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Uniform & Dress Code Policy Name of Policy Author & Title: Jo Embleton, Deputy Director of Nursing & Nikki Hill, Associate Director of HR Name of Review/Development Body: Clinical Quality Risk Management Group Ratification Body: Clinical Quality Governance Committee Date of Ratification/ effective from: January 2014 Review Date: January 2017 Reviewing Officer: Louise Stead, Director of Nursing & Patient Experience If this document is required in an alternative language or format, such as Braille, cd, audio, please contact the author. Uniform & Dress Code Policy Version 2.3 Date of Ratification: January 2014

Date Review Type (please tick Minor amendme nt 1 Full Review Version No. Author of Review Title of Author Date Ratified Ratification Body Page Numbers (where amended ) Line Numbers (where amended) Details of change Inserted Delete d 10/10/13 2.0 Jo Embleton Susan Darby Deputy Director of Nursing Head of HR Jan 2014 CQGC N/A N/A N/A N/A June 2014 2.1 Nikki Hill Associate Director of HR 5 (tunic / dress) must be fully covered 5 Retail & restaurant areas Costa Coffee 6 5.1.1 Must Should 7 5.1.3 Introduction to section 9 5.1.5 Or trade union lanyard 10 5.2.1 & yellow do not disturb tabards 19 Research nurses Uniform Sept 14 2.2 Jo Embleton Deputy Director of Nursing 16 SCBU uniforms

DRAFT Sept 2015 2.3 Dec 2015 2.4 Gill Hickman Jo Embleton Infection Control Nurse Deputy Director of Nursing 7 14 15 5.1.5 Staff Identification and Badges Amendments regarding the wearing of lanyards in clinical areas HON uniform Case Manager uniform Date of Ratification: January 2014 Page 3 of 24

Content Section Page 1 Introduction 2 2 Purpose 2 3 Scope of Policy 2 4 Duties and Responsibilities 2 5 Subject Matter of Policy 4 5.1 Uniform and Dress Code 4 5.1.2 Professional Image 4 5.1.3 Foot wear and Handbags 5 5.1.4 Hair, tattoos, cosmetics & jewellery 6 5.1.5 Staff identification and badge 7 5.1.6 Wearing of a veil 7 5.1.7 Religious symbols & medical safety alerts 8 5.2 Laundering of uniforms 8 5.3 Dress Code 8 6 Training 9 7 Implementation 9 8 Monitoring compliance & effectiveness of the policy 9 9 Reviewing, Ratification & Archiving 9 10 Dissemination & Publication 9 11 Equality & Impact Analysis 10 12 Associated Documents 10 13 References 10 Appendix 1 Uniform Request Form 11 Appendix 2 Trust Uniforms 12 Appendix 3 Trust Guide on Shoes 24 Date of Ratification: January 2014 Page 1 of 24

1. INTRODUCTION / BACKGROUND As an NHS Foundation Trust our main purpose is to provide excellent, effective diagnosis, care and treatment to people who use our services. In order to do this, patients, visitors, members of the public, partner organisations, and patient groups need to see us as competent, respectful, professional, trustworthy, safe, reliable and caring. This is in part promoted by our appearance. This has highlighted that there is a need for an overarching Uniform & Dress Code Policy, which sets out the principles and criteria that are the basis of the Trust approach and should inform all local uniform and dress codes. 2. PURPOSE The purpose of the policy is to instruct all Trust staff, doctors, volunteers, agency and contracted staff and students / trainees of the standard of dress appropriately for their role/s in accordance with the principles and practice set out in this policy. 3. SCOPE OF POLICY The Policy applies to all Trust staff. 4. DUTIES & RESPONSIBILITIES Duties within the Trust 4.1 Chief Executive The Chief Executive has overall responsibility for the strategic and operational management of the Trust; ensuring suitable procedures are in place for the development of policies/guidelines which assist the Trust in complying with its legal, statutory requirements and good practice. 4.2 Deputy Directors of Operations, Deputy Medical Directors, Deputy Directors of Nursing, Head of Midwifery, Heads of Departments, Specialty Managers, Heads of Nursing, Matrons, Lead Clinicians, Senior Sisters are responsible for Ensuring that all employees comply with this policy. To challenge any employee who is not compliant and manage the situation to ensure compliance. Completion of a uniform request form (Appendix 1) is completed and submitted to the linen room on acceptance of a post. Discussing and gaining agreement of a change or implementation of uniform with the Deputy Director of Nursing and Associate Director of HR. Discussing and agreeing funding for the implementation of uniforms in a previous non uniform wearing area of the Trust. 4.3 Deputy Director of Nursing is responsible for Reviewing this policy in partnership with the Associate Director of HR from a uniform perspective. Providing guidance to Heads of Departments on uniform change / implementation. 4.4 Associate Director of Human Resources is responsible for Reviewing this policy in partnership with the Deputy Director of Nursing from a dress code, equality and diversity perspective. Provide guidance to Heads of department on dress code and uniform issues in relation to aspects involving equality and diversity issues, managing individual members of staff who are unwilling to comply to this policy. Date of Ratification: January 2014 Page 2 of 24

Assessing staff or applicants who wear a veil to establish if their communication is affected (see 5.1.6) 4.5 Linen Room Staff are responsible for Ordering the uniform or replacement uniform on the receipt of a completed uniform request form (Appendix 1). Alerting the employee / employee s manager that the uniform has arrived at the Trust. To recycle returned uniforms, those that are in a suitable condition. To assist with any enquires on uniform delivery delays. 4.6 Members of Staff (including Agency Staff) who wear a uniform are Accountable to their manager to comply with this policy. Responsible for ensuring the uniform they wear is clean, well presented and in a good state of repair. Not to wear long sleeved garments under the uniform. Short sleeved t-shirts and vests are permitted but must be v necked and with no design / logo visible through the uniform. Not allowed to wear the uniform beyond Trust premises if not engaged in Trust business. Where available, changing facilities should be used. Staff may travel to and from work in their uniform (this does not include scrubs) but the uniform (tunic / dress) must be fully covered regardless of the weather (RCN, 1999, DH, 2010). To wear their Trust ID badge at all times and it must be visible to all. A full list of Trust uniforms can be found in Appendix 2 4.7 Members of staff (including Agency Staff) who wear theatre scrubs are Accountable to their manager to comply with this policy. Responsible for ensuring the uniform they wear is clean, well presented and in a good state of repair. To have all scrubs laundered and provided through the Trust linen services. Not to wear long sleeved garments under the uniform. Short sleeved t-shirts and vests are permitted but must be v necked and with no design / logo visible through the uniform. Not to wear theatre scrubs beyond Trust premises. Not to wear theatre scrubs outside of theatres (including retail and restaurant areas) unless attending to a patient in another area of the hospital. 4.8 Members of staff who do not wear a uniform or scrubs are Accountable to their manager to comply with the dress code aspects of this policy. In the interest of patient safety all members of staff are to challenge colleagues who do not comply with this policy. Date of Ratification: January 2014 Page 3 of 24

5. SUBJECT MATTER OF POLICY 5.1 Uniform & Dress Code The policy recognises that employers have reasonable expectations that their employees appearance will support and promote the values and aims of the organisation. At the same time it takes into account employees expectations that they will be valued as individuals. 5.1.1 All forms of dress, whether or not a uniform is required must: Comply with infection control policies in clinical areas and in particular must facilitate effective hand washing as per Hand Hygiene Policy. Any members of staff engaged in direct patient care or hygiene related roles must wear short sleeve clothes or uniform, or be bare below the elbows. Comply with Health and Safety Policy. Support good communication between staff and patients, carers and visitors. Support a secure and safe environment. Be respectful and reassuring for patients, carers and visitors. Maintain the dignity of staff and patients. Respect religious requirements, provided this does not conflict with Trust Policy & Procedures Promote the Trust as a professional organisation. 5.1.2 Professional Image Trust staff are ambassadors for both the organisation and their profession. It is therefore imperative that they adhere to the policy, by setting a good personal example and by supportively challenging colleagues who are not following the Trust policy All staff have the authority to challenge any member of staff (regardless of the area they work in) if they are not adhering to the Royal Surrey County Hospital Uniform & Dress Code Policy and bare below the elbows procedure (Hand Hygiene Policy). Professional image presented by Trust staff is an important component in the way in which staffs are regarded. Staff should project a professional image to encourage public trust and confidence (RCN 2005, DH, 2010). The following sections regarding hair, cosmetics, perfume, aftershave and jewellery are applicable to all staff who work in a clinical environment or enter a clinical environment as part of their role. Date of Ratification: January 2014 Page 4 of 24

5.1.3 Foot Wear and handbags (Trust Shoe Guide Appendix3) Acceptable Shoes Unacceptable Shoes Uniform Staff Uniform Staff Black, flat, non-slip sole, lace- up style Black, flat, non-slip sole, high tongue loafer Black, flat, non-slip sole trainer Crocs or croc style shoes Ballet pump style, open toed shoes/sandals Flip flops, fit flops, MBTs or easytones Scrub Staff (in theatres environment) Scrub Staff (in theatres environment) Toffeln Qwirki theatre clog (heel strap must be worn at all times) or white theatre boots Crocs or croc style shoes Open toed shoes/sandals Non-Uniform Staff Non-Uniform Staff non-slip sole, lace- up style non-slip sole, high tongue loafer Low heel shoe Crocs or croc style shoes Flip flops, fit flops, MBTs or easytones High heels Open toed shoes/sandals Handbags Rationale Staff Hand bags are not to be taken to the patient bedside or into areas where treatment and care is being provided Infection Control and prevention. Date of Ratification: January 2014 Page 5 of 24

5.1.4 Hair, Tattoos, Cosmetics, Perfume /Aftershave and Jewellery Policy Rationale Hair colour to be natural (not pink, green, blue etc) Hair must be clean, neatly styled, and securely fastened off the face and collar. Ponytails and plaits (including extensions and hair pieces) must not be hanging down over the shoulder, but should be pinned up. Fastenings should be discreet without adornment. Headscarf/head-dresses can be worn if required for religious obligations, but should be short length, plain coloured (with no tassels and pinned back to prevent them falling over the shoulder). A clean one should be worn each day. Promoting and supporting professional image Hair carries high levels of micro-organisms including staphylococcus aureus which may be readily transferred to the hands and uniforms of wearers on contact. Sharp points, ribbons, scarves and hats are an infection and safety risk. Any exceptions of this for cultural reasons should be discussed with the individual and the line manager. should keep beards / moustaches neatly trimmed, or be closely shaven. Perfumes, aftershave and make-up should be discreet. Patients / clients may find strong smells nauseating One plain flat wedding band ring is permissible. Flat ring if worn, should be cleaned underneath each time hands are washed. Other rings are not permissible. Necklaces must not be worn. Any jewellery, which dangles, must not be worn. One pair of plain non-stoned studs may be worn in the ear lobes. Wristwatches, bracelets, nasal studs and any other facial jewellery must not be worn. Medic alert jewellery should be cleanable, plain, discreet and not worn on the wrist. Line manager should be aware of medic alert. Body piercings that are visible must be removed Hand hygiene Policy- Jewellery has been found to harbour micro-organisms. Studs or rings through the skin can also introduce infection for the wearer and thereby be a source of infection risk to patients. Rings with stones can scratch patient s skin & stones may become dislodged. Loose jewellery is a safety risk to the wearer. This is in line with the Trust Health and Safety policy. Reduce Infection risk. Ensure individuals safety if allergy occurs. Promoting and supporting professional image Finger nails should be short, clean and without nail varnish (including clear nail varnish). Micro-organisms are readily harboured under nails and shorter nails are easier to clean. Nail varnish chips thus contributing to cross infection. No false nails should be worn. Nails should be short to prevent patients and staff being scratched when involved in direct Date of Ratification: January 2014 Page 6 of 24

handling procedures. Tattoos that are visible must be covered up where possible if they may cause offense to patients, relatives or other staff. Professional judgement should be utilised. Promoting and supporting professional image 5.1.5 Staff Identification and Badges Policy Rationale The Trust requires that all staff wear and have visible an official photo identification card name badge at all times whilst on duty, clipped on. Staff who wear uniforms Whilst in uniform, the photo ID badge should be visible to ensure clear view for patients. Staff who do not wear a uniform Non clinical staff may wear the ID security badge on a Royal Surrey County Hospital or trade union issued lanyard Lanyards If worn in clinical areas lanyards must be visibly clean. When undertaking hands on clinical patient care ID badges (on lanyards) must be tucked into clothing / pockets to avoid touching the patient with lanyard or ID badge. For easy identification of Royal Surrey County Hospital employees, for the protection of patients and members of the public. To avoid identification theft and maximise security. Royal Surrey issued lanyards are deemed corporate, unified and meet the safety requirements (in case pulled) This is to protect the patient, so they will not be hit by the lanyard and badge and meet the safety requirements of staff (in case pulled) Staff who wear uniforms Staff may wear two other badges only: their training badge and a union or professional organisation badge. No other badges are permitted. Badge wearing should be minimised, as they may not only injure patients but also the wearer. All staff should ensure that when moving or handling patients any badge worn does not cause injury to themselves or the patient. 5.1.6 Wearing of a veil To ensure effective communication, clothing which covers the face is generally not permitted for any staff in contact with patients, carers or visitors, nor for staff in other roles where clear face to face communication is essential. Staff in areas who wish to wear a veil for religious reasons when they are not working e.g. during breaks, walking Date of Ratification: January 2014 Page 7 of 24

around the Trust, visiting the dining room may do so. However, they must remove the veil for checking against their photo ID badge on request. Where there is disagreement about the impact on effective communication it is good practice for staff from Human Resources to assess the effect before reaching a final decision. 5.1.7 Religious symbols and medical safety alerts Religious symbols may be worn discreetly provided they comply with health and safety, infection control, bare below the elbows and uniform & dress code policies 5.2 Laundering of Uniforms All elements of the washing process contribute to the removal of micro-organisms on fabric. Detergents (washing powder or liquid) and agitation release any soiling from the clothes, which is then removed by sheer volume of water during rinsing (DH, 2010) Washing with detergents at 30ºC will remove most gram positive micro-organisms, including all meticillin-resistant Staphylococcus aureus (MRSA); and a 10-minute wash at 60ºC is sufficient to remove almost all micro-organisms (DH, 2010). It is therefore recommended that uniforms are washed separately from other garments. Ironing or tumble drying has infection control benefits through thermal disinfection as well as professional ones. 5.2.1 Laundering of scrubs and lab coats All scrub uniforms worn in X-Ray, theatres, SCBU, DSU and SSSU, lab coats and yellow do not disturb tabards should be laundered through the trust laundry service. 5.2.2 Laundering of soiled uniforms and scrubs Uniforms and scrubs soiled with blood or body fluids should not be worn or taken outside the immediate work area unbagged. If a uniform or scrubs are accidentally soiled with blood or body fluids it should be changed immediately. It should be put in to a Red Soluble Bag, then into a Clear Polythene Bag with a Return to Sender Linen Form highlighting the name of the member of staff and their work location (please refer to Bagging Procedure for Linen). It should then be delivered to the linen room. The Trust will provide a temporary replacement uniform, if available or scrubs to ensure the member of staff s dignity while at work. Staff can claim tax relief for laundry costs of uniform or clothing worn in the delivery of patient care. Please contact your tax office, payroll or trade union for advice. 5.3 Dress code Staff whose usual role or activity on any particular day does not require uniform are expected to be equally conscious of the need for a professional appearance whilst ensuring that their clothing is of a protective nature. It should reflect the principles of professionalism, tidiness and safety and not be seen to be provocative or offensive. This includes staff that are contractors, agency or on clinical / work experience placement and staff with honorary contracts. 5.3.1. All own clothing should be modest with no low cut tops, plunging necklines, short cut or cropped tops with revealing midriffs or underwear, see through garments or miniskirts. Date of Ratification: January 2014 Page 8 of 24

5.3.2 Casual clothing such as jeans, leggings, jogging bottoms, combat trousers and cropped vest tops are not acceptable nor are footwear which poses a health and safety risk. 5.3.3 If entering a clinical area, you should ensure you are bare below the elbows (Johnson 2007, Hand Hygiene Policy, 2009) and adhere to the sections of this policy related to shoes, jewellery, hair and make- up (DH, 2010). 5.3.4 Generally hats should not be worn unless they are part of a uniform. However in order to meet religious requirements, head covering may be worn and must be a clean one each day. Examples include turbans, head scarves and skullcaps. Staff who work outside may wear a plain sunhat or winter hat, depending upon the seasons. 6. TRAINING There are no training requirements for the objectives of this Policy. However, some aspects are covered in Trust Infection Control training. 7. IMPLEMENTATION No action plan applicable as systems already in place. 8. MONITORING COMPLIANCE WITH & EFFECTIVENESS OF THIS POLICY The effectiveness in practice of all procedural documents should be routinely monitored (audited) to ensure the document s objectives are being achieved. The process for monitoring compliance to this policy will be captured through; 1. Deputy Directors of Operations, Deputy Medical Directors, Heads of Departments, Speciality Managers, Heads of Nursing, Matrons, Lead Clinicians and Senior Sisters to address non compliance to the policy with the individual member of staff in real time. To monitor improvement and address continued non compliance via Trust policies and procedures. 2. Bare below the elbows audits and action plans to meet compliance. All audits will be submitted to the Trust audit department. 9. REVIEW, RATIFICATION AND ARCHIVING The policy will be reviewed every 3 years or earlier if national policy or guidance changes are required to be considered. The review will then be subject to approval and re ratification. The author or Central Policy Officer is responsible for ensuring that archive copies of superseded working documents are retained in accordance with the Records Management: NHS Code of Practice, 2009, refer to Policy Development and Management: including policies, procedures, protocols, guidelines, pathways and other procedural documents. Persons requiring access to an archived policy must contact the Central Policy Officer or the Company Secretary and provide them with the document title, name of author, ratification date and the version required. In addition, an electronic version of this is available on TrustNet under outdated policies. 10. DISSEMINATION AND PUBLICATION Dissemination of the final policy is the responsibility of the author. They must ensure the policy is uploaded to the Trust s Central Library (TrustNet) either via their Local Policy Officer or submitted directly to the Central Policy Officer. Date of Ratification: January 2014 Page 9 of 24

The Head of Marketing and Communication is responsible for the trust-wide notification of existence of the policy. DDO s, Clinical directors, Specialty Business Unit (SBU), or supporting services management teams, Ward Sisters/Charge Nurses and Heads of Department are responsible for distributing this policy and ensuring that all staff under their management (including bank, agency, contracted, locum and volunteers) are aware and understand the policy. 11. EQUALITY IMPACT ANALYSIS The author of this policy has undertaken an Equality Impact Analysis and has concluded there is no impact identified. The analysis is available via the Central Policy Officer. 12. ASSOCIATED DOCUMENTS All existing Trust policies, procedures & plans will be adhered to, including: Health and Safety Policy Infection Control Policies Linen Policy Theatres local uniform policy 13. REFERENCES Nursing & Midwifery Council (2010) The Code, London DH (2010) Uniform & Work Wear: Guidance on Uniform & Work Wear Policies for NHS employees, DH. DH EPIC (2007) Guidelines on Infection Control. Hand Hygiene Policy (2009) Royal Surrey County Hospital FT NHS Trust. Johnson A (2007) New measures to tackle hospital bugs. DH Manual Handling Operations Regulations (1992) Amended 1998. NMC (2002) Code of Professional Conduct. RCN (1999) Taking a uniform approach selecting the right clothing for nurses. Stubbs D A, Buckle P W, Hudson M P, Butler P E, Rivers R M (1985), Nurses uniforms: an inverstigation of mobility International Journal if Nurisng Studies Vol22 No3. Date of Ratification: January 2014 Page 10 of 24

APPENDIX 1: UNIFORM REQUEST FORM NAME JOB TITLE WARD AMOUNT OF UNIFORMS REQUIRED. SIZE Please ensure you provide inside leg measurement for trousers. MATRONS/ HEAD OF DEPARTMENT SIGNATURE PRINT NAME AND TELEPHONE EXTENSION NUMBER DATE REQUESTED Please note if Matrons/Head of Departments signature do not appear on this request form, uniforms will not be issued. Synergy Use Only: Date Ordered Amount Issued Uniform Card Completed on Date of Ratification: January 2014 Page 11 of 24

APPENDIX 2: Trust Uniforms Administration Staff Female staff A&E Receptionist White blouse, black skirt/trousers, black jacket*, enclosed, flat, non slip sole, black shoes A&E Receptionist White shirt, black trousers, black jacket*,enclosed, flat, non slip sole, black shoes Ward Clerk Blue and navy patterned blouse, black trousers, sole, black shoes Ward Clerk White shirt, black trousers, enclosed, flat, non slip sole, black shoes Outpatient Receptionist Lilac blouse, black skirt/trousers, black jacket*, enclosed, flat, non slip sole, black shoes Outpatient Receptionist Lilac shirt, black trousers, black jacket*,enclosed, flat, non slip sole, black shoes Outpatients bookings Co-ordinator Lilac blouse, black skirt/trousers, black jacket*, enclosed, flat, non slip sole, black shoes Outpatients bookings Co-ordinator Lilac shirt, black trousers, black jacket*,enclosed, flat, non slip sole, black shoes Outpatients bookings team leader Royal blue blouse, black skirt/trousers, black jacket*, enclosed, flat, non slip sole, black shoes Outpatients bookings team leader Royal blue shirt, black trousers, black jacket*,enclosed, flat, non slip sole, black shoes Medical records Mandarin neck black tunic with black trousers, Medical records Mandarin neck black tunic with black trousers, enclosed, flat, non slip sole, black shoes or Oncology Administration Grey skirt/trouser suit with green blouse, sole, black shoes or Oncology Administration Grey trouser suit with green shirt and grey tie, sole, black shoes or For those staff who are issued with a jacket as part of their uniform, they are expected to remove them to comply with BBE as per policy. Date of Ratification: January 2014 Page 12 of 24

Cardiac Physiologists Female staff Cardiac Physiologists Navy blue tunic or polo shirt with white piping; dark trousers, enclosed, flat, non slip sole, black shoes or Cardiac Physiologists Navy blue tunic or polo shirt with white piping; dark trousers, sole, black shoes or Dieticians Female staff Dieticians Red tunic top or dress with navy piping, with Dietitian embroidered in navy thread; navy or black trousers; enclosed, shoes or Dieticians Red tunic top with navy piping with Dietitian embroidered in navy thread; navy or black trousers; enclosed, flat, shoes or Dietetic Assistant Red tunic top or dress with navy piping, with Dietetic Assistant embroidered in navy thread; navy or black trousers; enclosed, flat, shoes or Dietetic Assistant Red tunic top with navy piping with Dietetic Assistant embroidered in navy thread; navy or black trousers; Neurophysiology Female staff Neurophysiologi sts White tunic with grey piping, black/dark grey trousers/skirt or white dress with grey piping. with enclosed, flat, non slip Neurophysiologi sts White tunic with grey piping, black/dark grey trousers with enclosed, shoes or Nursing All dress uniforms length must fall on the knee or below Date of Ratification: January 2014 Page 13 of 24

Female staff Director of Nursing/ Deputy Directors of Nursing / Grey and black pin striped dress, with white piping, with enclosed, shoes Director of Nursing/ Deputy Directors of Nursing / Dark grey and black pin striped tunic, with white piping and black trousers with enclosed, shoes Head of Midwifery Head of Midwifery Heads of Nursing Grey dress, with white piping, with enclosed, shoes Heads of Nursing Grey tunic, with white piping, with enclosed, shoes Matron & Clinical Site Managers Navy blue tunic, with red piping and navy trousers or navy blue dress, with red piping, with Matron & Clinical Site Managers Navy blue tunic with red piping and navy trousers, with enclosed, shoes or Lead Nurse Navy blue tunic, with white piping and navy trousers or navy blue dress, with white piping, with enclosed, flat, non slip Lead Nurse Navy blue tunic, with white piping and navy trousers, with enclosed, shoes or Senior Sister Royal blue tunic and navy trousers or dress, with enclosed, flat, non slip Senior Charge Nurse White tunic with navy epaulettes or royal blue tunic. Grey trousers, with enclosed, flat, non slip Junior Sister Royal blue tunic and trousers or royal blue dress, with enclosed, flat, shoes or Junior Charge Nurse White tunic with red epaulettes or royal blue tunic. Grey trousers, with enclosed, flat, non slip Staff Nurse Pale blue tunic and navy trousers or pale blue dress, with enclosed, flat, shoes Staff Nurse White tunic with pale blue epaulettes. Grey trouser with enclosed, Date of Ratification: January 2014 Page 14 of 24

or shoes or s, Associate Practitioners Aqua tunic top with, black trousers or aqua dress, enclosed, flat, non slip Associate Practitioners White tunic top, with aqua epaulettes, black trousers, enclosed, flat, shoes or Health Care Assistant Grey tunic with navy trousers. Grey dress with Health Care Assistant Grey trousers with grey tunics and enclosed, shoes or Site Nurse Practitioners & Discharge Team Navy tunic or dress with royal blue piping. Navy trousers, with enclosed, shoes or Site Nurse Practitioners & Discharge Team Navy tunic and black trousers, with enclosed, shoes or Case Managers Navy blue dress or tunic with bright blue pin stripe Navy trousers, with Case Managers Navy blue tunic with bright blue pin stripe. Navy trousers, with Clinical Nurse Specialists when clinically working Maroon tunic or dress. Black trousers, with Clinical Nurse Specialists when clinically working White tunic with Maroon epaulettes Black trousers, with Infection Control Nurses Purple tunic or dress with white piping. Black trousers, with enclosed, shoes or Infection Control Nurses Purple tunic with white piping. Black trousers, with enclosed, flat, non slip Newborn Nurse Practitioner Black tunic, white piping. Black trousers with rs, Newborn Nurse Practitioner Black tunic, white piping. Black trousers, with enclosed, flat, non slip Play Specialist Bottle green polo shirt. Black trousers, with Play Specialist Bottle green polo shirt. Black trousers, with Date of Ratification: January 2014 Page 15 of 24

Theatres /PACU Refer to local policy Theatres Refer to local policy Emergency Nurse Practitioners Navy blue/white spotted d Emergency tunic. Navy trousers, Nurse sol Practitioners. shoes or White tunic with navy epaulettes. Navy trousers, with enclosed flat black shoes or X-Ray Senior Junior Sisters Royal Blue Scrubs, with X-Ray Senior Junior Charge Nurses Royal Blue Scrubs with, X-RAY Staff Nurse Pale Blue Scrubs with, X-RAY Staff Nurse Pale Blue Scrubs with black shoes or black, DSU and SSSU Nurses Pale blue scrubs, with Laundered by Trust. Not to be worn off site. DSU and SSSU Nurses Pale blue scrubs, with. Laundered by Trust. Not to be worn off site. SCBU staff nurses Bright pink scrub top with navy trousers with SCBU staff nurses Bright pink scrub top with navy trousers with SCBU Nursery nurses Light pink scrub top with navy trousers with SCBU Nursery nurses Light pink scrub top with navy trousers with SCBU HCA Blue scrub top with navy trousers with enclosed, shoes or SCBU HCA Blue scrub top with navy trousers with SCBU Navy scrub top with navy trousers with enclosed, SCBU Navy scrub top with navy trousers with Date of Ratification: January 2014 Page 16 of 24

Senior Sister shoes or Senior Sister Senior Manual Handling Adviser and Manual Handling Trainer White and navy tunic, navy trousers enclosed, shoes or Senior Manual Handling Adviser and Manual Handling Trainer White and navy tunic, navy trousers enclosed, flat, non slip black shoes or Respiratory Clinical Nurse Specialist Navy tunic with white v neck trim and respiratory nurses logo, navy trousers enclosed, flat, shoes Respiratory Clinical Nurse Specialist Navy tunic with white v neck trim and respiratory nurses logo, navy trousers enclosed, shoes Research Nurses / Practitioner Band Lilac tunic with white piping and navy trousers sole black shoes Research Nurses / Practitioner Band 5 and above White tunic with lilac epaulettes. Navy trousers, with enclosed flat black shoes or Resuscitation Team Turquoise scrub tops with resus team and with their name embroidered on it, black trousers, flat, non slip black shoes or Resuscitation Team Turquoise scrub tops with resus team and with their name embroidered on it, black trousers, flat, non slip black shoes or Student Nurses White tunic top with royal blue piping, black trousers or white dress with royal blue piping, black shoes or black Student Nurses White tunic top with royal blue piping, black trousers, enclosed, flat, shoes or Foundation Degree Students White tunic top with grey piping, black trousers or white dress with royal blue piping, enclosed, flat, non slip black shoes or Foundation Degree Students White tunic top with grey piping, black trousers, enclosed, flat, shoes or Date of Ratification: January 2014 Page 17 of 24

Medical Physics Female staff Technical Services Polo shirt and trousers Enclosed & non slip sole shoes Technical Services Polo shirt and trousers Enclosed & non slip sole shoes Radiopharmacy Lab coats for non aseptic area Sterile clean room clothing for aseptic area Enclosed & non slip sole shoes Radiopharmacy Lab coats for non aseptic area Sterile clean room clothing for aseptic area Enclosed & non slip sole shoes Midwives All dress uniforms length must fall on the knee or below Female staff Hospital Midwives Blue tunic top or dress with white piping, black trousers, enclosed, flat, shoes or Hospital Midwives Blue tunics with white piping and black trousers. Enclosed, flat, shoes or Community Midwives Royal blue polo shirt, navy trousers. Navy sweatshirt with Trust logo. Enclosed, flat, non slip Community Midwives Royal blue polo shirt, navy trousers. Navy sweatshirt with Trust logo. Enclosed, flat, shoes or Band 7 Midwives Royal blue tunics navy trousers or Royal blue dress. Enclosed, flat, non slip Band 7 Midwives Royal blue tunics, navy trousers Enclosed, flat, shoes or Student Midwives White tunic top with lilac piping; black trousers or white dress with lilac Student Midwives White tunic top with lilac epaulettes; Date of Ratification: January 2014 Page 18 of 24

piping, enclosed, flat, shoes or Transitional Care Support Workers Pink tunic top with navy trouser, enclosed, flat, shoes or Transitional Care Support Workers White tunic top with pink epaulettes; Midwifery Support Workers (Hospital & Community) Grey tunic with navy trousers. Grey dress with Midwifery Support Workers (Hospital & Community) Grey tunic with navy trousers. Grey dress with enclosed, flat, non slip Occupational Therapy Female staff Occupational Therapists White tunic top with green piping; green trousers or white dress with green piping, Occupational Therapists White tunic top/polo shirt with green piping; green trousers, Occupational Therapy Technicians / Assistants White tunic top with thin green stripes on collar and cuffs; bottle green trousers or light blue dress with green piping, Occupational Therapy Technicians / Assistants White tunic top with thin green stripes on epaulettes; bottle green trousers enclosed, flat, shoes or Pharmacy Female staff Pharmacists White tunic top with turquoise piping; black trousers, enclosed, flat, shoes Pharmacists White tunic top with turquoise piping; black trousers, enclosed, flat, Date of Ratification: January 2014 Page 19 of 24

or shoes or Pharmacy Technicians Turquoise tunic top with white piping; black trousers, enclosed, flat, shoes or Pharmacy Technicians Turquoise tunic top with white piping; black trousers, enclosed, flat, shoes or Pharmacy Assistants Turquoise tunic top with white collar and cuffs; black trousers, enclosed, shoes or Pharmacy Assistants Turquoise tunic top with white collars and cuffs; black trousers, Phlebotomy Female staff Phlebotomists White tunic with burgundy piping, black trousers, enclosed, flat, shoes. Black that meet H&S standards may also be worn Phlebotomists White tunic with burgundy epaulettes, black trousers, sole black shoes. Black that meet H&S standards may also be worn Date of Ratification: January 2014 Page 20 of 24

Phototherapy Female staff Photo therapists White tunic top or polo shirt with purple and white stripes collar and cuffs; black trousers, Photo therapists White tunic top or polo shirt with purple and white stripes collar and cuffs; black trousers, Physiotherapy Female staff Physiotherapy White tunic top/polo shirt with navy piping; navy trousers/shorts or white dress with navy piping, enclosed, flat, non slip sole black shoes or black Physiotherapy White tunic top/polo shirt with navy piping; navy trousers/shorts, enclosed, flat, non slip sole black shoes or Technical Instructors White tunic top with 3 thin navy stripes on collar and cuffs, navy trousers, enclosed, flat, non slip sole black shoes or black Technical Instructors White tunic top with 3 thin navy stripes on collar and cuffs, navy trousers, enclosed, flat, non slip sole black shoes or Department Assistants Light blue tunic top/ polo shirt with navy piping; navy trousers/shorts or light blue dress with navy piping, enclosed, flat, shoes or black Department Assistants Light blue tunic top/polo shirt with navy piping; navy trousers/shorts, enclosed, flat, non slip sole black shoes or Student / Bank/ Agency Physiotherapists White tunic top with navy trousers, or white dress, enclosed, flat, non slip sole black shoes or black Student / Bank/ Agency Physiotherapists White tunic top with navy trousers, enclosed, flat, non slip sole black shoes or Date of Ratification: January 2014 Page 21 of 24

Radiology Female staff Radiographers & Sonographers White tunic top or dress with hospital blue piping or white radiology polo shirt; navy or black trousers; enclosed, flat, shoes or Radiographers & Sonographers White radiology polo shirt and black or navy trousers; enclosed, flat, shoes or Department Assistants White tunic top with pale green /aqua piping; navy or black trousers; Department Assistants Navy Radiology polo shirt; navy or black trousers; enclosed, flat, shoes or Radiology Nurses Sisters Nurses Navy theatre scrubs Blue theatre scrubs Theatre clogs, enclosed, non slip sole & have a heel strap Radiology Nurses Navy theatre scrubs Blue theatre scrubs Theatre clogs, enclosed, non slip sole & have a heel strap CT Admin Staff White tunic with pale green piping; navy or black trousers enclosed, shoes or CT Admin Staff White tunic with pale green piping; navy or black trousers Radiotherapy Department Female staff Radiographers White tunic top with hospital blue piping; navy trousers, enclosed, flat, shoes or Radiographers White V neck tunic top with hospital blue epaulettes; and navy trousers; enclosed, flat, shoes or Department Assistants White tunic top; navy trousers; enclosed, flat, shoes Department Assistants White V neck tunic top; navy trousers; Date of Ratification: January 2014 Page 22 of 24

or Reception Staff Grey skirt/trouser suit with green blouse, Reception Staff Grey trouser suit with green shirt and grey tie, Mould Room Technologist White tunic top with grey piping; grey trousers, Mould Room Technologist White V neck tunic top grey piping; grey trousers enclosed, flat, shoes or Trainee Assistant Practitioner White tunic top with yellow piping; navy trousers; enclosed, flat, shoes or Trainee Assistant Practitioner White tunic V neck top with yellow piping; navy trousers; enclosed, flat, shoes or Assistant Practitioner White tunic top with hospital blue piping; navy trousers; enclosed, flat, shoes or Trainee Assistant Practitioner White tunic top with hospital blue piping; navy trousers; Speech and Language Therapy (SALT) Female staff Speech & Language Therapist Aubergine tunic with SALT in gold embroidery, black trousers, enclosed, flat, shoes or Speech & Language Therapist Aubergine shirt with SALT in gold embroidery, black trousers, enclosed, flat, shoes or Uniform Policy Rationale Policy Rationale Socks Navy blue or black. (neutral) Should look smart and aid comfort at work. Tights - Black or flesh coloured Should look smart and aid comfort at work. Date of Ratification: January 2014 Page 23 of 24

Cardigans- MUST NOT be worn in clinical areas Smart and professional outside clinical areas. Infection risk in clinical areas. Navy blue for nursing & physiotherapy. Green for Occupational therapists. Black for staff who wear black trousers Trousers - are preferable to dresses and must be full length. Dresses reduce hip flexion by 10 per cent Belts or buckles should not be worn with dress or around tunic tops. May restrict lifting and handling. Buckles may be a risk to patients when Lifting i.e. may scratch patient. Manual handling Operations Regulations (1992). Infection risk. Date of Ratification: January 2014 Page 24 of 24

Appendix 3 Trust Guide on Shoes ACCEPTABLE DUTY SHOES Non-slip sole, lace up style NOT ACCEPTABLE DUTY SHOES Crocs or Croc style shoes Non-slip sole, high tongue loafer Flip flops, Fit Flops, MBTs or Easytones Low heel shoes High heels Date of Ratification: January 2014 Page 25 of 24