All staff who undertake the role of Care Co-ordinator. All Mental Health qualified inpatient nursing and medical staff

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1 Care Program Approach (Mental Health Services) Enhanced Emergency Skills (Mental Health) (Junior doctors on rotation of less than 6 months undertake basic life support incorporating AED and Anaphylaxis) Enhanced Emergency Skills (Community Health Care services) (Junior doctors on rotation of less than 6 months undertake basic life support incorporating AED and Anaphylaxis) All staff who undertake the role of Care Co-ordinator. All Mental Health qualified inpatient nursing and medical staff All qualified Acute community inpatient nurses and medical staff, e-learning E-learning Three yearly Initial 2 days Update 1 day Initial 1 day l 3.5 day update Basic Life Support (Mental Health & Community staff) Mental Health All clinical staff, psychology, allied health professionals, social care staff, medical staff and pharmacy staff. All OT staff with the exemption of head OT s Front line administration staff with daily service user contact based on risk assessment. 3.5 hours update included in Breakaway & Restraint training for mental health stand alone for community staff Basic Life Support Incorporates anaphylaxis and AED Identified Community Health Care Service staff plus medical staff on rotation of 6 months or less 3.5 hours

2 Infection Prevention and Control (Mental Health) To include: Inoculation (Sharps) training Hand hygiene Infection Prevention and Control (Community Health Care services) Infection Prevention and Control (Community Health Care services) *Relevant staff, contractors and other persons, whose normal duties are directly or indirectly concerned with providing care i.e.: Nursing staff, medical staff, occupational therapy staff, social care staff, psychologists on inpatient services, physiotherapists, and pharmacy staff. Catering staff, domestics and housekeeping staff (including external contractors) and front line administration staff (Staff who have direct service user contact i.e. reception staff based on risk assessment). *Health and Social Care Act 2008 Code of Practice for health and social care on the prevention and control of infections All community staff not identified below All clinical staff, support, and domestic/cleaning staff, including front line administration staff who have direct service user contact. (e.g. reception staff based on risk assessment.) E-learning E -learning Two yearly E- Learning E- Learning 2 yearly update E-learning E -learning

3 PREVENTION & MANAGEMENT OF VIOLENCE & AGGRESSION (Mental Health) Breakaway Training: anticipation, de-escalation and coping with disturbed / violent behaviour, practical skills & CPR update PREVENTION & MANAGEMENT OF VIOLENCE & AGGRESSION (Mental Health) Conflict Avoidance : anticipation, de-escalation and coping with disturbed / violent behaviour, practical skills Conflict Resolution (Community Health Care Services) anticipation, de-escalation and coping with disturbed / violent behaviour Mental Health Community based nursing staff, psychology, allied health professionals, social care staff, medical staff and pharmacy staff. All OT staff with the exemption of head OT s. Front line administration staff with daily service user contact based on risk assessment.. Mental Health Domestic staff, porters, works department staff, front line administration staff, advocates, house keepers and ward clerks. (all staff whose work involves entering areas where service users have unrestricted access) All front line staff in community health care services (all staff whose work involves entering areas where service users have unrestricted access) 1 day 1 day Every 18 months Initial 1 day 3.5hrs update Three yearly

4 Basic Back Care Clinical staff) All staff undertaking patient handling as part of their working activity where a link worker is not based. i.e. Nursing, Physiotherapy, Occupational Therapy + E-learning Initial 1 day Update 3.5 Hours mental health Acute Community services Initial 1 day Update 3.5 hours combining Back care & Hoisting LINK WORKER AREAS Local onsite direct & E-learning theory Ward based assessment All staff in areas where client handling is uncommon / rare the service areas maintain a minimum of 2 trained key workers per service area and follow the process for safe working practice. Forensics, Mental health, Adult community and Adult Acute inpatient admission units in Mental Health E-Learning for clinical staff Basic Back Care Non patient handlers Non clinical staff who do not provide direct care to service users E-learning (Part of fit for work) E-Learning High risk areas will increase the numbers of key workers to ensure safe systems of work are in place.

5 Hoisting Mental Health & Acute community health care services inpatient staff. All staff undertaking patient handling or assisting with the use of hoists as part of their work activity where a link worker is not in-place, i.e. Nursing, Physiotherapy, Occupational Therapy + E-learning theory ( 3.5 hours (Staff must not use hoists if they have not received training) LINK WORKER AREAS Local onsite direct + E- learning theory On site assessment Clinical Risk (Qualified Mental Health staff) Clinical Risk (Unqualified Mental Health staff) Nursing staff, medical staff, social care staff, all qualified occupational therapy staff and qualified allied health professionals Nursing staff,, social care support staff, all occupational therapy support staff and unqualified allied health professionals / E-Learning I day Three yearly / E- Learning 3.5 hours Three yearly

6 Safeguarding Adults and Children Level 1 Safeguarding Adults and Children Level 2 Group 2 Safeguarding Children level 3 Level 1 Non-clinical staff 1) Face to face or E- learning All clinical staff and those non clinical staff who have contact with Children & Adults Health Visitors School Nurses Specialist School Nurses Family Nurse Practitioners Paediatric Nurses and doctors Registered Paediatric Allied health professionals CAMHS registered staff Consultant Psychiatrists Learning Disability Nurse Team Managers and Heads of Service in LD Community Drug and Alcohol registered staff Community Psychiatric Nurses E-learning In -house training. Local Safeguarding Children Boards (LSCB) Training programmes. Conferences. Workshops Face to face Interagency-agency LSCB programmes Conferences Workshops ½ hour Level 2 ( includes level1 ) 0.5 PA ( 2 hrs) ) Induction and then Three yearly update 1) New Staff as per induction Existing Staff - 3 yearly 3 yearly

7 Safeguarding Adults Level 3 Modern Matrons in Community Health Service for Adults CHS Service Managers for Adult Services Adult Mental Health and older peoples Ward Managers ALL band 7 Adult Mental Health and older peoples staff in community and inpatient settings Manager/Team leaders in IAPT Consultant Psychiatrists In -house training. Local Safeguarding Adult Boards (LSAB) Training programmes. Conferences. Workshops Three yearly LD Band 7 inpatient staff Learning Disability Nurse Team Managers and Heads of Service in LD Band 7 and team managers of CDAS Managers of Allied Health Professionals

8 Safeguarding Children Level 4, 5, 6 Group 4/5/6/ Named & Designated Nurses, Doctors and Safeguarding Specialists Interagency-agency LSCB programmes Conferences Workshops Level 4/5/6 (Intercollegiate Doc 2010) Three yearly Medicines Management (Mental Health staff) with Rapid Tranquillisation Group 7/8 LSCB Board members Expert Witness for Court Qualified practicing Nursing staff Mental Health, Learning disabilities and CAHMS 7/8/ DoH Working Together PA s (24 hrs min over three yrs) 1 day Three yearly Medicines Management (Community Health Care services) Venous Thromboembolism (Community Health Care services) Transfusion Process Training (Community Health Care services) Record Keeping Qualified practicing Nursing Acute Community Health care staff Community services Inpatient qualified nursing staff Mental health Older Adult inpatient qualified nursing staff. Staff who are involved in transfusion processes. All Trust staff required to make entries in patients records. 1 day Three yearly E-Learning e-learning Three yearly E- earning E-learning E-learning or facilitated direct sessions E-Learning or 3.5 Hours direct Three yearly

9 Slips / Trips and Falls All inpatient Nursing staff occupational therapists (except head OT s) & physiotherapy staff E-learning E-learning Three yearly Dual Diagnosis Mental Health All Qualified Mental Health Nursing and Medical Staff (A) E-learning E-learning Once No update requirement. Equality and Diversity All staff E-learning E-learning ly Customer Service All staff E-learning E-learning Three yearly Observation of Service user training (Mental E-learning E-learning Three yearly Health) All inpatient nursing staff Consent training (Acute community Health Care services) E-learning E-learning Three yearly Clinical Community Health care service staff offering and providing patient care and treatment. Harassment and Bullying All staff E-learning E-learning Once No update requirement. Incident, complaint and claim investigation training Risk awareness training for Senior Managers Information Governance Diabetes training (Community Health care services & Mental Health) Understanding Dementia All staff E-learning E-learning Once No update requirement. Executive team, Executive Team direct reports and Trust board All staff to complete at relevant level for their role All inpatient mental health nursing staff, qualified and unqualified inpatient mental health medical staff, pharmacists and pharmacy technicians, community health services nursing staff qualified and unqualified In-patient Older people staff Mental Health E-learning or E-learning or direct ly E-learning E-learning ly E-learning or direct E-learning or direct ly E-learning E=learning Once. No update requirement.

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