Policies

The Trust publishes all of its policies on this website.  The list of policies below are links that will open each individual document.

How do I find what I need to know?

Within each policy the index page is a set of hyperlinks that take you directly to the section you require.  In addition; you can click into any policy, right click anywhere in the document and open “find”, type in the word you want to look for and the search tool will take you to every place in the policy that word is mentioned.

The policies contain links that will take staff directly to the forms, leaflets and posters that you may need to deliver effective patient care.

Policies:

1. Clinical Care Policy

2. Medicines Management & Medical Devices Policy

   • 2a Medicines Management

   • 2b Medical Devices Policy

3. Human Resources and Workforce Development Policy Handbook

   • 3a Conduct & Capability Procedure for Medical Staff

   • 3b Code of Conduct for Private Practice by Medical Staff

4. Safety, Health, Environment, and Fire Policy

5. Risk, Quality, Escalation, Candour, and Governance

   • 5a Board Assurance and Escalation Framework

   • 5b Reporting and Management of Risk Policy (incidents, complaints and claims)

   • 5c Duty of Candour Policy

   • 5d Speaking up and Raising Concerns

   • 5e Counter Fraud, Anti-Bribery and Hospitality Policy

   • 5f Learning from deaths policy

   • 5g Clinical Audit Policy and Procedures

   • 5h NICE Policy and Procedures

6. Mental Health and Mental Capacity Policies

   • 6a Mental Health Act Policy

   • 6b Mental Capacity Act including DOLS Policy

7. Infection Control

   • 7a Infection Prevention and Control

   • 7b Hand Hygiene

   • 7c Outbreak of infection

   • 7d Methicillin MRSA

   • 7e Management of Clostridium difficile Infection

   • 7f Isolation

   • 7g Decontamination

   • 7h Surveillance of Alert Organismsand Dissemination of Information

   • 7i Safe Management of sharps and Avoidance of Occupational Exposure to BloodBorne Visuses

   • 7k Aseptic Non Touch Technique

   • 7l Scabies Management

   • 7m Transfer of Patient with Knownor Suspected Infection

   • 7n Correct Use of Personal Protective Equipment in the Healthcare Environment

   • 7o Animals in Healthcare Premises Guidance

8. Records and Information

   • 8a Records Lifecycle Management and Information Governance Policy

   • 8b Information Management and Security Policy

   • 8c ICT Systems Use Policy

   • 8d Lincolnshire Inter-Agency Information Sharing Protocol

9. Involving People Policy (formerly  known as Involving, Engaging and Consulting the Public, Patients, Carers, Staff, Volunteers and Stakeholders)

10. Trust Resilience Policy

11. Safeguarding Policy

12. Smoke Free Premises Policy

The Trust's corporate documents, strategies, reports and accounts, as well as a range of information leaflets and service operational protocols can be accessed via the left-hand navigation bar on this page or by clicking the links in this paragraph.

All of these documents are maintained in accordance with the procedure for corporate documents and policies.