The Newcastle upon Tyne Hospitals NHS Foundation Trust

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "The Newcastle upon Tyne Hospitals NHS Foundation Trust"

Transcription

1 The Newcastle upon Tyne Hospitals NHS Foundation Trust Procedure for Joint Management of Complaints and Safeguarding Concerns within the Newcastle upon Tyne Hospitals NHS Foundation Trust Version No.: 1.1 Effective From: 28 April 2015 Expiry Date: 30 April 2017 Date Ratified: 31 March 2015 Ratified By: Trust Safeguarding Operational Management Group 1 Introduction The purpose of this procedure is to ensure that the Trust has a co-ordinated approach to the management of concerns regarding Trust care which may be subject to both Complaint and Safeguarding processes. 2 Aims The procedure is to ensure that: 1. Relevant information is shared. 2. Robust complaints and safeguarding arrangements are in place. 3. Patients families and carers are communicated with in an open and co-ordinated approach in order to minimise distress. 4. Trust Managers are appropriately informed of complaints and safeguarding concerns. 3 Guidance A flow diagram is appended which illustrates anticipated information flows. The following steps/guidance are to be followed. 3.1 Safeguarding concerns related to NUTH care: Any concern that is received by a Trust Safeguarding professional (Adult/Maternity/Child) which contains concerns relating to care provided by the Trust, and therefore may be subject to a Complaint must be notified to Patient Relations. This is to be via to Patient Relations inbox on day of receipt of the concern and will detail patient name, MRN number and the Directorate concerned Patient Relations will log these as a pre-complaint If Patient Relations are in receipt of, or receive in the future a complaint that is related to a pre-notification from Safeguarding, they will contact Page 1 of 5

2 relevant Safeguarding Specialist Nurse or Midwife to ascertain information relating to: a) Nature of complaint/safeguarding concerns. b) Timescales for likely completion of safeguarding procedures. c) Patients, families and carers involvement with Safeguarding. d) If any Police investigation is ongoing. Through discussion there will be agreement reached as to: a) How ongoing contact with patient/complainant/family will be managed to ensure they are kept informed of progress. b) Any potential impact on complaint response times Ongoing discussion will continue as necessary to ensure safeguarding and complaints processes are progressing in parallel and not causing delay or confusion The outcome of safeguarding processes will be shared with Patient Relations to inform complaint response. 4 Complaints with Safeguarding concerns 4.1 Patient Relations will screen all complaints for safeguarding concerns, if any are identified Safeguarding will be notified via Patient Relations will document the screening of complaints for safeguarding issues on the Complaints front sheet. 4.3 Following receipt of notification, Patient Relations and Safeguarding Specialist Nurse or Midwife will discuss and agree: a) If concern is to be reported through formal external safeguarding processes. b) If Police may be involved in investigation. c) Communication of any referral made to the patient/family/trust staff as appropriate. d) Next steps in terms of investigation. This may require advice from the Directorate Management Team/Director of Nursing and Patient Services/Head of Nursing. Safeguarding specialists will keep Patient Relations informed of the progress of relevant safeguarding procedures/decisions. a. Regular liaison between Safeguarding teams and Patient Relations to be maintained and documented Page 2 of 5

3 5 Training and Education Joint education on the use of this protocol and the thresholds for raising safeguarding concerns and Trust complaints procedures will be undertaken by the Specialist Nurses and Midwives for the Adult/Children and Maternity Services and Patient Relations 6 Equality and diversity The Trust is committed to ensuring that, as far as is reasonably practicable, the way we provide services to the public and the way we treat our staff reflects their individual needs and does not discriminate against individuals or groups on any grounds. This document has been appropriately assessed. 7 Monitoring compliance Standard / process / issue Number of Safeguarding Concerns reported to Patient Relations as a potential complaint. Number of Safeguarding Concerns reported to Safeguarding teams as a potential Safeguarding concern Monitoring and audit Method By Committee Frequency Numerical report Numerical report Patient Relations Department Safeguarding Complaints Panel Trust Safeguarding Operational Management Group Annually Annually 8 Consultation and review This procedure has been developed in consultation with Named Professionals with responsibility for Adult Safeguarding, Children and Maternity Services and Patient Relations Manager. The Safeguarding Operational Management Group and Trust Complaints Panel have reviewed and approved this procedure. 9 Implementation (including raising awareness) Safeguarding Named Professionals and Patient Relations Staff will be informed of the approval of this procedure and any changes identified following implementation. Further advice and guidance will be available from the Trust Safeguarding Operational Management Group and Head of Nursing Freeman or Patient Relations Manager 10 References Clinical Governance and Adult Safeguarding An Integrated Process. Department of Health London Feb Page 3 of 5

4 No Secrets: Guidance on Developing and Implementing Multi Agency Policies and Procedures to Protect Vulnerable Adults from Abuse; Department of Health 2000 Newcastle Safeguarding Multi-Agency policy and procedures (2009); Care Act 2014 (to be implemented 2015). 11 Associated documentation Child Protection and Safeguarding Children Concerns and Complaints Policy Safeguarding Adults Page 4 of 5

5 Safeguarding and Complaints Appendix 1 Patient Relations identify Safeguarding Concerns within a Complaint via screening question on Complaint front sheet Safeguarding (Adults or Children) identify concern about care provided by NuTH. Contact relevant safeguarding team via Safeguarding Adults/Child/Maternity Specialist Nurse or Midwife Patient Relations in-box with patient name, MRN (unique identifier) number and Directorate Logged as pre complaint by Patient Relations Discussion between Safeguarding and Patient Relations to share relevant information and ensure family contact/liaison is co-ordinated YES Complaint Received NO No Further Action Complaints process continues. May be negotiation regarding timescale to enable Safeguarding to complete Safeguarding process continues Completed outcome shared with Complaints Page 5 of 5

6 The Newcastle upon Tyne Hospitals NHS Foundation Trust Equality Analysis Form A This form must be completed and attached to any procedural document when submitted to the appropriate committee for consideration and approval. PART 1 1. Assessment Date: 12 th April Name of policy / strategy / service: Procedure for Joint Management of Complaints and Safeguarding Concerns within the Newcastle upon Tyne Hospitals NHS Foundation Trust 3. Name and designation of Responsible Officer: Frances Blackburn, Head of Nursing, Freeman 4. Names & Designations of those involved in the impact analysis screening process: 5. Is this a: Policy X Strategy Service Is this: New Revised X Who is affected: Employees X Service Users X Wider Community 6. What are the main aims, objectives of the policy, strategy, or service and the intended outcomes? (These can be cut and pasted from your policy) To ensure a co-ordinated approach to management of concerns regarding Trust care which may be subjected to both complaints and Safeguarding procedures. Page 1 of 4

7 7. Does this policy, strategy, or service have any equality implications? Yes X No If No, state reasons and the information used to make this decision, please refer to paragraph 2.3 of the Equality Analysis Guidance before providing reasons: 8. Summary of evidence related to protected characteristics Protected Characteristic Race / Ethnic origin (including gypsies and travellers) Sex (male/ female) Evidence i.e. What evidence do you have that the Trust is meeting the needs of people in various protected Groups related to this policy/service/strategy please refer to the Equality fact files available via the link below (add link) Does evidence/engagement highlight areas of direct or indirect discrimination? If yes describe steps to be taken to address (by whom, completion date and review date) No Trust level data however national data identified that individuals with a protected characteristic may be more vulnerable to abuse. The factors which may increase vulnerability are included in Safeguarding Training. Trust has Safeguarding Adults and Children s procedures and policies which reflect statutory and best practice requirements. Does the evidence highlight any areas to advance opportunities or foster good relations? If yes what steps will be taken? (by whom, completion date and review date) Religion and Belief Sexual orientation including lesbian, gay and bisexual people Page 2 of 4

8 Age Disability learning difficulties, physical disability, sensory impairment and mental health. Consider the needs of carers in this section Gender Reassignment Trust has mechanisms to flag people with Learning Disability and Care Pathways. Marriage and Civil Partnership Maternity / Pregnancy 9. Are there any gaps in the evidence outlined above? If yes how will these be rectified? No Trust level data available. 10. Engagement has taken place with people who have protected characteristics and will continue through the Equality Delivery System and the Equality Diversity and Human Rights Group. Please note you may require further engagement in respect of any significant changes to policies, new developments and or changes to service delivery. In such circumstances please contact the Equality and Diversity Lead or the Involvement and Equalities Officer. Do you require further engagement Yes No X Page 3 of 4

9 11. Could the policy, strategy or service have a negative impact on human rights? (E.g. the right to life, respect for private and family life, the right not to be treated in a degrading way, and the right to education?) No PART 2 Signature of responsible Officer Print name Frances Blackburn Date of completion 14 th April 2015 (If any reader of this procedural document identifies a potential discriminatory impact that has not been identified, please refer to the Policy Author identified above, together with any suggestions for action required to avoid/reduce the impact.) Page 4 of 4

3 Aims. 4 Duties (Roles and responsibilities)

3 Aims. 4 Duties (Roles and responsibilities) The Newcastle upon Tyne Hospitals NHS Foundation Trust Centralised Room Booking Policy Version No.: 3.1 Effective From: 31 March 2015 Expiry Date: 31 March 2018 Date Ratified: 3 March 2015 Ratified By:

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Claims Management Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Claims Management Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Claims Management Policy Version.: 6.0 Effective From: 16 July 2015 Expiry Date: 16 July 2017 Date Ratified: 23 June 2015 Ratified By: Clinical Policy

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Medical Equipment Library Access to Service Procedure

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Medical Equipment Library Access to Service Procedure The Newcastle upon Tyne Hospitals NHS Foundation Trust Medical Equipment Library Access to Service Procedure Version No.: 5.1 Effective From: 28 November 2013 Expiry Date: 28 November 2016 Date Ratified:

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. IT Change Management Policy and Process

The Newcastle upon Tyne Hospitals NHS Foundation Trust. IT Change Management Policy and Process The Newcastle upon Tyne Hospitals NHS Foundation Trust Version No.: 2.0 Effective From: 16 July 2015 Expiry Date: 16 July 2018 Date Ratified: 5 June 2015 Ratified By: Director of IT 1 Introduction IT Change

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Employment Policies and Procedures

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Employment Policies and Procedures The Newcastle upon Tyne Hospitals NHS Foundation Trust Employment Policies and Procedures Mobile Telephone and Telephone Expenses Reimbursement Policy Version No.: 1.0 Effective Date: 3 January 2013 Expiry

More information

The Newcastle Upon Tyne Hospitals NHS Foundation Trust. Employment Policies & Procedure. Redeployment Policy

The Newcastle Upon Tyne Hospitals NHS Foundation Trust. Employment Policies & Procedure. Redeployment Policy The Newcastle Upon Tyne Hospitals NHS Foundation Trust Employment Policies & Procedure Redeployment Policy Version No.: 3.1 Effective Date: 29 February 2016 Expiry Date: 20 May 2018 Date Ratified: 25 February

More information

The policy applies to all members of staff employed within the Trust who are involved in any aspect of alert dissemination, action, and /or review.

The policy applies to all members of staff employed within the Trust who are involved in any aspect of alert dissemination, action, and /or review. The Newcastle upon Tyne Hospitals NHS Foundation Trust Central Alert System (CAS) Policy and Procedure Version No.: 4.2 Effective From: 26 th May 2015 Expiry Date: 26 th May 2018 Date Ratified: 11 th May

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Employment Policies and Procedures

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Employment Policies and Procedures The Newcastle upon Tyne Hospitals NHS Foundation Trust Employment Policies and Procedures Procedure for Processing Claims for Travel Expense Reimbursement Version No.: 3.0 Effective From: 15 January 2014

More information

Appendix 1 EQUALITY IMPACT: SCREENING AND ASSESSMENT FORM

Appendix 1 EQUALITY IMPACT: SCREENING AND ASSESSMENT FORM Appendix 1 EQUALITY IMPACT: SCREENING AND ASSESSMENT FORM This form is to be used in conjunction with the Equality Impact Assessment Guidelines. Please refer to these before starting; if you require further

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Balliol Off-Site Storage Facility Procedure for usage

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Balliol Off-Site Storage Facility Procedure for usage The Newcastle upon Tyne Hospitals NHS Foundation Trust Balliol Off-Site Storage Facility Procedure for usage Version No 2.1 Effective From 13 June 2013 Expiry date 30 June 2016 Date Ratified 12 June 2013

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. National Early Warning Score (NEWS) Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. National Early Warning Score (NEWS) Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust National Early Warning Score (NEWS) Policy Version.: 1.0 Effective From: 3 December 2014 Expiry Date: 3 December 2016 Date Ratified: 1 September 2014

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Occupational Health Records Management and Retention Operational Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Occupational Health Records Management and Retention Operational Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Occupational Health Records Management and Retention Operational Policy Version No. 1.0 Effective From: 9 October 2013 Expiry Date: 30 September 2016

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Software Asset Management Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Software Asset Management Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Version No.: 1.0 Effective From: 24 April 2014 Expiry Date: 24 April 2017 Date Ratified: 16 January 2014 Ratified By: INDIGO 1 Introduction Software

More information

There are several tangible benefits in conducting equality analysis prior to making policy decisions, including:

There are several tangible benefits in conducting equality analysis prior to making policy decisions, including: EQUALITY ANALYSIS FORM Introduction CLCH has a legal requirement under the Equality Act to have due regard to eliminate discrimination. It is necessary to analysis the consequences of a policy, strategy,

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Intellectual Property (IP), Revenue Sharing & Equity Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Intellectual Property (IP), Revenue Sharing & Equity Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Intellectual Property (IP), Revenue Sharing & Equity Policy Effective Date: April 2011 Review Date: April 2012 1. Introduction This policy is in line

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Employment Policies and Procedures. Departmental Timesheets Procedure for Completion

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Employment Policies and Procedures. Departmental Timesheets Procedure for Completion The Newcastle upon Tyne Hospitals NHS Foundation Trust Employment Policies and Procedures Departmental Timesheets Procedure for Completion Version No.: 3.1 Effective From: 30 July 2013 Expiry Date: 30

More information

NHS Fife Equality Impact Assessment

NHS Fife Equality Impact Assessment NHS Fife Equality Impact Assessment Equality Impact Assessment Guidance is available to support this process Contact Angela Heyes, Equality and Human Rights Lead if support is required to completed the

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Taxi Transport Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Taxi Transport Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Taxi Transport Policy Effective: September 2010 Review: December 2011 1. Introduction Significant costs are incurred annually through the use of Taxis

More information

Document Title. Reference Number. Lead Officer. Author(s) (name and designation) Ratified by. Date ratified. Implementation Date

Document Title. Reference Number. Lead Officer. Author(s) (name and designation) Ratified by. Date ratified. Implementation Date Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Date ratified Implementation Date Date of full implementation Review Date Version number Review and Amendment Log

More information

Nursing Protocol for the Verification of Expected Death in the Community

Nursing Protocol for the Verification of Expected Death in the Community Nursing Protocol for the Verification of Expected Death in the Community 1.0 Introduction The intention of this policy is to support registered nurses in verifying expected death in the community for those

More information

NHS Fife Equality Impact Assessment

NHS Fife Equality Impact Assessment NHS Fife Equality Impact Assessment Equality Impact Assessment Guidance is available to support this process Contact the Angela Heyes, Equality and Human Rights Lead if support is required to completed

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Employment Policies and Procedures. Electronic Rostering and Attendance (ERA)

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Employment Policies and Procedures. Electronic Rostering and Attendance (ERA) The Newcastle upon Tyne Hospitals NHS Foundation Trust Employment Policies and Procedures Electronic Rostering and Attendance (ERA) Version No.: 2.0 Effective Date: 30 May 2014 Expiry Date: 30 November

More information

39 GB Guidance for the Development of Business Continuity Plans

39 GB Guidance for the Development of Business Continuity Plans 39 GB Guidance for the Development of Business Continuity Plans Policy number: Version 2.2 Approved by Name of author/originator Owner (director) 39 GB Executive Committee Date of approval August 2014

More information

Initial Equality Impact Assessment

Initial Equality Impact Assessment Initial Equality Impact Assessment Department Service Area Date 20/10/11 This Initial EqIA will help you to analyse equality in the context of your policy, practice or function. The assessment is a useful

More information

Occupational Therapy Service in the Emergency Department at Royal Cornwall Hospital V1.0

Occupational Therapy Service in the Emergency Department at Royal Cornwall Hospital V1.0 Occupational Therapy Service in the Emergency Department at Royal Cornwall Hospital V1.0 January 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Ownership

More information

PROTOCOL FOR DUAL DIAGNOSIS WORKING

PROTOCOL FOR DUAL DIAGNOSIS WORKING PROTOCOL FOR DUAL DIAGNOSIS WORKING Protocol Details NHFT document reference CLPr021 Version Version 2 March 2015 Date Ratified 19.03.15 Ratified by Trust Protocol Board Implementation Date 20.03.15 Responsible

More information

Equality Impact Assessment Form

Equality Impact Assessment Form Equality Impact Assessment Form November 2014 Introduction The general equality duty that is set out in the Equality Act 2010 requires public authorities, in the exercise of their functions, to have due

More information

Equality with Human Rights Analysis Toolkit

Equality with Human Rights Analysis Toolkit Equality with Human Rights Analysis Toolkit The Equality Act 2010 and Human Rights Act 1998 require us to consider the impact of our policies and practices in respect of equality and human rights. We should

More information

Supporting staff involved in a stressful or traumatic incident, complaint or claim.

Supporting staff involved in a stressful or traumatic incident, complaint or claim. Supporting staff involved in a stressful or traumatic incident, complaint or claim. Version: V2.00 Ratified by: Date ratified: October 2010 Name of originator/author/job title Name of responsible committee

More information

NHS Fife Equality Impact Assessment

NHS Fife Equality Impact Assessment NHS Fife Equality Impact Assessment Equality Impact Assessment Guidance is available to support this process Contact the Angela Heyes, Equality and Human Rights Lead if support is required to completed

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Policy ID IG02 Version: V1 Date ratified by Governing Body 27/09/13 Author South Commissioning Support Unit Date issued: 21/10/13 Last review date: N/A Next review date: September

More information

Information Communication and Technology Management. Framework

Information Communication and Technology Management. Framework Information Communication and Technology Management Framework Author(s) Andrew Thomas Version 1.0 Version Date 24 September 2013 Implementation/approval Date 25 September 2013 Review Date September 2014

More information

EQUALITY IMPACT ASSESSMENT TEMPLATE - TRAFFORD COUNCIL

EQUALITY IMPACT ASSESSMENT TEMPLATE - TRAFFORD COUNCIL A. Summary Details EQUALITY IMPACT ASSESSMENT TEMPLATE - TRAFFORD COUNCIL 1 Title of EIA: To remodel building based day services 2 Person responsible for the assessment: Christine Warner 3 Contact details:

More information

Interpreting and Translation Policy

Interpreting and Translation Policy Interpreting and Translation Policy Exec Director lead Author/ lead Feedback on implementation to Karen Tomlinson Liz Johnson Tina Ball Date of draft February 2009 Consultation period February April 2009

More information

Job Application form

Job Application form Job Application form Post Applied for: Closing Date: form Job Reference: form Please complete this form in black ink. Applications received after the closing date will not normally be considered. THE INFORMATION

More information

Procedure No. 1.41 Portland College Single Equality Scheme

Procedure No. 1.41 Portland College Single Equality Scheme Introduction Portland College recognises the requirements under current legislation to have due regard to the general equality duty. 1.0 Context 1.1 Portland College supports equality of opportunity, promotion

More information

EQUALITY IMPACT ASSESSMENT - TRAFFORD COUNCIL

EQUALITY IMPACT ASSESSMENT - TRAFFORD COUNCIL EQUALITY IMPACT ASSESSMENT - TRAFFORD COUNCIL A. Summary Details 1 Title of EIA: Introduction of Credit Card Charges 2 Person responsible for the assessment: Dave Muggeridge 3 Contact details: 912 4534

More information

Scottish Environment Protection Agency

Scottish Environment Protection Agency - 1 - Scottish Environment Protection Agency Equality and Human Rights Assessment Guidance Document - 2 - The Equality Act 2010 (Specific Duties) (Scotland) Regulations 2012 requires all new and revised

More information

Accounts Receivable - Guidance to staff responsible for the collection of income following the supply of goods or services V4.0

Accounts Receivable - Guidance to staff responsible for the collection of income following the supply of goods or services V4.0 Accounts Receivable - Guidance to staff responsible for the collection of income following the supply of goods or services V4.0 June 2015 Table of Contents Accounts Receivable - Guidance to staff responsible

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Nursing and Midwifery Staffing Strategy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Nursing and Midwifery Staffing Strategy The Newcastle upon Tyne Hospitals NHS Foundation Trust Nursing and Midwifery Staffing Strategy Incorporating Guidelines to Ensure Safe Nursing and Midwifery Staffing Levels within the Newcastle Upon Tyne

More information

Data Protection Policy

Data Protection Policy Issue Date: June 2014 Document Number: POL_1006 Prepared by: Information Governance Senior Manager Insert heading depending on Insert line heading length; please depending delete other on line length;

More information

COMPLAINTS POLICY. Date Ratified PROPOSED FOR APPROVAL 18/04/13

COMPLAINTS POLICY. Date Ratified PROPOSED FOR APPROVAL 18/04/13 COMPLAINTS POLICY Version Version 1 Ratified By Date Ratified PROPOSED FOR APPROVAL 18/04/13 Author(s) Responsible Committee / Officers Date Issue Review Date Intended Audience Impact Assessed Paula Wedd,

More information

Disciplinary Policy #NGH-PO-028

Disciplinary Policy #NGH-PO-028 Disciplinary Policy #NGH-PO-028 Business Area Human Resources Person Responsible Sarah Kinsella Created Last Review 2nd June, 2014 2nd June, 2014 Status Complete Next Review n/a Screening Data Name, job

More information

A-Z Hospitals NHS Trust (replace with your employer name)

A-Z Hospitals NHS Trust (replace with your employer name) Department of Health will be issuing new guidance relating to the monitoring of equality in April 2013. The equality and diversity sections within NHS Jobs application forms will be reviewed and updated

More information

Equality Analysis. Guidance Notes for completing the template CONTENT

Equality Analysis. Guidance Notes for completing the template CONTENT Equality Analysis Guidance Notes for completing the template CONTENT 1. INTRODUTION Page 2 2. LEGAL FRAMEWORK Equality Act 2010 and Protected Characteristics The Public Sector Equality Duty (PSED) The

More information

MANAGEMENT OF PERSONAL FILES POLICY

MANAGEMENT OF PERSONAL FILES POLICY MANAGEMENT OF PERSONAL FILES POLICY Executive Director lead Author/ lead Feedback on implementation to Andrew Avery (Interim Director of HR) Liz Thompson (HR Manager) Liz Thompson (HR Manager) Date of

More information

Equality and Diversity Policy. Deputy Director of HR Version Number: V.2.00 Date: 27/01/11

Equality and Diversity Policy. Deputy Director of HR Version Number: V.2.00 Date: 27/01/11 Equality and Diversity Policy Author: Deputy Director of HR Version Number: V.2.00 Date: 27/01/11 Approval and Authorisation Completion of the following signature blocks signifies the review and approval

More information

Type of change. V02 Review Feb 13. V02.1 Update Jun 14 Section 6 NPSAS Alerts

Type of change. V02 Review Feb 13. V02.1 Update Jun 14 Section 6 NPSAS Alerts Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified By Central Alerting System (CAS) Policy NTW(O)17 Medical Director Tony Gray Head of Safety and Patient Experience

More information

Fast Track Pathway Tool for NHS Continuing Healthcare

Fast Track Pathway Tool for NHS Continuing Healthcare Fast Track Pathway Tool for NHS Continuing Healthcare DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider Development Finance Planning /

More information

Policy: Accessing Legal Advice

Policy: Accessing Legal Advice Policy: Accessing Legal Advice Executive or Associate Director lead Policy author/ lead Feedback on implementation to Rosie McHugh Wendy Hedland Wendy Hedland Date of draft April 2014 Dates of consultation

More information

Policy for the Analysis and Improvement Following Incidents, Complaints and Claims

Policy for the Analysis and Improvement Following Incidents, Complaints and Claims Policy for the Analysis and Improvement Following Incidents, Complaints and Claims Exec Director lead Author/ lead Feedback on implementation to Deputy Chief Executive Clinical Risk Manager Clinical Risk

More information

This guideline is for the management of Adult patients with Diabetes Mellitus using insulin pump therapy during admission to hospital

This guideline is for the management of Adult patients with Diabetes Mellitus using insulin pump therapy during admission to hospital CLINICAL GUIDELINE FOR THE MANAGEMENT OF ADULT PATIENTS DIABETES MELLITUS USING INSULIN PUMP THERAPY (Continuous Subcutaneous Insulin Infusion (CSII)), DURING ADMISSION TO HOSPITAL 1. Aim/Purpose of this

More information

GUIDANCE & TEMPLATE FOR CARRYING OUT EQUALITY ANALYSIS (EA)

GUIDANCE & TEMPLATE FOR CARRYING OUT EQUALITY ANALYSIS (EA) GUIDANCE & TEMPLATE FOR CARRYING OUT EQUALITY ANALYSIS (EA) EQUALITY ANAYLIS (EA) In order to meet the requirements of this duty the Trust will use the equality analysis which has been developed to be

More information

Rachael Shimmin, Corporate Director of Adults, Wellbeing and Health. Councillor Morris Nicholls, Portfolio Holder for Adult Services

Rachael Shimmin, Corporate Director of Adults, Wellbeing and Health. Councillor Morris Nicholls, Portfolio Holder for Adult Services Cabinet 24 July 2012 Local HealthWatch Transition Plan including NHS Complaints Advocacy Service [Key Decision AWH 03/12] Report of Corporate Management Team Rachael Shimmin, Corporate Director of Adults,

More information

Initial Equality Impact Assessment

Initial Equality Impact Assessment Initial Equality Impact Assessment Department Service Area Date Primary Alternative Provision Learning, Skills & Education, CCL October 2012 This Initial EqIA will help you to analyse equality in the context

More information

CONTRACTS REVIEW FOR INFORMATION GOVERNANCE COMPLIANCE PROCEDURE

CONTRACTS REVIEW FOR INFORMATION GOVERNANCE COMPLIANCE PROCEDURE This document is uncontrolled once printed. Please check on the CCG s Intranet site for the most up to date version CONTRACTS REVIEW FOR INFORMATION GOVERNANCE COMPLIANCE PROCEDURE Document Title: Contracts

More information

Policy Ref No: SABP/RISK/0034

Policy Ref No: SABP/RISK/0034 Policy Ref No: SABP/RISK/0034 NAME OF POLICY: Claims Handling Policy Clinical Negligence, Liabilities to Third Parties and Property Expenses Scheme Claims REASON FOR THE POLICY: WHAT THE POLICY WILL ACHIEVE:

More information

Colchester Borough Council. Equality Impact Assessment Form - An Analysis of the Effects on Equality. Section 1: Initial Equality Impact Assessment

Colchester Borough Council. Equality Impact Assessment Form - An Analysis of the Effects on Equality. Section 1: Initial Equality Impact Assessment Colchester Borough Council Equality Assessment Form - An Analysis of the Effects on Equality Section 1: Initial Equality Assessment Name of policy to be assessed: Internal Communications Strategy 2015

More information

Establish if the outline model discriminates against any of those groups based on the E&D protected characteristics Equality analysis

Establish if the outline model discriminates against any of those groups based on the E&D protected characteristics Equality analysis Service Redesign & / or staff restructure checklist Equality Analysis and HR Processes within the project plan. Project milestones EA process HR/ OD process Who? Develop PID/OBC PID/OBC must contain an

More information

Information Governance Policy

Information Governance Policy Author: Susan Hall, Information Governance Manager Owner: Fiona Jamieson, Assistant Director of Healthcare Governance Publisher: Compliance Unit Date of first issue: February 2005 Version: 5 Date of version

More information

Guidance on Leases and other Agreements V4.0

Guidance on Leases and other Agreements V4.0 Guidance on Leases and other Agreements V4.0 August 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities...

More information

Equality & Diversity Strategy

Equality & Diversity Strategy Equality & Diversity Strategy April 2014 - March 2017 1 Contents Foreword 1. Introduction. 2. Organisational context. 3. Communities we serve. 4. The Equality Delivery System. 5. Our Equality Objectives.

More information

INFORMATION GOVERNANCE STRATEGY

INFORMATION GOVERNANCE STRATEGY INFORMATION GOVERNANCE STRATEGY Page 1 of 10 Strategy Owner Valerie Penn, Head of Governance Strategy Author Caroline Law, Information Governance Project Manager Directorate Corporate Governance Ratifying

More information

CLINICAL GUIDELINE FOR CHANGING A CATHETER EXIT SITE DRESSING (I.E. MIDLINE/ CVC/ PICC/ HICKMAN) Summary. Start

CLINICAL GUIDELINE FOR CHANGING A CATHETER EXIT SITE DRESSING (I.E. MIDLINE/ CVC/ PICC/ HICKMAN) Summary. Start CLINICAL GUIDELINE FOR CHANGING A CATHETER EXIT SITE DRESSING (I.E. MIDLINE/ CVC/ PICC/ HICKMAN) Summary. Start 1. Assemble all your equipment before you start. 2. Explain and discuss the procedure with

More information

TRUST BOARD TB(16) 85. Medical Appraisal and Revalidation: Annual Board Report 2015/16

TRUST BOARD TB(16) 85. Medical Appraisal and Revalidation: Annual Board Report 2015/16 TRUST BOARD TB(16) 85 Title: Action: Medical Appraisal and Revalidation: Annual Board Report 2015/16 FOR DECISION Meeting: 14 September 2016 Purpose: Medical Revalidation was launched by the General Medical

More information

Equality, Diversity and Inclusion Policy

Equality, Diversity and Inclusion Policy 1 Equality, Diversity and Inclusion Policy Owned By: Senior Management Issue Date: July 2015 This policy will be reviewed in six months 1 2 Equality, Diversity and Inclusion Policy Introduction ProCo NW

More information

Summary: Record all actions and contact on the Community Midwives Caseload Card for the woman

Summary: Record all actions and contact on the Community Midwives Caseload Card for the woman DID NOT ATTEND (DNA) OR BOOKED LATE FOR ANTENATAL CARE - CLINICAL GUIDELINE Summary: Record all actions and contact on the Community Midwives Caseload Card for the woman Woman has DNA an appointment Document

More information

Data Quality Policy SH NCP 2. Version: 5. Summary:

Data Quality Policy SH NCP 2. Version: 5. Summary: SH NCP 2 Summary: Keywords (minimum of 5): (To assist policy search engine) Target Audience: The Trust provides a framework to ensure all data that is recorded by the Trust is accurate and complies to

More information

Equality Policy. 1. Introduction

Equality Policy. 1. Introduction Equality Policy 1. Introduction Parkside Middle School is an average-sized middle deemed secondary school with 516 pupils on roll in Years 5, 6, 7 and 8. Most pupils are from White British backgrounds

More information

INCIDENT MANAGEMENT POLICY

INCIDENT MANAGEMENT POLICY INCIDENT MANAGEMENT POLICY Version 3.0 Ratified By Date Ratified 10 December 2014 Board Paula Wedd, Head of Quality and Safeguarding Author(s) Pam Hughes Head of Business Solutions Cheshire and Merseyside

More information

Colchester Borough Council. Equality Impact Assessment Form - An Analysis of the Effects on Equality. Section 1: Initial Equality Impact Assessment

Colchester Borough Council. Equality Impact Assessment Form - An Analysis of the Effects on Equality. Section 1: Initial Equality Impact Assessment Colchester Borough Council Equality Assessment Form - An Analysis of the Effects on Equality Section 1: Initial Equality Assessment Name of policy to be assessed: Major Preliminary Enquiries and Planning

More information

JOB DESCRIPTION. Information Governance Manager

JOB DESCRIPTION. Information Governance Manager JOB DESCRIPTION POST TITLE: Information Governance Manager DIRECTORATE: ACCOUNTABLE TO: BAND: LOCATION: CSS Head of Information Governance 8a CSS Job Purpose The Information Governance Manager will ensure

More information

Equality & Diversity Awareness Induction. People Centred Positive Compassion Excellence

Equality & Diversity Awareness Induction. People Centred Positive Compassion Excellence Equality & Diversity Awareness Induction Why is it important? Equality To live in a fair, just and integrated society, where diversity is valued and all can participate to fulfil their potential. Everyone

More information

CCG CO11 Moving and Handling Policy

CCG CO11 Moving and Handling Policy Corporate CCG CO11 Moving and Handling Policy Version Number Date Issued Review Date V2 06/11/2015 01/10/2017 Prepared By: Consultation Process: Formally Approved: 05/11/2015 Governance Manager, North

More information

Adoption Record Keeping Protocol

Adoption Record Keeping Protocol Adoption Record Keeping Protocol Reference No: Version: 3 Ratified by: P_CS_15 LCHS Trust Board Date ratified: 24 th February 2015 Name of originator/author: Name of responsible committee/individual: Jean

More information

2.1. Applicable areas: Royal Cornwall Hospitals Trust; Neonatal Unit and Delivery Suite

2.1. Applicable areas: Royal Cornwall Hospitals Trust; Neonatal Unit and Delivery Suite ADVANCED NEONATAL NURSE PRACTITIONERS (ANNPs) BLOOD COMPONENT AND BLOOD PRODUCT REQUESTING PROTOCOL NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1 The purpose of this protocol is to guide

More information

Equality Impact Assessment

Equality Impact Assessment Equality Impact Assessment The Council is required to have due regard to the need to: eliminate unlawful discrimination, harassment and victimisation and other conduct that is prohibited by the Act advance

More information

1.2 Officer(s) and section or service responsible for completing the assessment Richard Williams, Head of ICT Services

1.2 Officer(s) and section or service responsible for completing the assessment Richard Williams, Head of ICT Services Equality Impact Assessment Form APPENDIX B Revised September 2010 (Equality target groups are those which cover the 9 protected characteristics under the Equality act 2010: age, disability, gender reassignment,

More information

Equality Impact and Needs Assessment (EINA) Adult and Culture Services

Equality Impact and Needs Assessment (EINA) Adult and Culture Services Equality Impact and Needs Assessment (EINA) Proposal Operations Care Management Budget proposals Date of assessment October 2011 Officer responsible for EINA Assessment Team Cathy Bull C Bull, A McDowell,

More information

Controlled document This document is uncontrolled when downloaded or printed. Joint Consultative Committee

Controlled document This document is uncontrolled when downloaded or printed. Joint Consultative Committee RETIREMENT POLICY Controlled document This document is uncontrolled when downloaded or printed. Reference number Version 9 Author WHHT:

More information

GUIDANCE ON SECTION 5(2) AND SECTION 5(4) OF THE MENTAL HEALTH ACT 1983 ~ HOLDING POWERS ~

GUIDANCE ON SECTION 5(2) AND SECTION 5(4) OF THE MENTAL HEALTH ACT 1983 ~ HOLDING POWERS ~ GUIDANCE ON SECTION 5(2) AND SECTION 5(4) OF THE MENTAL HEALTH ACT 1983 ~ HOLDING POWERS ~ Version 1.0 Ratified by Mental Health Law Governance Group Date ratified 10/09/2012 Name of originator/author

More information

Version Number Date Issued Review Date V1 25/01/2013 25/01/2013 25/01/2014. NHS North of Tyne Information Governance Manager Consultation

Version Number Date Issued Review Date V1 25/01/2013 25/01/2013 25/01/2014. NHS North of Tyne Information Governance Manager Consultation Northumberland, Newcastle North and East, Newcastle West, Gateshead, South Tyneside, Sunderland, North Durham, Durham Dales, Easington and Sedgefield, Darlington, Hartlepool and Stockton on Tees and South

More information

LEARNING DISABILITIES POLICY v1.0

LEARNING DISABILITIES POLICY v1.0 LEARNING DISABILITIES POLICY v1.0 Policy Statement: This policy will ensure that the services provided by the Trust are equally and easily accessible to the diverse communities it serves. Key Points This

More information

Policy for the Management of People with Dual Diagnosis. Document Title NTW(C)44. Reference Number. Executive Director of Nursing and Operations

Policy for the Management of People with Dual Diagnosis. Document Title NTW(C)44. Reference Number. Executive Director of Nursing and Operations Document Title Policy for the Management of People with Dual Diagnosis Reference Number Lead Officer Author(s) (Name and Designation) Ratified by Executive Director of Nursing and Operations David Crawford

More information

Protocol and Procedure for Accessing External Legal Advice

Protocol and Procedure for Accessing External Legal Advice Protocol and Procedure for Accessing External Legal Advice Reference No: Version: Ratified by: P_CoG_06 Two LCHS Trust Board Date ratified: 29 th July 2014 Name of originator/author: Name of approving

More information

Document control policy including policy and guidance template

Document control policy including policy and guidance template Document level: Trustwide (TW) Code: GP1 Issue number: 8 Document control policy including policy and guidance template Lead executive Authors details Type of Target audience Document purpose Medical Director-

More information

Initial Equality Impact Assessment

Initial Equality Impact Assessment Initial Equality Impact Assessment Department Service Area Date Adult and Children s Services Adults and Transitions 15 th December 2011 This Initial EqIA will help you to analyse equality in the context

More information

Irshad Maudarbacus, Russell Wright, Tina Rajakanu, Shahieda Sujee, Ramdoo Logh, Richard Ilsley

Irshad Maudarbacus, Russell Wright, Tina Rajakanu, Shahieda Sujee, Ramdoo Logh, Richard Ilsley POLICY REF NO.: SABP/RISK0021 NAME OF POLICY REASON FOR POLICY WHAT THE POLICY WILL ACHIEVE? WHO NEEDS TO KNOW ABOUT IT? Transporting People who use our services in private vehicles whilst on duty To provide

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Notifiable Diseases - under the Public Health (Infectious Diseases) Regulations January 2010

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Notifiable Diseases - under the Public Health (Infectious Diseases) Regulations January 2010 The Newcastle upon Tyne Hospitals NHS Foundation Trust tifiable Diseases - under the Public Health (Infectious Diseases) Regulations January 2010 Version.: 4.3 Effective From: 28 October 2015 Expiry Date:

More information

All CCG staff. This policy is due for review on the latest date shown above. After this date, policy and process documents may become invalid.

All CCG staff. This policy is due for review on the latest date shown above. After this date, policy and process documents may become invalid. Policy Type Information Governance Corporate Standing Operating Procedure Human Resources X Policy Name CCG IG03 Information Governance & Information Risk Policy Status Committee approved by Final Governance,

More information

02 QG Complaints and Compliments Policy

02 QG Complaints and Compliments Policy 02 QG Complaints and Compliments Policy Policy number: Version 3.6 Approved by Name of author/originator Owner (director) 02 QG Date of approval July 2014 Date of last review 03/07/13 Next due for review

More information

Scope: All employees. The principles apply to all workers, secondees, contractors, job applicants, customers and clients.

Scope: All employees. The principles apply to all workers, secondees, contractors, job applicants, customers and clients. Title: Equality and Diversity Policy Type: Policy Version: 2.1 Directorate : Workforce Aim: To develop and promote a culture where all individuals receive fair and equal treatment in all aspects of employment

More information

Diagnostic Testing Procedures for Ophthalmic Science

Diagnostic Testing Procedures for Ophthalmic Science V3.0 09/06/15 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 3 5.2. Role of the Managers... 3 5.3.

More information

Grievance and Disputes Policy and Procedure. Document Title. Date Issued/Approved: 10 August 2010. Date Valid From: 21 December 2015

Grievance and Disputes Policy and Procedure. Document Title. Date Issued/Approved: 10 August 2010. Date Valid From: 21 December 2015 POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department

More information

Liverpool Hope University. Equality and Diversity Policy. Date approved: 14.04.2011 Revised (statutory. 18.02.2012 changes)

Liverpool Hope University. Equality and Diversity Policy. Date approved: 14.04.2011 Revised (statutory. 18.02.2012 changes) Liverpool Hope University Equality and Diversity Policy Approved by: University Council Date approved: 14.04.2011 Revised (statutory 18.02.2012 changes) Consistent with its Mission, Liverpool Hope strives

More information

Report on the Diversity Profile of Ofcom Colleagues

Report on the Diversity Profile of Ofcom Colleagues Report on the Diversity Profile of Ofcom Colleagues Publication date: June 2012 Contents Section Page 1 Foreword 10 2 Executive summary 11 3 Introduction 12 4 Scope 14 5 Colleague profile 16 6 Training

More information

3. Rapid Impact Assessment summary report

3. Rapid Impact Assessment summary report (Risk level will be added by EQIA steering group) 3. Rapid Impact Assessment summary report Each of the numbered sections below must be completed Interim report Final report x (Tick as appropriate) 1.

More information

Making the components of inpatient care fit

Making the components of inpatient care fit Making the components of inpatient care fit Named nurse roles and responsibillities booklet RDaSH Adult Mental Health Services Contents 1 Introduction 3 2 Admission 3 3 Risk Assessment / Risk Management

More information

Equality, Diversity and Human Rights

Equality, Diversity and Human Rights Equality, Diversity and Human Rights Why are we here? Raise awareness and engage volunteers Develop skills and competence All types of prejudice, abuse, harassment, victimisation direct and indirect discrimination

More information

EQUALITY ANALYSIS POLICY

EQUALITY ANALYSIS POLICY EQUALITY ANALYSIS POLICY This procedural document supersedes: CORP/EMP 27 v.2 Equality Analysis Policy Did you print this document yourself? The Trust discourages the retention of hard copies of policies

More information