to affect, age groups differently? Yes No Explain your response: Asbestos management and the potential for exposure has no differential impact due to age. All trust staff and contractors are required to adhere to this policy LESBIAN, GAY, BISEXUAL: From the evidence available does the policy, procedure, proposal, strategy or service affect, or have the potential to affect, lesbian, gay or bisexual groups differently? Yes No Explain your response: Asbestos management and the potential threat of exposure of Asbestos has no differential impact due to sexual orientation. All trust staff and contractors are required to adhere to this policy RELIGION/BELIEF: From the evidence available does the policy, procedure, proposal, strategy or service affect, or have the potential to affect, religious belief groups differently? Yes No Explain your response: Asbestos management and the potential threat of exposure of Asbestos has no differential impact due to religion/belief. All trust staff and contractors are required to adhere to this policy CARERS: From the evidence available does the policy, procedure, proposal, strategy or service affect, or have the potential to affect, carers differently? Yes No Explain your response: Asbestos management and the potential threat of exposure of Asbestos affects all groups equally OTHER: EG Pregnant women, people in civil partnerships, human rights issues. From the evidence available does the policy, procedure, proposal, strategy or service affect, or have the potential to affect any other groups differently? Yes No 16

17 Explain your response: Asbestos management and the potential threat of exposure of Asbestos affects all groups equally. The policy supports the trust to manage the risk from Asbestos to its staff, patients and visitors as much as is reasonably practicable Safeguarding Assessment - CHILDREN a. Is there a direct or indirect impact upon children? Yes No b. If yes please describe the nature and level of the impact (consideration to be given to all children; children in a specific group or area, or individual children. As well as consideration of impact now or in the future; competing / conflicting impact between different groups of children and young people: c. If no please describe why there is considered to be no impact / significant impact on children The policy supports the trust to manage the risk from Asbestos to its staff, patients and visitors as much as is reasonably practicable. 5. Relevant consultation Having identified key groups, how have you consulted with them to find out their views and that the made sure that the policy, procedure, proposal, strategy or service will affect them in the way that you intend? Have you spoken to staff groups, charities, national organisations etc? No. However we have worked with specialists in the field of Asbestos Management, we have also produced an Asbestos Risk Management plan. 6. Approval At this point, you should forward the template to: The Trust s Equality and Diversity Lead lynbailey@nhs.net The Named Nurse for Safeguarding Children melaniebarker@nhs.net Equality and Diversity response: Safeguarding Children response: Approved Approved 7. Any actions identified: Have you identified any work which you will need to do in the future to ensure that the document has no adverse impact? Action Lead Date to be Achieved 8. Review Date: August 2013 Date completed: August 2012 The Trust s Equality and Diversity Lead: 17

18 The Named Nurse for Safeguarding Children Melanie Barker 18