3. Rapid Impact Assessment summary report
|
|
- Aubrey McCoy
- 5 years ago
- Views:
Transcription
1 Audit Risk Level: Medium (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. Title of plan, policy or strategy being assessed. Pre-operative assessment for breast surgical patients. 2. What will change as a result of this proposal? Currently all patients attending for surgery under general anaesthetic in breast theatres are preassessed in clinic by staff nurses using standard LUHT documentation. Preassessment is time-consuming and puts pressure on the service. Approximately 40% of patients having breast surgery are aged 55 or under and have no significant health issues (anaesthetic categories ASA 1 or 2), and are having minor to intermediate surgery. A new pre-operative assessment document has been developed for this group in compliance with NICE guidelines and LUHT recommendations which has be designed to streamline the process while eliciting all necessary clinical information. The main impact on patients is that they are requested to complete part of the document themselves before proceeding to a short clinical assessment with a nurse. Patients are shown into a quiet area for a short explanation and are given the opportunity to ask questions. They are then asked to fill in the patient questionnaire part of the document, with assistance if necessary. Any further questions arising are dealt with when the clinic nurse returns to complete the assessment process. It is anticipated that in due course patients who qualify for the shortened process will be assessed at the appointment when they are given the date for surgery thus avoiding a return visit for a separate pre-assessment appointment. The document is the result of collaboration between nursing, surgical and anaesthetic colleagues, and patient feedback has been taken into consideration. The document is currently being trialled and is being evaluated on an ongoing basis by the anaesthetic team. 3. Briefly describe public involvement in this proposal Patient feedback was sought during a short pilot and indicates a high level of acceptability. Some modifications have been made to the document and to the process as a result of the feedback. 4. Date of RIA 15 th April
2 5. Who was present at the RIA? Identify facilitator and any partnership representative present Name Job Title Date of RIA training Christine Wallis Programme April 2012 leader, sexual health (Facilitator) Laura Morrice Surgical nurse practitioner Laura Maguire Staff nurse Matt Royds Consultant anaesthetist Clair Baldie Consultant anaesthetist Alan Fisher Clinical effectiveness facilitator May Evidence available at the time of the RIA Evidence Available? Comments: what does the evidence tell you? Data on populations in need Yes Over-assessment in clinics not best use of staff time; inconvenient and timeconsuming for younger, healthier patients. Data on service Yes Inclusion criteria to guide patient selection. uptake/access Data on quality/outcomes Yes Ongoing assessment by anaesthetists indicates acceptability in terms of admission on day of surgery. Research/literature evidence Variations from standard LUHT pre-op assessment document currently in use throughout different areas of LUHT Patient experience information Yes Feedback sought from patients during initial pilot Consultation and involvement findings Yes Pilot versions of document amended according to patient feedback Good practice guidelines Yes NICE guidelines and LUHT recommendations complied with Other (please specify) 2
3 7. Population groups considered Older people, children and young people Women, men and transgender people (include issues relating to pregnancy and maternity) Disabled people (includes physical disability, learning disability, sensory impairment, long term medical conditions, mental health problems) Minority ethnic people (includes Gypsy/Travellers, non-english speakers) Potential differential impacts Patients >55 outwith inclusion criteria therefore older people unaffected. Children treated at RHSC therefore not affected. Younger patients (16-25) will tend to fall within inclusion criteria thus stand to benefit from streamlined process. No gender bias in the patient questionnaire. The pre-assessment process begins with the nurse introducing herself and going over the form and explaining what is required. A general offer of help with filling in the form is made. Patients with additional needs will be offered assistance as appropriate. Patients attending with interpreter would be given assistance with form by interpreter. Telephone interpretation services are available. If necessary a return appointment for pre-assessment will be arranged with an interpreter present as for the current standard process. Patients are not required to state ethnicity. This information is held on Trak. Refugees & asylum seekers People with different religions or beliefs Lesbian, gay, bisexual and heterosexual people As for minority groups Patients are asked to state their religion. The main implications or surgery are for Jehovah s Witnesses who do not wish to receive blood products. It is essential to identify this group with respect to obtaining informed consent and for planning surgical and anaesthetic management. Questions are neutral. People who are unmarried, married or in a civil partnership Questions are neutral. 3
4 People living in poverty / people of low income Homeless people People involved in the criminal justice system People with low literacy/numeracy People in remote, rural and/or island locations Literacy can be low in this group and patients will be offered help as appropriate see below. A generic offer of help is made at the beginning of the process and a nurse will support patients as appropriate with filling in the form. Carers (including parents, especially lone parents; and elderly carers) Staff (including people with different work patterns e.g. part/full time, short term, job share, seasonal) Carers may be involved in helping patients to fill in the form. They may themselves be affected by any of the factors which affect patients such as poor literacy. Patient accompanied by carer will be offered the same support by clinic nurse as patient attending alone. All grades & disciplines of staff involved in preassessment and admission on day of surgery need to be familiar with new document and process. OTHERS (PLEASE ADD): 8. What positive impacts were identified and which groups will they affect? Impacts Affected populations Patients fulfilling inclusion criteria spend less time in clinic Patients and in most cases should be able to be preassessed Carers without having to make a return visit to clinic for a separate appointment. This will be particularly beneficial for people with work or domestic commitments, people on a low income, those living in remote or rural locations and for carers who may have other demands on their time. Feedback indicates that patients are generally positive about the new documentation which it is hoped will engender a feeling of inclusiveness in patients own care planning. Regular consultation with the staff groups involved in preassessment and the planning and delivery of care has resulted in the development and refinement of a document Anaesthetic team Preassessment nurses Ward nurses 4
5 which is simple to use, clear to interpret and identifies all pertinent issues. There is a resulting service improvement in terms of significant saving of time in clinics without adversely affecting care delivery on the day of surgery. 9. What negative impacts were identified and which groups will they affect? Impacts Affected populations Patients are requested to fill in the form themselves. Patients with poor literacy Those with poor literacy skills may feel embarrassed or skills wish to conceal difficulties. The form is in English. Interpretation services are available to all patients as appropriate, but a return visit may be necessary if the patient wishes to have an interpreter present. These individuals are more likely to require full support to complete the form and may need a return appointment if there is pressure of time on staff. Non-English speakers, limited English proficiency. Disabled people 10. What communications needs were identified? How will they be addressed? People in the groups identified above may require assistance to fill in the form. Patients are seen in a quiet, private area to encourage them to express communication needs and a general offer of help with the form is made as part of routine explanation. Assistance is provided as required based on the patient s wishes and the judgement of the preassessment nurse. It should be possible to provide a list of common medical terms in translation for non- English speakers to assist with complete ting the form. This would be particularly beneficial for patients who normally communicate well in English but who find it more difficult if they feel stressed, or who do not know the English for medical terms. It is proposed that the most frequently requested interpretation services are identified to assess demand. 11. Additional Information and Evidence Required All staff groups concerned have been consulted with in the preparation of the document. It has now been extensively trialled and modified in response to feedback from patients, preassessment staff, ward nurses and the anaesthetic team, and is now in what should be the final version. Assessment is ongoing and communication has been kept open with all staff groups for further feedback. 5
6 12. Recommendations A further patient satisfaction survey following the introduction of the final version of the preassessment questionnaire should be carried out to confirm patient acceptability. Consider provision of medical terms in other languages. 13. Specific to this RIA only, what actions have been, or will be, undertaken and by when? Please complete: Specific actions (as a result of the RIA) Who will take them forward (name and contact details) Deadline for progressing Review date Assess use of translation services in breast clinic. Laura Morrice September How will you monitor how this policy, plan or strategy affects different groups, including people with protected characteristics? The working group will meet again at the beginning of June 2013 to review the project and assess whether any significant issues have arisen or any minor modifications are required. If indicated a date will be set for further review. Manager s Name: Laura Morrice Date: 30 th April 2013 Please send a completed copy of the summary report to: James Glover, Head of Equality and Diversity James.Glover@nhslothian.scot.nhs.uk Note that you will be contacted by a member of NHS Lothian s impact assessment group for quality control and/or monitoring purposes. 6
Summary Report Template
Section 4 Integrated Impact Assessment Summary Report Template Audit Risk level (Risk level will be added by Equalities Officer) Each of the numbered sections below must be completed Interim report Final
More informationProtocol on the Production of Information for Patients (Information provided to patients by NHS Shetland)
Protocol on the Production of Information for Patients (Information provided to patients by NHS Shetland) Document history Version Control Date Version No: 1 Implementation Date November 2010 Next Formal
More informationClinical Guideline for Post-Operative Nausea and Vomiting 1. Aim/Purpose of this Guideline
Clinical Guideline for Post-Operative Nausea and Vomiting 1. Aim/Purpose of this Guideline 1.1. The purpose of this guideline is to provide anaesthetists with an algorithm to work with when dealing with
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Patients Wills Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Version No: 5.0 Effective From: 7 September 2017 Expiry Date: 31 August 2018 Date Ratified: 30 August 2017 Ratified By: Executive Team 1 Introduction
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Procedure for Monitoring of Delayed Transfers of Care
The Newcastle upon Tyne Hospitals NHS Foundation Trust Procedure for Monitoring of Delayed Transfers of Care Version No.: 2.2 Effective From: 17 March 2015 Expiry Date: 17 March 2018 Date Ratified: 25
More informationyour hospitals, your health, our priority
Policy Name: Policy Reference: SAFEGUARDING VULNERABLE ADULTS POLICY Recognition, Reporting and Investigation of the Abuse of Vulnerable Adults TW10/032 Version number : 4 Date this version approved: AUGUST
More informationNew Clinical Interventional Procedures Policy
New Clinical Interventional Procedures Policy Policy Title: Executive Summary: New Clinical Interventional Procedures Policy This document sets out East Cheshire NHS Trust s policy to ensure compliance
More informationyour hospitals, your health, our priority CATHETERISATION Urethral/ supra-pubic POLICY NAME: VERSION NUMBER : 1 PROFESSIONAL ADVISORY BOARD (PAB)
POLICY NAME: POLICY REFERENCE: CATHETERISATION Urethral/ supra-pubic TW12/016 VERSION NUMBER : 1 APPROVING COMMITTEE: PROFESSIONAL ADVISORY BOARD (PAB) DATE THIS VERSION APPROVED: RATIFYING COMMITTEE:
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services Equality Impact Assessment is a legal requirement and may be used as evidence for cases referred for further
More informationCLINICAL GUIDELINE FOR REFERRAL TO PAIN SERVICE 1. Aim/Purpose of this Guideline
CLINICAL GUIDELINE FOR REFERRAL TO PAIN SERVICE 1. Aim/Purpose of this Guideline To provide guidance for appropriate referral to the acute pain service for in-patient review. 2. The Guidance PAIN SERVICES
More informationPerson/persons conducting this assessment with Contact Details Marilyn Rees Lead VTE Nurse ext 48729
Appendix 2 - Equality Impact Assessment - Thromboprophylaxis Policy for Adult In-Patients Section A: Assessment Name of Policy Thromboprophylaxis Policy for Adult In-Patients Person/persons conducting
More informationEquality Impact: Screening and Assessment Form
Equality Impact: Screening and Assessment Form Section 1: Policy details - policy is shorthand for any activity of the organisation and could include strategies, criteria, provisions, functions, practices
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Access to Drugs Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Access to Drugs Policy Version No.: 3.0 Effective From: 25 January 2016 Expiry Date: 25 January 2019 Date Ratified: 4 November 2015 Ratified By: Medicines
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Strong Potassium Solutions Safe Handling and Storage
The Newcastle upon Tyne Hospitals NHS Foundation Trust Strong Potassium Solutions Safe Handling and Storage Version : 5.3 Effective From: 19 January 2016 Expiry Date: 19 January 2019 Date Ratified: 14
More informationDevelopment Lead, Trained Assessor Mrs Janice Walker. assessment: Staff Representative, Staff Member Miss Marie Fleming
Appendix 1. EQUALITY & DIVERSITY IMPACT ASSESSMENT When completed, a copy of this EQIA form should be emailed to liesje@nhs.net Name of Policy/Strategy Food Hygiene Policy Name of Division Operations Catering
More informationPositive and Safe Management of Post incident Support and Debrief. Ron Weddle Deputy Director, Positive and Safe Care
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Positive and Safe Management of Post incident Support and Debrief NTW(C)13 Ron Weddle Deputy Director, Positive
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Code of Practice for Wound Care Company Representatives and Staff with whom they interact
The Newcastle upon Tyne Hospitals NHS Foundation Trust Code of Practice for Wound Care Company Representatives and Staff with whom they interact Version No.: 1.1 Effective From: 8 th January 2015 Expiry
More informationPatient Transport Service Patient Experience Report: Hinchingbrooke Health Care NHS Trust
Patient Transport Service Patient Experience Report: Hinchingbrooke Health Care NHS Trust Author: Tessa Medler, Patient Experience Facilitator Sophie Ogle-Rush, Patient Experience Facilitator Data Period:
More informationCLINICAL GUIDELINE FOR THE USE OF RECTUS SHEATH CATHETERS IN CHILDREN. 1. Aim/Purpose of this Guideline
CLINICAL GUIDELINE FOR THE USE OF RECTUS SHEATH CATHETERS IN CHILDREN. 1. Aim/Purpose of this Guideline 1.1. Guidelines for the use of rectus sheath catheters for the management of pain following laparotomy
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Patient Choice Directive Policy & Guidance
The Newcastle upon Tyne Hospitals NHS Foundation Trust Patient Choice Directive Policy & Guidance Version No.: 2.1 Effective From: 26 August 2014 Expiry Date: 26 August 2016 Date Ratified: 17 June 2014
More informationExecutive Director of Nursing and Chief Operating Officer
Document Title Arrangements for Managing Patients Mental and Physical Health Needs across NTW and the Acute Hospital Trusts Reference Number Lead Officer Author(s) (name and designation) Ratified by NTW(C)15
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust
The Newcastle upon Tyne Hospitals NHS Foundation Trust Advance Decision to Refuse Treatment Policy (Advanced Refusal of Treatment/ Previously known as Living Wills) Incorporating the Mental Capacity Act
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Medicines Reconciliation Policy and Procedure for Adult and Paediatric Patients
The Newcastle upon Tyne Hospitals NHS Foundation Trust Medicines Reconciliation Policy and Procedure for Adult and Paediatric Patients Version.: 2.0 Effective From: 15 March 2018 Expiry Date: 15 March
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services Equality Impact Assessment is a legal requirement and may be used as evidence for referred cases regarding legislative
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Safe and Effective Use of Bedrails
The Newcastle upon Tyne Hospitals NHS Foundation Trust Safe and Effective Use of Bedrails Version No.: 2.0 Effective From: 31 October 2017 Expiry Date: 31 October 2020 Date Ratified: 24 July 2017 Ratified
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Implementation Policy for NICE Guidelines
The Newcastle upon Tyne Hospitals NHS Foundation Trust Implementation Policy for NICE Guidelines Version No.: 5.3 Effective From: 08 May 2017 Expiry Date: 02 March 2019 Date Ratified: 23 February 2017
More informationDiagnostic Testing Procedures in Urodynamics V3.0
V3.0 09 01 18 Table of Contents Summary.... 1. Introduction... 3 1.1. Diagnostic testing information... 3 2. Purpose of this Policy/Procedure... 3 2.1. Approved Document Process... 3 3. Scope... 3 3.1.
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust
The Newcastle upon Tyne Hospitals NHS Foundation Trust Procedure for registration and supply of prophylaxis to the immediate household contacts of patients admitted with meningococcal disease Version.:
More informationEquality Impact Assessment Tool: Policy, Strategy and Plans (Please follow the EQIA guidance in completing this form)
1 Equality Impact Assessment Tool: Policy, Strategy and Plans (Please follow the EQIA guidance in completing this form) 1. Name of Strategy, Policy or Plan Renfrewshire Community Mental Health Team Operational
More informationSection 75 Equality Action Plan Draft for Consultation. Public Health Agency
Section 75 Equality Action Plan 2013 2018 Draft for Consultation Public Health Agency This document can be made available on request and where reasonably practicable in an alternative format, such as Easy
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Animals on Hospital Premises Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Animals on Hospital Premises Policy Version No. 6.0 Effective From: 16 March 2018 Expiry Date: 16 March 2021 Date Ratified: 06 March 2018 Ratified
More informationA list of authorised referrers will be retained by the Colposcopy team and the Clinical Imaging Department.
Clinical Guideline for Clinical Imaging Referral Protocol for Nurse Colposcopist within Colposcopy Dept. Royal Cornwall Hospital 1. Aim/Purpose of this Guideline 1.1 This protocol applies to Nurse Colposcopist
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services Equality Impact Assessment is a legal requirement and may be used as evidence for referred cases regarding legislative
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Introduction and Development of New Clinical Interventional Procedures
The Newcastle upon Tyne Hospitals NHS Foundation Trust Introduction and Development of New Clinical Interventional Procedures Version No.: 2.1 Effective From: 27 November 2017 Expiry Date: 7 January 2019
More informationHealth and Safety. Control of Substances Hazardous to Health v2.0
APPENDIX 2 Health and Safety Control of Substances Hazardous to Health v2.0 Policy Manager Ian D Scott Policy Group OHSAS Policy Established March 2010 Last Updated March 2012 Policy Review Period/Expiry
More informationCATERING STRATEGY. Approved by Shetland NHS Board: March Revised: August 2010
CATERING STRATEGY Approved by Shetland NHS Board: March 2007 Revised: August 2010 Review date: August 2013 Responsible Officer: Head of Estates SHETLAND NHS BOARD CATERING STRATEGY 1 Introduction This
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
overview bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published. To view
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services Equality Impact Assessment is a legal requirement and may be used as evidence for cases referred for further
More informationTrust Board Meeting in Public: Wednesday 18 January 2017 TB Equality, Diversity and Inclusion Progress Report
Trust Board Meeting in Public: Wednesday 18 January 2017 Title Equality, Diversity and Inclusion Progress Report Status History For noting Further to receipt of the Equality, Diversity and Inclusion, Annual
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services Equality Impact Assessment is a legal requirement and may be used as evidence for referred cases regarding legislative
More informationSAFEGUARDING CHILDEN POLICY. Policy Reference: Version: 1 Status: Approved
SAFEGUARDING CHILDEN POLICY Policy Reference: Version: 1 Status: Approved Type: Clinical Policy Policy applies to : All services within SCH Serco Policy applies to (staff groups): All SCH Serco staff Policy
More informationEquality, Good Relations and Human Rights Screening Template. Title: BCH Direct
Equality, Good Relations and Human Rights Screening Template Title: BCH Direct ***Completed Screening Templates are public documents and will be posted on the Trust s website*** See Guidance Notes for
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Named Key Worker for Cancer Patients Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Named Key Worker for Cancer Patients Policy Version No.: 4 Effective 07 December 2017 From: Expiry Date: 07 December 2020 Date Ratified: 17 October
More informationHEALTH & SAFETY. Management of Health & Safety Policy
NHS TAYSIDE HEALTH & SAFETY Management of Health & Safety Policy Author: Chief Executive Review Group: Strategic Risk/ Management Group Review Date: January 2014 Last Update: January 2013 Document : HS/03
More information1.3 Referrer: in the context of this protocol the term referrer refers to a health care worker who is authorised to refer individuals for X-rays.
Clinical Guideline for Clinical Imaging Referral Protocol for Nurse Endoscopist (Lower GI) within the Royal Cornwall Hospitals Trust 1. Aim/Purpose of this Guideline 1.1 This protocol applies to Nurse
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services
It is essential to follow the EQIA Guidance in completing this form NHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services Name of Current Service/Service Development/Service
More informationNMC programme of change for education Prescribing and standards for medicines management
NMC programme of change for education Prescribing and standards for medicines management This response form relates to our consultation on nurse and midwifery prescribing competency proposals, programme
More informationCLINICAL GUIDELINE FOR THE ASSESSMENT AND DOCUMENTATION OF PAIN (ADULTS)
CLINICAL GUIDELINE FOR THE ASSESSMENT AND DOCUMENTATION OF PAIN (ADULTS) 1. Aim/Purpose of this Guideline 1.1. Pain is whatever the experiencing person says it is, existing whenever the experiencing person
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services Equality Impact Assessment is a legal requirement and may be used as evidence for referred cases regarding legislative
More informationPolicy for the authorising of blood components by the Haematology Clinical Nurse Specialist V1.0
Policy for the authorising of blood components by the Haematology Clinical Nurse Specialist V1.0 January 2016 Summary. This policy applies only to selected staff within the Haematology Department at the
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services Equality Impact Assessment is a legal requirement and may be used as evidence for referred cases regarding legislative
More informationPOLICY FOR THE IMPLEMENTATION OF SECTION 132 OF THE MENTAL HEALTH ACT (MHA) 1983 AS AMENDED BY THE MHA 2007:
POLICY FOR THE IMPLEMENTATION OF SECTION 132 OF THE MENTAL HEALTH ACT (MHA) 1983 AS AMENDED BY THE MHA 2007: PROVISION OF INFORMATION TO DETAINED PATIENTS Document Author Written By: Lead for Mental Health
More informationConsultation on proposals to introduce independent prescribing by paramedics across the United Kingdom
Patient and public summary for: Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom The full consultation document is available on the NHS England consultation
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services
It is essential to follow the EQIA Guidance in completing this form NHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services Name of Current Service/Service Development/Service
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Water Safety Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Water Safety Policy Version No.: 2.0 Effective From: 09 February 2018 Expiry Date: 09 February 2021 Date Ratified: 09 November 2017 Ratified By: Infection
More informationClinical Guideline for Clinical Imaging Referral Protocol for Upper & Lower GI Non medical Endoscopist within RCHT. 1. Aim/Purpose of this Guideline
Clinical Guideline for Clinical Imaging Referral Protocol for Upper & Lower GI Non medical Endoscopist. 1. Aim/Purpose of this Guideline 1.1 This protocol applies to upper & lower GI Non medical Endoscopist
More informationEquality Impact Assessment - Procurement of defibrillator / patient monitor for use in Accident & Emergency vehicles.
Equality Impact Assessment - Procurement of defibrillator / patient monitor for use in Accident & Emergency vehicles. Equality Impact Assessment is concerned with anticipating and identifying the equality
More informationCLINICAL GUIDELINE FOR THE MANAGEMENT OF SEPSIS IN ADULT PATIENTS 1. Aim/Purpose of this Guideline
CLINICAL GUIDELINE FOR THE MANAGEMENT OF SEPSIS IN ADULT PATIENTS 1. Aim/Purpose of this Guideline 1.1. This guideline aims to improve outcomes for patients presenting with sepsis or developing sepsis
More informationStandard Patient Experience Quarterly Report: Birmingham Community Healthcare Call Handling Service
Standard Patient Experience Quarterly Report: Birmingham Community Healthcare Call Handling Service Author: Laura Mann, Patient Experience Analyst Report Period: January to March 8 Date of Report: September
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Employment Policies and Procedures. Breastfeeding Supporting Staff Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Employment Policies and Procedures Breastfeeding Supporting Staff Policy Version No.: 2.1 Effective From: 20 June 2018 Expiry Date: 30 June 2020 Date
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Pre-Operative Marking
The Newcastle upon Tyne Hospitals NHS Foundation Trust Pre-Operative Marking Version.: 6.1 Effective From: 01 April 2015 Expiry Date: 01 April 2018 Date Ratified: 17 December 2014 Ratified By: Theatre
More informationThe Newcastle Upon Tyne Hospitals NHS Foundation Trust. Unlicensed Medicines Policy
The Newcastle Upon Tyne Hospitals NHS Foundation Trust Unlicensed Medicines Policy Version.: 2.4 Effective From: 13 October 2016 Expiry Date: 13 October 2018 Date Ratified: 12 October 2016 Ratified By:
More informationEquality Analysis. Halton and St Helens HSTH Equality Analysis Number (provided by the E&D Team)
Equality Analysis Division Service Name Equality Analysis Number (provided by the E&D Team) Directorate Service Lead Responsible for completion of Equality Analysis What is the aim of the service? What
More informationThe Newcastle Upon Tyne Hospitals NHS Foundation Trust. Use of Patients Own Drugs (PODs)
The Newcastle Upon Tyne Hospitals NHS Foundation Trust Use of Patients Own Drugs (PODs) Version.: 2.2 Effective From: 20 January 2016 Expiry Date: 20 January 2019 Date Ratified: 13 January 2016 Ratified
More informationClinical Guideline for Nurse-Led Indocyanine Green Angiography Summary.
Clinical Guideline for Nurse-Led Indocyanine Green Angiography Summary. Obtain brief medical history including allergies & renal function. Informed verbal consent gained and documented and procedure and
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services Equality Impact Assessment is a legal requirement and may be used as evidence for cases referred for further
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services It is essential to follow the EQIA Guidance in completing this form Name of Current Service/Service Development/Service
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Key Control Operational Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Key Control Operational Policy Version.: 1.0 Effective From: 18 January 2016 Expiry Date: 18 January 2019 Date Ratified: 22 December 2015 Ratified
More informationPARACETAMOL PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline
PARACETAMOL PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline 1.1. This Patient Group Direction (PGD) applies to all nursing and clinical staff in the Child Health Department and its
More information2.1. 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 informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Ventilation Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Ventilation Policy Version.: 1.0 Effective From: 15 January 2016 Expiry Date: 15 January 2019 Date Ratified: 22 December 2015 Ratified By: Estates
More informationConsultation on proposals to introduce independent prescribing by paramedics across the United Kingdom
Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom Reply Form (hard copy) This response form accompanies the main consultation document which is available
More informationSection 19 Mental Health Act 1983 Regulations as to the transfer of patients
Document level: Trustwide (TW) Code: MH9 Issue number: 4 Section 19 Mental Health Act 1983 Regulations as to the transfer of patients Lead executive Authors details Type of document Target audience Document
More informationCentral Alerting System (CAS) Policy
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified By Central Alerting System (CAS) Policy NTW(O)17 Gary O Hare Executive Director of Nursing and Operations Tony Gray
More informationARTS COUNCIL OF NORTHERN IRELAND MUSICAL INSTRUMENTS FOR BANDS SAMPLE APPLICATION FORM
ARTS COUNCIL OF NORTHERN IRELAND MUSICAL INSTRUMENTS FOR BANDS SAMPLE APPLICATION FORM Deadline for Applications: 4pm Thursday, 5 October 2017 Decisions: by 30 November 2017 PLEASE READ THE GUIDANCE NOTES
More informationPreceptorship for Newly Registered Nurses and Midwives Policy
Reference Number: UHB 374 Version Number: 1 Date of Next Review: 6 TH Dec 2020 Previous Trust/LHB Reference Number: T 354 Preceptorship for Newly Registered Nurses and Midwives Policy Policy Statement
More informationEquality & Rights Action Plan
Equality & Action Plan 2013-17 This document outlines the actions we will take to work towards our Equality & Outcomes. Outcomes not processes An outcome is an end result, for example having staff who
More informationGPs apply for inclusion in the NI PMPL and applications are reviewed against criteria specified in regulation.
Policy for the Removal of Doctors from the NI Primary Medical Performers List (NIPMPL) where they have not provided primary medical services in the HSCB area in the Preceding 24 Months Context GPs cannot
More informationCLINICAL GUIDELINE FOR CLINICAL IMAGING REFERRAL PROTOCOL FOR NURSE SPECIALISTS IN HEART FUNCTION WITHIN RCHT Summary. Start
CLINICAL GUIDELINE FOR CLINICAL IMAGING REFERRAL PROTOCOL FOR NURSE SPECIALISTS IN HEART FUNCTION WITHIN RCHT Summary. Start The non-medical practitioner has received sufficient training to make clinical
More informationCLINICAL GUIDELINE FOR USE OF BED AND CHAIR SENSOR ALARM MATS FOR PREVENTING FALLS IN ADULT PATIENTS
CLINICAL GUIDELINE FOR USE OF BED AND CHAIR SENSOR ALARM MATS FOR PREVENTING FALLS IN ADULT PATIENTS 1. Aim/Purpose of this Guideline This guideline is to support the use of bed and chair sensor alarm
More informationLoading Dose Worksheet for Oral Amiodarone
This applies to adult patients only Key: General Notes ED/MAU/SRU/Acute GP/Amb-Care GP/SWASFT In-patient wards Start Prescribe as per loading dose worksheet below End 1. Aim/Purpose of this Guideline 1.1.
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Protected Mealtime Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Protected Mealtime Policy Version No 3 Effective From 12 February 2018 Expiry date 12 February 2021 Date Ratified 01 November 2017 Ratified By Nutritional
More informationMental Health Social Work: Community Support. Summary
Adults and Safeguarding Commitee 8 th June 2015 Title Mental Health Social Work: Community Support Report of Dawn Wakeling Adults and Health Commissioning Director Wards All Status Public Enclosures Appendix
More informationMedicines Reconciliation Policy
Medicines Reconciliation Policy Lead executive Medical Director Authors details Senior Clinical Pharmacy Technician - 01244 39 7494 Document level: Trustwide (TW) Code: MP19 Issue number: 3 Type of document
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services
It is essential to follow the EQIA Guidance in completing this form Name of Current Service/Service Development/Service Redesign: Radiology Department at Glasgow Royal Infirmary NHS Greater Glasgow and
More informationNHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool for Frontline Patient Services Equality Impact Assessment is a legal requirement and may be used as evidence for cases referred for further
More informationAdministration of urinary catheter maintenance solution by a carer
Document level: Trustwide Code: CP71 Issue number: 1 Administration of urinary catheter maintenance solution by a carer Lead executive Director of Nursing Therapies Patient Partnership Authors details
More informationThe Newcastle upon Tyne NHS Hospitals Foundation Trust. Latex Operational Policy
The Newcastle upon Tyne NHS Hospitals Foundation Trust Version No.: 4.2 Effective From: 27 October 2015 Expiry Date: 27 October 2018 Date Ratified: 1 July 2015 Ratified By: Clinical Risk Group 1 Introduction
More informationCLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline
CLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline This guideline is for the management of for the management of Adult patients with Mellitus
More informationEquality Analysis ALW Name Job Title Telephone Number Address. Age. Race
Equality Analysis Division Service Name Equality Analysis Number (provided by the E&D Team) Directorate Service Lead Responsible for completion of Equality Analysis What is the aim of the service? What
More informationEquality Outcomes Update Report April 2016 March 2018
Equality Outcomes Update Report April 2016 March 2018 What Aberdeen Health and Social Care Partnership (HSCP) has achieved in the period April 2016 March 2018 to progress equality both in the services
More informationNMC programme of change for education Prescribing and standards for medicines management
NMC programme of change for education Prescribing and standards for medicines management This response form relates to our consultation on nurse and midwifery prescribing competency proposals, programme
More informationExecutive Director of Nursing and Operations Tony Gray Head of Safety and Patient Experience Craig Newby Patient Safety Officer
Document Title Reference Number Security Management Policy NTW(O)21 Lead Officer Author(s) (name and designation) Executive Director of Nursing and Operations Tony Gray Head of Safety and Patient Experience
More informationTrust Quality Impact Assessment (QIA) Policy
Trust Quality Assessment (QIA) Policy Version: 5.0 Ratified by: Date ratified: Name of originator/author: Name of responsible committee/individual: Date issued: 1 September 2016 Review date: 1 September
More informationDate ratified November Review Date November This Policy supersedes the following document which must now be destroyed:
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Cleaning Policy NTW(O)71 James Duncan Deputy Chief Executive / Executive Director of Finance Steve Blackburn Deputy
More informationEmployee health and wellbeing survey The organisation is committed to promoting positive health and wellbeing for all staff. To do this, we need to find out what issues are important to you. Completing
More informationSafeguarding Adults Policy
Safeguarding Adults Policy Ratified Status Quality and Patient Safety Committee V2 Issued November 2015 Approved By Consultation Equality Impact Assessment Quality and Patient Safety Committee Safeguarding
More informationEquality, Diversity and Inclusion. Annual Report
Equality, Diversity and Inclusion Annual Report April 2017 Contents Introduction 3 Compliance Equality Delivery System Objectives 2016-20 4 EDI Incidents and Complaints 5 Equality Impact Assessments 5
More informationNHS Equality Delivery System for Isle of Wight NHS Trust. Interim baseline assessment against the
Interim baseline assessment against the NHS Equality Delivery System for Isle of Wight NHS Trust The NHS Isle of Wight has adopted the NHS Equality Delivery System as the framework to achieve compliance
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Central Alert System (CAS) Policy and Procedure
The Newcastle upon Tyne Hospitals NHS Foundation Trust Central Alert System (CAS) Policy and Procedure Version No.: 4.1 Effective From: 6 August 2013 Expiry Date: 6 August 2016 Date Ratified: 2 August
More information