Policies
All Trust policies are listed in the table below. For any policies containing forms, Word copies of the forms can be found in the table at the bottom of the page. If you have any questions regarding our policies, or would like to access one for which there is no electronic version below, please email policies
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Name of Policy |
Date Last Updated |
PDFs |
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Acupuncture Policy |
June 2012 |
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Additional Leave Scheme Application Form - There is also a word version in the forms section at the bottom of the page |
February 2013 |
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- Additional Leave (Salary Sacrifice) Scheme 2013/14: The Additional Leave (Salary Sacrifice) Scheme 2013/14 can also be found in the forms section at the bottom of the page |
February 2013 |
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- Additional Leave Scheme FAQs - The Additional Leave Scheme FAQs can also be found in the forms section at the bottom of the page |
January 2013 |
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Admission of 16 – 17 year old young people to an adult mental health ward |
December 2009 |
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Adoption Leave Policy |
24th March 2011 |
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Advance Statements / Advance Decisions to Refuse Treatment (Guidance on Responsibilities of Sheffield Care Trust Staff)
|
February 2008 |
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Adverse Weather or Other Emergency Conditions
|
4th November 2011 |
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- Adverse Weather Guidelines for Staff (v1) |
28th November 2011 |
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- Adverse Weather Trust Worksites |
28th November 2011 |
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Alcohol & Substance Misuse in the Workplace Policy |
November 2009 |
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Analysis and Improvement Policy |
March 2013 |
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Antibiotic Policy for Inpatient wards and departments |
June 2012 |
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Appraisal Policy for Medical Staff |
22nd November 2012 |
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Associate Specialist Discretionary Points Policy and Procedure |
March 2007 |
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Back Care and Manual Handling Policy |
March 2013 |
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Bed Management (Adult/ Inpatient areas) - There is not an electronic copy of this policy available yet |
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Being Open Policy |
March 2011 |
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Bullying and Harassment (Service Users) |
29th January 2009 |
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Bullying and Harassment Policy (Staff) |
September 2010 |
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- Bullying and Harassment Policy: Managers Guide |
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Capability Policy |
August 2012 |
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- Capability Policy - Improvement Plan Objectives Form - A word version of this form can be found in the forms section at the bottom of this page |
August 2012 |
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Care Programme Approach (CPA) - Standard Care Pathway |
October 2006 |
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Carer Leave Application |
July 2003 |
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Career Break Scheme Policy |
3rd November 2011 |
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CCTV Policy Statement |
March 2006 |
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Central Alert System (CAS) Policy |
20th January 2011 |
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Charitable funds handbook |
July 2010 |
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Childcare Strategy |
August 2004 |
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Claims Policy |
March 2013 |
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Clinical Disputes Policy (See attached Resolving Differences of Opinion Betwee Practitioners Guidance) |
3rd October 2006 |
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Clinical Audit Policy |
March 2011 |
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Clinical Excellence Awards Policy and Procedure |
April 2007 |
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Complaints Policy |
March 2013 |
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Confidentiality Code of Conduct |
30th April 2009 |
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Confidentiality Statement |
September 2003 |
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Copy Letter to Patients |
July 2005 |
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Coroner's Role |
30th August 2002 |
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COSHH - Control of Substances Hazardous to Health |
May 2004 |
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CRB Policy |
29th November 2011 |
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Decontamination and Disinfection Policy |
October 2010 |
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Delegation of Budgetary Authority |
March 2007 |
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Difficult to Engage Service Users |
13th May 2009 |
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Discharge Policy (Inpatient) |
March 2013 |
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Disciplinary Policy |
23rd June 2011 |
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Display Screen Equipment Policy |
June 2012 |
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Doctors Disciplinary Policy |
November 2012 |
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Domestic Abuse Policy |
15th January 2009 |
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Dress Code Policy |
March 2009 |
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Drowning and Scalding Policy |
September 2005 |
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Dual Diagnosis Policy |
March 2013 |
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Dying and Death Policy - Resource Centre |
June 2008 |
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Dysphagia Policy |
October 2006 |
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Education Training & Development Policy |
30th July 2009 |
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Electrical Policy |
July 1999 |
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E-mail Policy |
3rd February 2011 |
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Employment Checks Policy |
11th November 2010 |
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Environmental Energy Management and Efficiency Policy |
April 2003 |
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Equal Opportunities and Dignity at Work Policy |
11th November 2010 |
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Escort Policy |
17th March 2009 |
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Ethical Standards Policy |
November 2002 |
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Extension of Victims Rights Policy |
November 2009 |
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External Agency Visits Policy |
January 2013 |
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Falls Policy |
March 2013 |
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Fire Safety Policy |
May 2010 |
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Flexible Working Policy and Procedure |
30 August 2012 |
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Fraud Policy |
February 2007 |
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Grievance Policy |
October 2009 |
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Handing Over Control of a Ward, Department or Hostel |
June 2004 |
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Health and Safety Inspection Checklist - There is also a word version in the forms section at the bottom of the page |
November 2008 |
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Health and Safety Policy |
September 2011 |
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HIV/AIDS in Employment |
June 2003 |
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Incident Reporting and Investigation Policy - The Incident Report Form can be found in the forms section at the bottom of the page |
March 2013 |
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- Incident Reporting: Cause Groups Booklet |
January 2012 |
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Induction Policy |
23 August 2012 |
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Infection Control Policy |
March 2011 |
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Information Governance Policy |
3rd February 2011 |
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Information Quality Assurance Policy |
3rd February 2011 |
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Information Sharing Protocol (Mental Health Issues) |
January 2009 |
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- (Personal) Information Sharing between Health and Social Care Agencies in Sheffield - Joint Confidentiality Agreement |
April 2003 |
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Information Security Policy |
3rd February 2011 |
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Information Systems Security and Confidentiality - There is not an electronic copy of this policy available yet |
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Internet Acceptable Use Policy |
3rd February 2011 |
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Interpreting and Translation Policy |
9th April 2009 |
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- Requesting Information in a Different Language |
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Interpreting and Translation Guidance and Procedures |
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Investigation Policy |
March 2013 |
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Issue of Stamps |
November 2008 |
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Job Evaluation Procedure - There is not an electronic copy of this policy available yet |
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Job Description Dispute Resolution |
October 2005 |
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Job Share Scheme |
September 2005 |
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Joint Working (Mental Health and Learning Disability) |
December 2006 |
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KSF Gateway Policy |
30th July 2009 |
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Latex Sensitisation Policy |
June 2001 |
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Learning Disabilities (LDS) Medication Guidelines - There is not an electronic copy of these guidelines available yet |
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Leave for Patients (not under the Mental Health Act) - There is not an electronic copy of this policy available yet |
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Leave Policy |
7th March 2013 |
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Leave Document - Annual Leave Record (March 2013) |
March 2013 |
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Leave Document - Jury Service (March 2013) |
March 2013 |
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Leave Document - Special Circumstances (March 2013) |
March 2013 |
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Leaver Guidance |
6th July 2010 |
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Legal Advice Policy |
October 2011 |
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Legionella Policy |
June 2012 |
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Ligature Assessment |
December 2008 |
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Location Flexibility Allowance Policy |
December 2006 |
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Locked Door Policy |
January 2007 |
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Lone Worker Policy |
27th January 2009 |
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Major Outbreak Plan |
July 1999 |
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Management of Medicines Local Guidance JLDS |
12th June 2012 |
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- Appendix 1 JLDS Responsibilites / Duties of Staff Handling Medicines |
June 2012 |
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- Appendix 2 JLDS Medication Training Pathway Support Staff |
June 2012 |
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- Appendix 3 JLDS Local Guidelines for the Administration of Medication |
June 2012 |
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- Appendix 4 JLDS Medication Competency Assessment Tool |
June 2012 |
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- Appendix 5 JLDS Medication Competencies Tracker Forms and Action Plan |
June 2012 |
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- Appendix 6 JLDS Administration of Minor Ailments (Homely Remedies) |
June 2012 |
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- Appendix 7 JLDS Standard Operating Procedure Controlled Drugs Supported Living |
June 2012 |
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- Appendix 8 JLDS Standard Operating Procedure Controlled Drugs Residential |
June 2012 |
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- Appendix 9 JLDS Buccal Midazolam Guidance |
June 2012 |
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- Appendix 10 JLDS Medication Administration Autherisation |
June 2012 |
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- Appendix 11 JLDS Additional Monitoring Form for Checking Medication |
June 2012 |
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Management of Occupational Blood and Body Fluid Exposure Incidents and Administration of Post Exposure Prophylaxis |
March 2013 |
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- Blood and Body Fluid Exposure Incident Management Pack |
November 2011 |
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Managing Sickness Absence Policy |
August 2009 |
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Managers Guide to Sickness Absence Process |
August 2012 |
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Mandatory Training Policy |
20th January 2011 |
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Appendix 1 - Training Needs Analysis |
January 2011 |
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Appendix 2 - Implementation Plan |
January 2011 |
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Maternity Policy and Procedure |
March 2013 |
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Media Policy |
January 2006 |
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Medical Devices Policy |
November 2006 |
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Medicines Management Policy |
Marh 2013 |
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Mental Capacity Act - Deprivation of Liberty Safeguards Policy |
10th June 2009 |
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Mental Capacity Act - Guidance for the Implementation |
29th January 2009 |
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Mental Health Act - Allocation of Responsible Clinician |
7th May 2009 |
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Mental Health Act Section 17 - Authorisation of Leave Policy |
June 2012 |
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Mental Health Act Section 5(2) - Designation of Deputy Policy |
7th May 2009 |
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Mental Health Act Section 132 - Duty to Give Information |
11th December 2008 |
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Mental Health Act - Consent to Examination and Treatment Policy |
November 2008 |
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Mental Health Act - Electro Convulsive Therapy: Operational Policy and Procedures |
November 2008 |
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ECT Appendices |
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- ECT Booklet |
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- ECT Discharge Criteria Checklist |
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- ECT Equipment Checklist |
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- ECT Guidance Forms |
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- Information Leaflet for Patients Receiving Out-Patient ECT |
January 2006 |
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- Mini Mental State Examination |
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- Nursing Checklist for ECT Patients |
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- Patient Agreement to Electroconvulsive Therapy |
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- Post ECT Checklist |
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- Record Book |
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Mental Health Act Section 23 - Hospital Managers Review of Detention Policy |
30th October 2008 |
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Mental Health Act Section 135 & 136 - Place of Safety Policy |
November 2008 |
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Mental Health Act - Role of Second Professional in the Renewal of Detention Guidance |
30th October 2008 |
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Mental Health Act - Supervised Community Treatment/Community Treatment Orders Guidance |
October 2008 |
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Mental Health Act - Supervised Community Treatment/Community Treatment Orders Policy |
30th October 2008 |
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Missing Persons Policy |
18th December 2008 |
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Mobile Communication Devices Policy (including photographic devices) |
11th December 2008 |
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National Inquries Policy |
March 2011 |
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Network and Wireless Security Policy |
3rd February 2011 |
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NHS Numbers and Duplicate Records Procedure |
May 2011 |
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NHSLA Risk Management Standards for Mental Health and Learning Disability Trusts |
April 2008 |
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NICE Policy |
March 2011 |
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No Smoking Policy |
June 2008 |
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Observation of In Patients |
March 2013 |
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Organisational Change Policy |
20th January 2011 |
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Organising Patient/Client Holidays Guidelines |
February 2007 |
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Oxygen Policy |
6th May 2010 |
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Parental Leave Policy |
24th March 2011 |
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Paternity and Partner Leave Policy |
12th January 2012 |
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Patient Information Policy |
10 March 2011 |
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Pay for New Starters |
May 2005 |
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PC Replacement Policy |
April 2010 |
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Performance and Development Review |
July 2009 |
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Personal Files Management |
April 2011 |
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Personal Search Policy |
November 2006 |
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Physical Health Policy |
March 2013 |
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Policy on Policies |
March 2013 |
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- Policy on Policies - Record of Consultation - This is an appendix to the Policy on Policies. There is also a word version in the forms section at the bottom of the page |
February 2010 |
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Policy Template - There is also a word version in the forms section at the bottom of the page |
December 2008 |
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Preceptership Policy |
8th July 2010 |
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Prevention and Management of Violent Behaviour Policy |
March 2013 |
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Professional Registration Policy |
30th September 2010 |
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Protection of Pay and Conditions of Service |
August 2003 |
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Protection of Pay and Conditions of Service (New Policy) - This policy applies from the 1st of April 2013 |
November 2012 |
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Psychological Therapies - A Protocol For Using Electronic Notes For Dissemination |
May 2011 |
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Rapid Tranquilisation Policy |
March 2013 |
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Recognition Agreement with Trade Unions (Amended) |
January 2013 |
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- Schedule of Accredited Representatives by Constituency |
January 2013 |
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Records Management Policy |
February 2013 |
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- Records Management Code of Practice Part 1 (DoH) - This Code of Practice underpins the Policy |
30th March 2006 |
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- Records Management Code of Practice Part 2 (DoH) - This Code of Practice underpins the Policy |
January 2009 |
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- Trustwide Records Audit Tool - This is an appendix to the Records Management Policy |
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Recruitment and Selection Policy |
October 2009 |
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Recruitment and Selection Guidance |
February 2013 |
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Redeployment Register Policy |
20th January 2011 |
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Redundancy Policy |
16th September 2010 |
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Registration Authority (Smartcard) Policy |
3rd February 2011 |
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Relationships between Service Users and Staff Policy |
November 2009 |
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Relocation and its Alternatives Policy |
November 2004 |
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Remote Working and Mobile Devices Policy |
29th February 2008 |
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Resolving Differences of Opinions between Practitioners (Clinical Disputes) |
3rd October 2006 |
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Restraints Prevention and Management |
1st January 2009 |
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Resuscitation Policy |
March 2011 |
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Restraints and Support Appendix Policy - There is not an electronic copy of this policy available yet |
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Restraints Joint Learning Disabilities Services - There is not an electronic copy of this policy available yet |
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Retention, Disposal and Destruction of Care Records Policy |
February 2011 |
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- Records Management Code of Practice Part 1 (DoH) - This Code of Practice underpins the Policy |
20th March 2006 |
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- Records Management Code of Practice Part 2 (DoH) - This Code of Practice underpins the Policy |
January 2009 |
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Retirement Policy |
16th February 2012 |
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- Retirement Policy - Management Guidelines |
March 2012 |
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- Retirement Memo to Pensions - This Memo must be completed and sent to the Pensions Agency at Victoria Pay Services 4 months before the employee's retirement date |
October 2011 |
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- Pre-Retirement Course Details |
February 2012 |
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- Retirement Gift Buffet Procedure |
July 2012 |
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Right to Request Time Off for Unpaid Study or Training Policy |
5th August 2010 |
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Risk Management Strategy |
March 2013 |
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Safeguarding Adults Policy |
11th December 2008 |
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- Link to the South Yorkshire's Safeguarding Adults Policy and Procedures: |
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http://www.sheffield.gov.uk/caresupport/policy/abuse/adultabusepolicy |
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Safeguarding Children Policy |
26th November 2009 |
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- Link to the South Yorkshire Child Protection Procedures: |
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- Link to the Sheffield Safeguarding Children Protocols: |
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Salary Advances to Employees - Hardship Policy Statement |
October 2004 |
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Secluded Patient Management Policy |
November 2006 |
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Security Policy |
March 2013 |
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Self Administration of Medicines Local Policy |
10th December 2009 |
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Sexual Safety Standards (Issue 4) |
April 2011 |
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Sleep-In Policy |
November 2004 |
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Social Media Policy |
22nd November 2012 |
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Social Media - Do's and Don'ts |
November 2012 |
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Standing Orders, Reservation and Delegation of Powers and Standing Financial Instructions |
March 2009 |
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Statutory and Mandatory Training (Risk Management) |
January 2009 |
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Stress Management Policy |
June 2012 |
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Study Leave Policy |
30th July 2009 |
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Substance Misuse and Harmful Substances on In Patient Wards Policy |
December 2009 |
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Supervision Policy for Health and Social Care Staff - For word versions of the four supervision forms included in this policy, please see the forms section at the bottom of the page. |
November 2010 |
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Sustainable Development Policy |
October 2009 |
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Telephone Cost Reimbursement Guidelines |
November 2004 |
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Temporary Positions Within SHSC Policy |
August 2005 |
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Threshold Policy for Medical Staff |
September 2012 |
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Transfer Policy / Clinical Handover of Care Policy |
29th January 2009 |
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Transition from CAMHS to Adult Mental Health Service |
November 2006 |
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Transition Protocol (Adult to Older Adults) |
7th November 2006 |
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Transport Policy |
March 2009 |
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Travel Claims Procedure |
October 2005 |
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Treatment of Minor Ailments Policy |
November 2009 |
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Control of Tuberculosis in Sheffield Integrated Policy - There is not an electronic copy of this policy available yet |
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Treasury Management Policy |
April 2012 |
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Vacancy Planning and Analysis: Managers Guide - This policy can also be found in the forms section at the bottom of the page |
November 2007 |
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Vacancy Control Changes Template* * Post Details Change Forms which need to go to Vacancy Control Panel will require the completion of the Changes Template, which should be attached to each form in the following circumstances: - Contracts from temporary to permanent employment - Increase in working hours - Increase in grade where the employee has not been through a formal recruitment process |
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Vacancy Planning Form |
November 2011 |
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Vacancy Planning Chart |
June 2010 |
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Verification of Expected Death |
March 2005 |
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Visits by Children Policy |
November 2006 |
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Voluntary Reduction in Hours Scheme - This policy is also filed under the "Forms Section" at the bottom of the page along with the application form |
July 2012 |
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Volunteer Policy |
2nd February 2012 |
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Waste Management Policy |
27th November 2008 |
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Whistleblowing Policy and Procedure |
February 2013 |
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Work Equipment Management Policy |
November 2006 |
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Working Time Regulations Policy - This policy can also be found in the forms section at the bottom of the page |
June 2012 |
Forms to accompany policies
|
Additional Leave Scheme Application Form |
|
|
- Additional Leave (Salary Sacrifice) Scheme 2013/14 |
|
|
- Additional Leave Scheme FAQs |
|
|
Advanced Statement Form |
|
|
Appendix to Policy on Policies - Record of Consultation |
|
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ASD User Registration Form v1c |
|
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- ASD User Form Guidance SHSC v1c |
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Authorised Signatory Limits Form v2 |
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- Authorised Signatory Limits Guidance 2.4 |
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Capability Policy - Improvement Plan Objectives Form |
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Development and Consultation Process |
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Equality Impact Assessment Form |
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Eyesight Test Request Form |
|
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Health and Safety Inspection Checklist Revised November 2008 |
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Human Rights Act Assessment Checklist |
|
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Incident Report Form |
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Policy Template |
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Risk Assessment Form |
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Supervision Policy Forms:- |
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Clinical/Professional Supervision Contract Guidelines |
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External Clinical/Practice and/or Professional Supervision Contract |
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Managers Supervision Record |
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Record of Clinical/Professional Supervision |
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Vacancy Control Changes Template |
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Vacancy Planning Form |
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- Vacancy Planning and Analysis: Managers Guide |
|
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Voluntary Reduction in Hours Scheme Application Form |
|
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- Voluntary Reduction in Hours Scheme |
|
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WTR Opt Out Form |
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WTR Worker Assessment |
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- Working Time Regulations Policy |
This page was last updated on 9th May 2013
