FREEDOM OF INFORMATION ACT

Transcription

1 FOI REF: 17/ th January 2017 FREEDOM OF INFORMATION ACT I am responding to your request for information under the Freedom of Information Act. The answers to your specific questions are as follows: I would like to request a copy of your dress code and/or uniform policy for nurses. Please find attached a copy of East Sussex Healthcare NHS Trust Dress Code and Uniform Policy. If I can be of any further assistance, please do not hesitate to contact me. Should you be dissatisfied with the Trust s response to your request, please write to Lynette Wells, Director of Corporate Affairs, East Sussex Healthcare NHS Trust (lynette.wells2@nhs.net) quoting the above reference. Yours sincerely Jo Shoesmith Freedom of Information Manager

2 Version: V2.2 Ratified by: Policy Group Date ratified: September 2016 Name of author and title: Date Written: July 2016 Name of responsible committee/individual: Date issued: September 2016 Issue number: Review date: September 2019 Target audience: All staff Sara Songhurst Deputy Director of Nursing Sara Songhurst Deputy Director of Nursing CQC Fundamental Standard: Regulation 12 Safe Care Regulation 17 Good governance Compliance with any other external requirements (e.g. Information Governance): Associated Documents: Joint Community Rehabilitation Service Hand Hygiene Policy for Healthcare workers Disciplinary Procedure Policy & Procedure for Standard/Universal precaution for the prevention of Infection Overarching Policy for Infection Control- Main theatres EDGH, Conquest & Uckfield and Lewes Day Surgery Units. Equality, Diversity & Human Rights Policy. Did you print this yourself? Please be advised the Trust discourages retention of hard copies of the procedural document and can only guarantee that the procedural document on the Trust website is the most up to date version Page 1 of 28

3 Version number and issue number V Version Control Table Date Author Reason for Change November 2004 Uniform Sub- Committee Group V July 2008 Jane Hentley V August 2010 Chief Nurse V March 2011 Jane Hentley V1.0 January 2014 Christine Craven New document Review of policy required. Description of Changes Made Placed into new document template; addition of text to section V2 April 2016 Sara Songhurst Review of Policy All of it except Appendices V2.1 August 2016 Sara Songhurst Template review Workforce Group decision to replicate Western Hospital policy template V2.2 October 2016 Sara Songhurst Minor amendment Page 9 addition of Neck ties must be tucked away securely when undertaking clinical duties Page 19 addition of wording with white trim Section 6.1 and 6.2 addition of Any form of bags, this includes those containing personal belongings, should be removed before seeing patients within the clinical area and kept in a safe place (i.e. locker or locked room) Consultation Table This document has been developed in consultation with the groups and/or individuals in this table: Name of Individual or group Title Date Staff Side August 2016 Trust Infection Prevention July 2016 Group Heads of Nursing Senior Nurses July 2016 Workforce Group July 2016 Matron Matron Aug 2016 Page 2 of 28

4 This information may be made available in alternative languages and formats, such as large print, upon request. Please contact the document author to discuss. Table of Contents 1. Document Definition Purpose... 4 Rationale... 4 Principles Scope Equality Impact Statement Policy Details Introduction Diversity... 5 Appendix A - Due Regard, Equality & Human Rights Analysis Objective Responsibility Clothing and Uniform Staff who wear a uniform Staff NOT wearing uniform who work in a clinical area and/or role Staff working in a non-clinical environment and do NOT wear a uniform Study Days General Information regarding clothing and uniform Additional Theatre staff dress code Personal hygiene Protective clothing/shoes Laundering of Uniforms Integration Compliance with Code Agency staff Audit Monitoring and Assurance Relevant literature Appendix A- Due Regard, Equality & Human Rights Analysis Appendix B - Currently Approved Uniform Type for Staff Groups Appendix C Guidelines for Home Laundering (RCN 1999) Appendix D- NON-COMPLIANCE FEEDBACK Page 3 of 28

5 1. Document Definition 1.2 Purpose Rationale A uniform or dress code for those in uniform and not in uniform provides a means of easy identification and allows the wearer to project an image which will inspire public confidence in the trust. Principles This policy sets out the expectations of the Trust in relation to corporate dress code. The policy forms part of the terms and conditions of employment not just for those for whom a uniform is supplied. 1.3 Scope The guidelines set out in this document apply to all employees of East Sussex NHS Trust, and other workers including agency staff, contractors, work experience students and volunteers. Particular reference is made to individuals issued with uniforms and/or protective clothing. Some areas in the Trust, for example Theatres, Intensive Care, High Dependency Unit and Special Care Baby Unit wear specific clothing and as such Nurse Managers will be required to formulate a local uniform policy that supports this code. Any other exemptions must be discussed first with the Director of Nursing & Midwifery or her Deputy in her absence 1.4 Equality Impact Statement East Sussex Healthcare NHS Trust aims to design and implement services, policies and measures that meet the diverse needs of its service, population and workforce, ensuring that none are placed at a disadvantage over others. An Equality and Human Rights Assessment (EHRA) has been completed to identify Equality and Human Rights issues that impact on staff related to in this policy. 2. Policy Details 2.1 Introduction This document defines a dress code and minimum standards of appearance which are required by the Trust to portray a professional and corporate image to all, whether they are patients, visitors, clients or colleagues. The Trust also recognises that managers may need to adopt standards of dress code, which are specific to the department or area of work. Page 4 of 28

6 All employees and volunteers of East Sussex Healthcare NHS Trust are, at all times whilst performing their duties, in the public eye and therefore representatives of the Trust. 3. Diversity East Sussex Healthcare NHS Trust recognises diversity within the work place; however individuals should present a professional image whilst at work. No individual will be discriminated against in furtherance of this code, on the grounds of gender, ethnicity, religious beliefs, age or disability in line with the Respecting Individual Differences, The Management of Equality, and Diversity and Human Rights Policy. The sincere wearing of manifestation of religious belief through symbols, clothing or articles intrinsic to that belief is welcomed by the Trust. An individual s right to wear or manifest that symbol will only be restricted if there is a proper legal basis; if it is necessary (not just reasonable) and pursues one of the following aims; public safety, the protection of public order, health or morals; or the protections of the human rights and freedoms of others. Restricting the wearing or manifestation of a religious symbol or article will be decided between an individual and their line manager; and will only be permissible if there is a pressing and well-founded reason, considering the essential duties and functions of the individuals role. Any restrictions agreed should not be more that is absolutely needed (and could include the provision of alternative uniform items) and should be agreed at the earliest possible opportunity e.g. before a student placement begins. Turbans, kippot s, veils and headscarves are examples of possible manifestations of belief. The latter should be shoulder length and must be worn unadorned and secured neatly. Symbols and jewellery such as a crucifix are permissible provided that the guidelines above are adhered to. Clothing that is necessary to overcome substantial disadvantage linked with a disability (e.g. head covering to overcome an individual s embarrassment as a result of hair loss due to cancer treatment) will be agreed between the staff member and their line manager or another appropriate person to suit their individual need and the requirement s of their role at the earliest appropriate opportunity. If the line manager has any concerns about these adjustments, they must discuss these with the HR Department. Pregnant female members of staff will not be treated unfavourably through the operation of this policy. Allowances for maternity wear will be interpreted in line within this policy as far as reasonably possible. Page 5 of 28

7 Transgender/ gender fluid/ gender nonconforming staff will be allowed flexibility in the application of this policy to accommodate the process of transition from one gender role to another. Temporary redeployment related to appearance will be considered at the individual Trans staff member s request. Appendix A - Due Regard, Equality & Human Rights Analysis 4. Objective The overall objective is to ensure that through dress and personal appearance, employees/workers are able to maintain a professional image and inspire confidence as well as providing a safe, healthy and hygienic environment. This code sets a unified standard across the organisation, and will assist the patient, family, carer or the public to recognise the role an individual plays in the Trust. 5. Responsibility Managers are responsible for ensuring the code is adhered to in respect of themselves and the employees they manage. It is recognised that issues relating to clothing, personal hygiene and personal presentation may be sensitive. It is the responsibility of managers to counsel individuals in the first instance where the code is not upheld. All employees/workers have a duty to ensure that the provisions of this code are met. It is the responsibility of the employee/worker/volunteer to adhere to this policy. In cases where the policy is abused, or where counselling has been unsuccessful, an investigation will be instigated and disciplinary action may be considered in accordance with the Trust Disciplinary Procedure. 6. Clothing and Uniform 6.1 Staff who wear a uniform Colour and style of uniform will be specified in accordance with corporate and professional identity. See Appendix B Currently Approved Dress Code for Staff Groups Uniforms are not considered personal protective equipment (PPE). PPE is worn in addition to uniforms if contamination is anticipated. ITEM STANDARD Shoes and bags Low heeled, enclosed, covering the toes and heels and offering support to the feet no higher than 5 cm Black/navy blue Soles should be of a material that reduces noise e.g. rubber and non-slip Page 6 of 28

8 Specialist foot wear Shoes must be of wipeable material suitable to be decontaminated if splashed with blood or body fluids in line with the Trust decontamination policy Croc shoes or Trainers must not be worn in general wards, units and departments unless there is a medical reason that is supported by a letter from the Occupational Health Department (refer to section below for permitted areas) or required as part of the role e.g. Allied Health Any form of bags, this includes those containing personal belongings, should be removed before seeing patients within the clinical area and kept in a safe place (i.e. locker or locked room) Specialist footwear is permitted in certain areas i.e. Theatres, ICU, SCBU, Delivery Suite, Stores, Mortuary and A&E. If crocs are worn in these specialist areas, the top of the foot must be fully enclosed and back straps must be worn around the heel (i.e. not with holes) Specialist footwear must not be worn outside the hospital Nails Fingernails must be kept clean and short, without nail polish or decoration. False nails and nail extensions must not be worn. Hands Hands must not be written on (e.g. bleep numbers) Compliance with bare below the elbow Hair Hair must be neat, tidy, clean and well groomed. Hair longer than shoulder length must be secured away from the face and collar and must not be arranged in a way that falls forward when attending to patients Hair must be covered as appropriate in specific areas e.g. Theatres; hats must be latex free Hair to be within natural colour range ( no primary colours or purples) Tattoos As far as possible tattoos should be covered Tattoos considered offensive ( as agreed by the Director of Nursing /Chief Exec) must be covered at the individuals expense Staff planning to get a tattoo should give consideration to content and position e.g. not below the elbow Make-Up False eye lashes must not be worn Make up should be discrete Fragrances and colognes should not be excessive Jewellery One finger ring - yellow/white metal band (no stones) No wristwatches permitted No bracelets/bangles/decorative wristbands One pair of stud earrings (no stones and flesh holders should be removed) Only a clear retainer should be used for visible facial and body piercing except in the case of arm piercing where bare below the elbows will apply and should be removed entirely No neck chains visible (excluding SOS necklace) Page 7 of 28

9 Tights/ stockings/ socks Maternity Uniform Cardigans/ Jackets Trust Identification Plain, dark socks with trousers Tights must be worn at all times with uniform dress and must be of black or neutral colour. In the event of a heatwave bare legs may be worn Standard uniform will be supplied to all pregnant staff upon request. This applies only to staff who normally wear a uniform. The uniforms are to be returned laundered to the sewing room before taking maternity leave. Black or dark blue, but these must not be worn when delivering patient care Other colours may be worn if provided as part of the uniform Identification must be worn at all times for security reasons. A Lanyard is the East Sussex Healthcare Trust specific coloured ribbon with job role identifiable for front line staff with safety clasp that is worn around the neck and visible to all service users. Lanyards must be secured when providing care and undertaking clinical duties It is essential that staff remove ESHT lanyard/badge and any other attire that associates them with ESHT when off site unless required within your role e.g. domiciliary visits 6.2 Staff NOT wearing uniform who work in a clinical area and/or role This applies to all staff that will be required to see patients and/or visit the clinical areas as part of their daily duties. Employees who are not required to wear a uniform must ensure that clothing and appearance is in keeping with the corporate image, to protect both themselves from a Health and Safety perspective as well as the reputation of the Trust. ITEM STANDARD Shoes and bags Low heeled, enclosed, covering the toes and heels and offering support to the feet no higher than 5 cm Soles should be of a material that reduces noise e.g. rubber and nonslip Shoes must be of wipeable material suitable to be decontaminated if splashed with blood or body fluids in line with the Trust decontamination policy Croc shoes or Trainers must not be worn in general wards, units and departments unless there is a medical reason that is supported by a letter from the Occupational Health Department (refer to section below for permitted areas) or required as part of the role e.g. Allied Health Any form of bags, this includes those containing personal belongings, should be removed before seeing patients within the clinical area and kept in a safe place (i.e. locker or locked room) Page 8 of 28

10 Nails Fingernails must be kept clean and short, without nail polish or decoration. False nails and nail extensions must not be worn. Hands Hands must not be written on (e.g. bleep numbers) Compliance with bare below the elbow Hair Hair must be neat, tidy, clean and well groomed. Hair longer than shoulder length must be secured away from the face and collar and must not be arranged in a way that falls forward when attending to patients Hair must be covered as appropriate in specific areas e.g. Theatres; hats must be latex free Hair to be within natural colour range ( no primary colours or purples) Tattoos As far as possible tattoos should be covered Tattoos considered offensive ( as agreed by the Director of Nursing /Chief Exec) must be covered at the individuals expense Staff planning to get a tattoo should give consideration to content and position e.g. not below the elbow Make-Up False eye lashes must not be worn Make up should be discrete Fragrances and colognes should not be excessive Jewellery One ring - yellow/white metal band (no stones) No wristwatch permitted (where bare below the elbows apply) No bracelets/bangles One pair of stud earrings/nose stud (no stones and flesh holders should be removed) No visible neck chains (excluding SOS necklace) Only a clear retainer should be used for visible facial and body piercing except in the case of arm piercing where bare below the elbows will apply and should be removed entirely Clothing Casual wear including jeans, mini-skirts, cropped trousers, shorts, trainers, revealing clothing or clothing bearing inappropriate slogans are not acceptable and must not be worn Tailored shorts may be worn Neck ties must be tucked away securely when undertaking clinical duties Scarves may not be worn Trust Identification Tight weave cotton fabric as recommended Identification must be worn at all times for security reasons, and in accordance with the Patients charter A Lanyard is the East Sussex Healthcare Trust specific coloured ribbon with job role identifiable for front line staff with safety clasp that is worn around the neck and visible to all service users. Lanyards must be secured when undertaking clinical duties It is essential that staff remove ESHT lanyard/badge and any other attire that associates them with ESHT when off site unless required within your role e.g. domiciliary visits Page 9 of 28

11 6.3 Staff working in a non-clinical environment and do NOT wear a uniform This applies to non-clinical staff with no direct patient contact as part of their normal working day e.g. Trust management, medical records. It is an expectation that staff not required to wear uniform ensure that their clothing and appearance is in keeping with the corporate image. Employees who do not have direct patient contact should exercise care and discretion when wearing jewellery and accessories, with regard to Health and Safety at Work, and public image. Item Standard Shoes Should be appropriate to the environment and role Backless shoes and flip-flops are not appropriate and must not be worn unless medically approved Clothing Mini-skirts, shorts, jeans, revealing clothing or clothing bearing inappropriate slogans are not acceptable and must not be worn Neck ties and scarves should be removed when entering a clinical area Tailored shorts may be worn Thin straps on tops or tops that show you midriff are not appropriate and may not be worn Skirts should sit no more that 5cm above the knee. Maxi dresses are not permitted to prevent trips. Tattoos/ Tattoos should be covered as far as possible jewellery Tattoos considered offensive (as agreed by the Director of Nursing /Chief Exec) must be covered at the individuals expense Jewellery to be discrete Trust Identification Identification must be worn at all times for security reasons, and in accordance with the Patients charter A Lanyard is the East Sussex Healthcare Trust specific coloured ribbon with job role identifiable for front line staff with safety clasp that is worn around the neck and visible to all service users. It is essential that staff remove ESHT lanyard/badge and any other attire that associates them with ESHT when off site unless required within your role e.g. domiciliary visits Hands Hands must not be written on (e.g. bleep numbers) It is essential to comply with bare below the elbows when in clinical areas Page 10 of 28

12 6.4 Study Days It is acknowledged that many members of staff attend these in their own time; however, as representatives of the Trust there is an expectation that staff attending in-house and external study days will maintain a professional image. 6.5 General Information regarding clothing and uniform To minimise the risk of cross infection, clothing worn during direct patient contact should only be worn outside the workplace where employees are required to work off site, or when travelling directly to and from home. It is the employee/workers responsibility to ensure that patients and the general public are not put at risk of infection, through the wearing of uniforms in public places. Entering commercial premises in uniform/protective clothing is unacceptable. Uniforms issued to employees remain the property of East Sussex NHS Trust and should be returned upon leaving the Trust. Individuals should take reasonable steps to ensure that uniforms are presentable and in a good condition. Where uniform and/or protective clothing is issued, it should be worn as directed in all clinical areas. Uniforms provided by the Trust should not be worn when not working for the Trust i.e. as an agency locum member of staff. Decorative buckles/belts must not be worn when involved in direct patient contact. 6.6 Additional Theatre staff dress code When leaving the theatre environment /department all staff wearing theatre scrubs are required to remove hats and masks and wear a disposable full length overcoat, unless it is a clinical emergency. Fresh clean attire should be donned on return to theatre. Used theatre attire should not be stored in lockers for further use. Theatre attire must not be worn outside of the hospital environment. Theatre staff should wear well-fitted dedicated operating theatre footwear must be comfortable with non-slip anti-static properties and have enclosed toecaps. The footwear should be cleaned/decontaminated on a regular basis, particularly when visibly dirty or when contaminated with blood or body fluids. Each theatre suite manager should ensure that local procedures are in place for these procedures to take place. The use of over shoes is not permitted for infection control reasons. Within the operating theatre, hair must be entirely covered with a clean, disposable hat or head covering, which should be changed at least daily, or on leaving the theatre suite. Staff wearing a turban must have it covered with a clean, disposable hat or head covering. Hats or head coverings should be changed if they become contaminated with blood or body fluids. It is recommended that beards are covered with a hood. Page 11 of 28

13 7. Personal hygiene Uniforms must be regularly laundered and clean and all staff must be clean, presentable and well groomed when at work. 8. Protective clothing/shoes In accordance with Health and Safety legislation, staff should wear personal protective equipment (PPE) where applicable, at all times, in accordance with the Trust Policy & Procedure for Standard/Universal Precautions for the Prevention of Infection. Reference should be made to the Latex Policy for guidance on the use of protective gloves. Employees (including Bank and Agency staff) have a responsibility to follow Health and Safety Guidelines, if they do not they could be subject to disciplinary action in line with the Trust s Disciplinary Procedure. 9. Laundering of Uniforms Laundering uniforms at home (excluding Theatre scrubs) is acceptable providing they are laundered separately from other clothing and at the highest temperature the fabric will withstand. Arrangements should be made for grossly contaminated uniforms to be laundered in the Central Laundry. Appendix C Guidelines for Home Laundering (RCN 1999) 10. Integration This procedure complies with the following statutory requirements; Sex Discrimination Act (1975), Race Relations Act (1975), Disability Discrimination Act (1995), Employment Relations Act (1996), Human Rights Act (1998) Part Time Workers legislation (2000), 11. Compliance with Code Staff must comply with the code and exceptions must be agreed with line managers, both operational and professional. If a member of staff does not comply, then the disciplinary policy will be introduced at this stage. Non Compliance feedback letter Appendix D 11.1 Agency staff Agency staff s working for ESHT are expected to abide by the trust dress code. Page 12 of 28

14 Any staff arriving to work not adhering to the dress code will be asked to leave. This will result in no payment for the shift. That agency staffs who fail to conform to the dress code on two occasions will not be permitted to work for ESHT, 12. Audit This code will be subject to a Matron Audit and the results will be reported within the appropriate Clinical Division. Any Trust staff not adhering to Trust policy will be challenged and reported to their line manager. (Appendix D) Page 13 of 28

15 13. Monitoring and Assurance Element to be Monitored Accountabilities and Responsibilities Staff compliance to Uniform and non uniformed aspects of policy whilst within Trust property Lead Line Manager Line Manager Tool for Monitoring Uniform Policy Uniform Policy Frequency Responsible Individual/Group/ Committee for review of results/report Each shift TNMAG / Commercial services H&S forum Each shift TNMAG / Commercial services H&S forum Responsible individual/ group/ committee for acting on recommendations/action plan Senior Nurses /Senior manager for non clinical staff/ Senior medical practitioner Senior Nurses/Senior manager for non clinical staff/ Senior medical practitioner Responsible individual/group/ committee for ensuring action plan/lessons learnt are Implemented Senior Nurses /Senior manager for non clinical staff/ Senior medical practitioner Senior Nurses /Senior manager for non clinical staff/ Senior medical practitioner Staff compliance to Uniform policy whilst working off of Trust property. Line Manager Uniform Policy Each shift TNMAG / Commercial services H&S forum Senior Nurses/Senior manager for non clinical staff/ Senior medical practitioner Senior Nurses /Senior manager for non clinical staff/ Senior medical practitioner Theatre staff dress code and the wearing of scrubs. Line Manager Uniform Policy Each shift TNMAG / Commercial services H&S forum Senior Nurses/Senior manager for non clinical staff/ Senior medical practitioner Senior Nurses/Senior manager for non clinical staff / Senior medical practitioner Page 14 of 28

16 14 Relevant literature 1 Crown Office Row (2008) Lifting the Veil: Article 9 and Religious Dress BMA Dress Codes at Work: November Crown (2010) Equality Act Department of Health (2008) Heatwave Plan for England. London. Department of Health (2010) Uniforms and Work wear: Guidance on uniform and workwear policies for NHS employees. Department of Health Uniforms and workwear: Guidance on uniform for NHS employers. um_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_ pdf GIRES (2010) Legal protection and good practice for gender variant, transsexual and transgender people in the workplace Healthcare Associated Infections BA Guide for Healthcare professional BMA February _guide_for_healthcare_professionals_bma_february_2006 Healthcare Commission (2007): Healthcare associated infection: What else can the NHS do? London. Ministry of Justice (2006) Human Rights: human lives Royal College of Nursing (2013): The RCN guidance on uniform and work wear RCN campaign to Wipe it out. London RCN. data/assets/pdf_file/0010/78652/ pdf Salisbury DM, Hutfilz P, Treen LM, Solin GE. Gautam S (1997) The effect of rings on microbial load of health care workers hands. American Journal of Infection Control. Page 15 of 28

17 Appendix A- Due Regard, Equality & Human Rights Analysis Title of document: Dress code and uniform policy Who will be affected by this work? E.g. staff, patients, service users, partner organisations etc. Every member who works at the Trust clinical and non clinical. ( for example - Permanent, temporary, work experience, student, research fellows ) Any professional attending the hospital and entering clinical areas. ( for example Care Quality Commission ) Please include a brief summary of intended outcome: To maintain patient and staff safety by the wearing of appropriate clothing Prevent cross infection Minimize risk of injury to patients Comply with health and safety Reflect corporate identity to provide a positive and professional image / appearance of staff to the public and to all staff working in the Trust. Provide those using the service with a corporate identity with consistency in identifying groups of staff and confidence in their abilities. Yes/No Comments, Evidence & Link to main content Does the work affect one group less or more favourably than another on the basis 1. of: (Ensure you comment on any affected characteristic and link to main policy with page/paragraph number) Age N Disability (including carers) Y Section 3 Race N Religion & Belief Y Section 3 Gender N Sexual Orientation (LGBT) Y Section 3 Pregnancy & Maternity Y Section 3 Marriage & Civil Partnership N Gender Reassignment Y Section 3 Other Identified Groups N/A Is there any evidence that some groups Yes Section 3 2. are affected differently and what is/are the evidence source(s)? 3. What are the impacts and alternatives of implementing / not implementing the work / policy? Impact of the safety of the organisation, staff Poor patient experience 4. Please evidence how this work / policy seeks to eliminate unlawful discrimination, harassment and victimisation as per the Equality Act 2010? 5. Please evidence how this work / policy seeks to advance equality of opportunity between people sharing a protected characteristic and those who do not as per the Equality Act 2010? 6. Please evidence how this work / policy will Foster good relations between people sharing a protected characteristic and those who do not as per the Equality Act 2010? Page 16 of 28 Section 3, Dress code appendix B, Section 3, Dress code appendix B, Section 3, Dress code appendix B,

18 7. Has the policy/guidance been assessed in terms of Human Rights to ensure service users, carers and staff are treated in line with the FREDA principles (fairness, respect, equality, dignity and autonomy) Please evidence how have you engaged 8. stakeholders with an interest in protected characteristics in gathering evidence or testing the evidence available? 9. Have you have identified any negative impacts or inequalities on any protected characteristic and others? (Please attach evidence and plan of action ensure this negative impact / inequality is being monitored and addressed). Yes Section 3, Dress code appendix B, Section 10 relevant literature review Yes Section 3, Dress code appendix B Page 17 of 28

19 Appendix B - Currently Approved Uniform Type for Staff Groups 1. Nursing & Midwifery Staff Female Male Health Care Assistant Navy trousers Light green tunic with white trim ( NVQ only) or Light green dress with white trim (NVQ only) (trainees will wear light green as above with no trim ) Green cardigan (non clinical duties) Midwifery Support Workers Lilac Scrub Top and Trousers Health Care Assistant Navy trousers Light green tunic with white trim (NVQ only) (trainees will wear light green as above with no trim ) Green cardigan ( Non-clinical duties) Midwifery Support workers Lilac Scrub Top and Trousers Student Nurse White dress or white tunic and navy trousers Navy Cardigan ( non-clinical duties) Student Nurse Navy trousers White tunic Navy Cardigan ( non-clinical duties) Student midwives Pale Blue with dark blue trim Tunic and Trousers or Dress or tailored shorts Navy Cardigan (non-clinical duties) Student Midwives Pale Blue with dark blue trim Tunic and Trousers or Dress or tailored shorts Navy Cardigan (non-clinical duties) Staff Nurse Navy trousers Light blue tunic or Light blue dress with white trim Navy Cardigan ( non-clinical duties) Midwives Staff Nurse Navy trousers Light blue tunic with white trim Navy Cardigan ( non-clinical duties) Midwives Royal blue dress or tunic with Navy blue trousers or tailored shorts Royal blue tunic with Navy blue trousers or tailored shorts Blue cardigan ( Non-clinical duties only) Royal Blue Scrubs Blue cardigan ( Non-clinical duties only) Royal Blue Scrubs Page 18 of 28

20 Matrons Midwives Purple scrubs Matrons Midwives Purple Scrubs Clinical Matron Purple tunic or dress with white trim Black trousers Black cardigan ( Non-clinical duties) Junior Sister/ Charge Nurse Navy dresses or Navy Tunic with white trim and navy trousers Navy blue cardigan ( Non-clinical duties only) Urology Investigation Suite Nurses Pale Blue Scrub Black theatre shoes Clinical Matron Purple tunic with white trim Black trousers Black cardigan ( Non-clinical duties) Junior Sister/ Charge Nurse Navy tunic with white trim / Navy trousers Navy blue cardigan ( Non-clinical duties only) Urology Investigation Suite Nurses Pale Blue Scrub Black theatre shoes Crisis Response Burgundy dress with white trim Crisis Response Burgundy tunic with white trim Black trousers Crisis Response HCA White tunic with burgundy piping Black trousers Advanced Community Nurse Practitioners Navy tunic/dress with red trim Navy trousers Frailty Practitioner Navy tunic/dress with white spots Navy trousers Crisis Response HCA White tunic with burgundy piping Black trousers Advanced Community Nurse Practitioners Navy tunic with red trim Navy trousers Frailty Practitioner Navy tunic dress with white spots Navy trousers Page 19 of 28

21 Specialist Nurses/Midwives/Consultants /Clinical Site Managers (if in uniform) Black trousers Grey tunic or dress with white trim Black cardigan ( Non-clinical duties) Specialist Nurses/Midwives/Consultants Clinical Site Managers (if in uniform) Black trousers Grey tunic with white trim Black cardigan ( Non-clinical duties) Head of Nursing & Midwives /CSM/ADNS/DDN if in uniform) Black Trousers Pin Striped tunics or Pin striped dress Black cardigan (Non-clinical duties) Head of Nursing & Midwives /CSM/ADNS/DDN (if in uniform) Black Trousers Pin Striped tunics Black cardigan ( Non-clinical duties) Resuscitation Officers Black Scrubs Black cardigan none clinical Resuscitation Officers Black Scrubs Black cardigan none clinical Emergency department Health Care Assistant Green scrubs Black cardigan non clinical Emergency department Health Care Assistant Green scrubs Black cardigan non clinical Associate Practitioners Dark green tunic with navy trousers or dark green dress Associate Practitioners Dark green tunic with navy trousers Associate Practitioner Students White dress or navy trousers with white tunic Associate Practitioner Students White tunic with navy trousers Joint Community Rehabilitation Team Navy tunic with red trim Navy trousers Theatre Practitioners Scrubs Joint Community Rehabilitation Team Navy tunic with red trim Navy trousers Theatre Practitioners Scrubs Page 20 of 28

22 Theatre Orderly Scrubs Infection Control Theatre Orderly Scrubs Infection Control Red tunic with navy piping and navy/black trousers Red tunic with navy piping and navy/black trousers Trauma Assisted Discharge Red with navy piping tunic and navy trousers Trauma Assisted Discharge Red with navy piping tunic and navy trousers 2. Medical Staff All non - uniformed clinical staff dress code as per policy. 3. Allied Health Professionals FEMALE Acute Dietetics White tunic with red trim White polo shirt with red trim White dress with red trim Black trousers Red fleece Dietetic Assistants Grey tunic with red stripe and black trousers or White dresses and red trim Physiotherapy White aertex tunic with navy trim, navy trousers, blue cardigan ( non clinical) Physiotherapy Assistant Blue aertex with navy trim, blue trouser, cardigan (non clinical) Occupational therapy White tunic with green trim, green trousers, green cardigan (non clinical) New born Hearing Screeners White tunic with mint green piping MALE Acute Dietetics White polo shirt with & trim Black trousers Red fleece Dietetic Assistants Grey tunic with red stripe and black trousers Physiotherapy White aertex tunic with navy trim, navy trousers, blue cardigan ( non clinical) Physiotherapy Assistant Blue aertex with navy trim, blue trouser, cardigan ( non clinical) Occupational therapy White tunic with green trim, green trousers, green cardigan (non clinical) New born Hearing Screeners White tunic with mint green piping Page 21 of 28

23 Speech and language White tunic with teal trim, blue trouser cardigan (non clinical) Radiology White tunic with red piping Orthoptist helpers Plain white tunic and black trousers Pathology Staff White Laboratory coats Phlebotomists White tunic with white piping, black trousers and black shoes Medical Scientists White lab coat (to be removed when leaving the lab) Podiatrists & Foot care Assistants Podiatry Technicians White tunic and black trousers. Black polo shirts with black trousers. Operating Department Practitioners Scrubs Speech and language White tunic with teal trim, blue trouser cardigan (non clinical) Radiology White tunic with red piping Orthoptist helpers Plain white tunic and black trousers Pathology Staff White Laboratory coats Phlebotomists White tunic with white piping, black trousers and black shoes Medical Scientists White lab coat (to be removed when leaving the lab) Podiatrists & Foot care Assistants Podiatry Technicians White tunic and black trousers. Black polo shirts with black trousers. Operating Department Practitioners Scrubs Page 22 of 28

24 4. Other Staff Groups Female Porters Black protective safety shoes Light blue shirts Blue tie (winter use) Navy blue or black trousers Navy blue fleece Team Leaders Black protective safety shoes White shirts Black tie Black trousers Black fleece Male Porters Black protective safety shoes Light blue shirts Blue tie (winter use) Navy blue or black trousers Navy blue fleece Team Leaders Black protective safety shoes White shirts Black tie Black trousers Black fleece In extreme summer heat are allowed to wear navy blue or black tailored shorts. In extreme summer heat are allowed to wear navy blue or black tailored shorts. Clinical Orderly Tunic top (colour TBC) Blue/Black trousers/skirt Clinical Orderly Tunic top (colour TBC) Blue/Black trousers Senior dental nurse White tunic with staff nurse blue trim Navy trousers/skirts Senior dental nurse White tunic with staff nurse blue trim Navy trousers/skirts Dental nurse White tunic with yellow trim Navy trousers/skirts Dental nurse White tunic with yellow epaulettes Navy trousers Ward Clerk Public Facing Administration Ella Navy/Aqua/white short sleeve shirt Navy skirt/trousers Ward Clerk Public Facing Administration Navy/teal short sleeve shirt Navy /trousers Page 23 of 28

25 Receptionist Navy/turquoise/teal spot shirt Navy skirt/trousers Receptionist Navy shirt Navy /trousers Theatre Porters Pale blue scrubs Theatre Shoes Theatre Porters Pale blue scrubs Theatre Shoes Estates Maintenance Mechanical, Electrical & Carpentry Workshops Navy trousers, shirts and jumpers with Trust logo, black footwear at all time including protective Painters White polo shirts, white bibs and trousers. Gardeners Green polo shirts or pale blue shirts and navy trousers or shorts, black footwear at all time including protective. HSDU Maroon scrub suits clean room, light blue tops and bottoms Manager s admin and visitors. White coats Laundry Red summer polo shirt, Red winter sweat shirt, navy blue trousers and a blue winter fleece Equipment Library Blue polo shirt & trousers Estates Maintenance Mechanical, Electrical & Carpentry Workshops Navy trousers, shirts and jumpers with Trust logo, black footwear at all time including protective Painters White polo shirts, white bibs and trousers. Gardeners Green polo shirts or pale blue shirts and navy trousers or shorts, black footwear at all time including protective. HSDU Maroon scrub suits clean room, light blue tops and bottoms Manager s admin and visitors. White coats Laundry Red summer polo shirt, Red winter sweat shirt, navy blue trousers and a blue winter fleece Equipment Library Blue polo shirt & trousers Security EDGH(contract security NEMESIS) Security EDGH(contract security NEMESIS) White shirts Black trouser White shirts Black trouser Page 24 of 28

26 Car Parking Black shoes, Navy trousers, Navy shirts Navy tie, Navy jumper High visibility suit trousers and jacket in yellow PMU White coats Transport Polo Shirt, Combat Trousers, Sweatshirt or Fleece with EHS logo Housekeeping Janitors/Housekeepers Light blue tunic Navy blue trousers or skirt Co-ordinators Royal Blue tunic Navy blue skirt or trousers Team Leaders Light grey blouse Black trousers or skirt Catering Chefs Whites Catering staff Navy blue polo shirts Blue trousers EDGH Team Leaders: Grey blouse Black trousers/skirts Conquest Team Leaders: Navy blue blouse Navy blue trousers/skirts EDGH Restaurant staff: Burgundy blouse Black trousers/skirts Conquest Restaurant staff: Royal blue blouse Royal blue trousers/skirts Car Parking Black shoes, Navy trousers, Navy shirts Navy tie, Navy jumper High visibility suit trousers and jacket in yellow PMU White coats Transport Polo Shirt, Combat Trousers, Sweatshirt or Fleece with EHS logo Housekeeping Janitors/Housekeepers Pale Blue tunic Navy blue trousers Co-ordinators Royal Blue tunic Navy blue trousers Team Leaders Light grey shirt Navy blue trousers Catering Chefs Whites Catering staff Navy blue polo shirts Blue trousers EDGH Team Leaders: Grey shirt Black trousers Conquest Team Leaders: Navy blue shirt Navy blue trousers EDGH Restaurant staff: Burgundy shirt Black trousers Conquest Restaurant staff: Royal blue shirt Royal blue trousers Page 25 of 28

27 Chaplaincy As per non-uniform with additions: Wearing a clerical shirt of their own particular tradition eg Christians - black/blue/grey/green shirt, Sikhs turban etc Volunteers chaplaincy uniform royal blue top with candle logo and chaplaincy team written on. Chaplaincy As per non-uniform with additions: Wearing a clerical shirt of their own particular tradition eg Christians - black/blue/grey/green shirt, Sikhs turban etc Volunteers chaplaincy uniform royal blue top with candle logo and chaplaincy team written on. Firwood House Rehab Support Workers Black with white piping Black trousers and shoes Firwood House Rehab Support Workers Black with white piping Black trousers and shoes Page 26 of 28

28 Appendix C Guidelines for Home Laundering (RCN 1999) GUIDELINES FOR HOME LAUNDERING (RCN 1999) RATIONALE: To reduce the risk of bacterial contamination and to ensure the effective reduction of pathogens to a safe level through thermal disinfection of uniforms that have not been washed by the hospital laundry. Uniforms should be washed in a washing machine separate from other items The wash temperature must be at the highest temperature suitable for the fabric with a contact time of 10 minutes The uniform must be either tumble dried or ironed at the hottest temperature the garment can withstand The laundered uniform should be stored carefully to prevent contamination with other pollutants. Lanyards to be washed when visibly dirty or at least once a week. Page 27 of 28

29 Appendix D- NON-COMPLIANCE FEEDBACK TO: Copy to (Line Manager): FROM: DATE: Adherence to the Dress Code and Uniform policy is monitored continuously. On. At. You were observed on Ward/Department It was noted that you were non-compliant with the Trust Dress Code and Uniform Policy for following reason/s: This was brought to your attention, and your response was: Repeated non-compliance or responding negatively to the staff member challenging you requires a referral to your Line Managers. The information from these on-going audits is used to ensure the best training is delivered, focussing on areas where non-compliance occurs. Copies will be sent to the employee and their line manager Page 28 of 28