Clinical

pdf Policy on a Page - AWOL (339 KB)

pdf Absent Without Leave (AWOL) Policy & Procedure (1.14 MB)

When a patient subject to the Mental Health Act is absent without leave or an informal patient is missing

This policy describes the procedure to be followed when a patient subject to the Mental Health Act (MHA) is absent without leave or an informal patient is missing. This includes managing, reporting, monitoring and reviewing incidents. The aim of this policy is to ensure the safety of patients and improve joint working between Sussex Partnership NHS Foundation Trust (Sussex Partnership) and Sussex Police.

The policy covers all Sussex Partnership services and applies to all in-patient, both detained under the MHA and informal, as well as patients subject to Guardianship and Supervised Community Treatment.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Absent Without Leave (494 KB)

 

pdf Active Engagement incorporating Did Not Attend (DNA) Policy & Procedure (302 KB)

The policy sets the standards of how to promote engagement with service users and how to manage and escalate issues when service users are not engaged or do not attend appointments. Actions are based on clinical judgement relating to the level of clinical risk.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Active Engagement inc. DNA Management (459 KB)

 

pdf Policy on a Page - Care Programme Approach (CPA) (363 KB)

pdf Care Programme Approach (CPA) Policy (Including Standard Care) (920 KB)

All service user in secondary care will be allocated a lead practitioner and there are 2 levels of care - standard and CPA. Everyone receiving care will have a personal support plan  - this will be a brief record of agreed care for those on standard care, and a more comprehensive plan for those on CPA.  This plan should be co-produced with the service user and based on recovery principles.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Care Programme Approach (394 KB)

 

pdf Child Visiting Policy & Procedure (311 KB)

The best interests and safety of children must be considered at all times. This policy sets out arrangements for children visiting hospital in different settings.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Child Visiting (478 KB)

 

pdf Clinical Risk Assessment - Policy on a Page (517 KB)

pdf Clinical Risk Assessment and Safety Planning / Risk Management Policy and Procedure (479 KB)

This policy gives staff guidance and tools to assess the risk of self-harm, suicide, neglect, vulnerability and violence. Risks identified can be managed effectively, fairly and safely. Safety is promoted while maximising the service user’s independence, social inclusion, and recovery. This policy applies to all Trust services.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Clinical Risk Assessment (540 KB)

 

pdf Complementary Therapies Policy (272 KB)

The purpose of this guidance is to ensure that a framework exists to ensure that in all areas where a complementary therapy is offered, staff will be appropriately trained and supervised, and that the therapy is performed in a safe and satisfactory manner appropriate to the needs and wishes of the client.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Complementary Therapies (462 KB)

 

pdf Policy on a Page - Duty of Candour (Being Open) (286 KB)

pdf Duty of Candour (Being Open) Policy (1.76 MB)

Sussex Partnership NHS Foundation Trust (the Trust) is committed to ensuring that the services we provide are safe and of high quality. If something goes wrong in the care of a patient, the Trust is committed to being open, honest and transparent about the error, and ensuring that information about it is appropriately shared, learning disseminated and required changes made and embedded. The purpose of this policy therefore is to ensure that all staff understand their responsibilities and the importance of being open.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Duty of Candour (Being Open) (465 KB)

 

pdf Policy on a Page - Electro-Convulsive Therapy (ECT) (501 KB)

pdf Electro-Convulsive Therapy (ECT) Policy (542 KB)

ECT must be administered safely and in keeping with national standards. All professionals involved must keep their knowledge and skills up to date.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Electro Convulsive Therapy (ECT) (563 KB)

 

pdf Policy on a Page - Food & Nutrition (222 KB)

pdf Food and Nutrition Policy (561 KB)

Nutritional guidelines for screening, assessment and treatment for malnutrition or obesity, as well as promoting good health through food.

If you like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Food & Nutrition (562 KB)

 

pdf Policy on a Page - Domestic & Sexual Abuse (664 KB)

pdf Identifying & Responding to Domestic & Sexual Abuse (1.02 MB)

Domestic and sexual abuse is commonplace in society, and is even more prevalent among people who have experiences of mental ill-health. Domestic and sexual abuse are also known to have an impact on mental well-being. The Department of Health and NICE recognise that mental health services have a role to play in addressing domestic and sexual abuse.

This policy is designed to provide a framework for staff to identify, and respond to, domestic and sexual abuse in an effective and supportive way that promotes safety and empowers those who experience it, as well as enabling staff to hold perpetrators accountable for their actions. This policy applies to all Trust services.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Identifying & Responding to Domestic & Sexual Abuse (531 KB)

 

pdf Infection Prevention & Control Policy (217 KB)

Healthcare associated infections can be traumatic to the patient and costly in terms of time, resources and wellbeing. Staff are expected to comply with this policy and ensure their training is up to date. 

Appendices:

pdf IPC1 - Antibiotic Prescribing Policy (191 KB)

pdf IPC2 - Aseptic Technique & Care of Invasive Devices (309 KB)

pdf IPC3 - Collection of Microbiological Specimens (210 KB)

pdf IPC4 - Decontamination of Medical Equipment (333 KB)

pdf IPC5 - Environmental Cleaning (425 KB)

pdf IPC6 - Estates & Facilities Management (147 KB)

pdf IPC7 - Food Hygiene (162 KB)

pdf IPC8 - Hand Hygiene, Appendices 1 & 2 (579 KB)

pdf IPC8a - Hand Hygiene, Appendix 3 (410 KB)

pdf IPC8b - Hand Hygiene, Appendix 4 (439 KB)

pdf IPC8c - Hand Hygiene, Appendix 5 (219 KB)

pdf IPC9 - Infection Control Principles, Precautions & Personal Protective Equipment (275 KB)

pdf IPC9a - Infection Control Principles, Precautions & Personal Protective Equipment, Appendix 2 (314 KB)

pdf IPC10 - Last Offices (174 KB)

pdf IPC11 - Laundry Management (129 KB)

pdf IPC12 - Management of Healthcare Waste (231 KB)

pdf IPC13 - Management of Infections in Staff (103 KB)

pdf IPC14 - Pest Control (117 KB)

pdf IPC15 - Pets in The Clinical Area (163 KB)

pdf IPC16 - Recognition & Management of an Outbreak of Infection (607 KB)

pdf IPC17 - Single Use & Single Patient Use Medical Devices (192 KB)

pdf IPC17a - Single Use & Single Patient Use Medical Devices, Appendix 1 (134 KB)

pdf IPC17b - Single Use & Single Patient Use Medical Devices, Appendix 2 (164 KB)

pdf IPC18 - Spillages of Blood & Body Fluids (139 KB)

pdf IPC19 - Toy Cleaning (188 KB)

pdf IPC19.1 - Toy Cleaning, Policy on a Page in Clinical Settings (423 KB)

pdf IPC20 - Vaccination Programme for Staff & Service Users (173 KB)

pdf IPC21 - Infections with Specific Alert Organisms (475 KB)

pdf IPC21.1 - Infections with Specific Alert Organisms - Categorisation of Service User by Risk (41 KB)

pdf IPC22 - Sharps Management Protocol (386 KB)

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link

pdf EHRIA - Infection Prevention & Control (467 KB)

 

pdf Internet Access for Service Users (439 KB)

The purpose of this policy is to provide staff of the Trust with an outline of their responsibilities whilst facilitating access to the Internet for service users under the care of the Trust. It also outlines the limitations and responsibilities which service users need to be aware of whilst accessing the Internet on Trust property and using Trust equipment and/or networks.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Internet Access for Service Users (755 KB)

 

pdf Policy on a Page - Medicines Code (501 KB)

pdf Medicines Code Policy (2.21 MB)

Key Document Issues       

  • To state the Trusts position with regard to medicines management and New Ways of Working.

  • To ensure safe and secure handling of medicines.

  • To help ensure the safe and secure prescribing and administration of medicines.

 

pdf Mixed Sex Accommodation – Maximising Individual Dignity Policy (1009 KB)

This policy sets out for all Trust staff, our roles and responsibilities in relation to mixed sex accommodation in order to maintain the safety, privacy and dignity of our patients and carers. 

Protecting the safety, privacy and dignity of our patients is paramount. Sussex Partnership NHS Foundation Trust (the Trust) has a duty to deliver services in an environment, which promotes the safety, privacy and dignity of service users. All staff are expected to treat patients, service users, relatives, carers and visitors with respect and dignity and ensure the safety and privacy of patients and service users is maintained at all times.

If you would like to see the Equality & Human Rights Impact Analysis, please click on the link

  pdf EHRIA - Mixed Sex Accommodation - Maximising Individual Dignity (541 KB)

 

pdf Policy on a Page - Non-Medical Prescribing (499 KB)

pdf Non-Medical Prescribing Policy (861 KB)

The purpose of this procedure is to give non-medical prescribers guidance, information and advice on; good practice, training, local processes once qualified, accountability, record keeping, audit and the security and safe handling of medicines.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Non-Medical Prescribing (561 KB)

 

pdf Policy on a Page - Open Door (377 KB)

pdf Open Door Policy (300 KB)

The Trust policy is that inpatient ward doors should be kept unlocked. There is a list of areas where entry and egress from the ward is controlled. There is a procedure to follow when doors need to be locked on a temporary basis as dictated by clinical need.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Open Door (522 KB)

 

pdf Photographs in Medication Administration Policy (205 KB)

The policy for taking and keeping patient photographs to reduce medication administration error and support the police if a patient goes AWOL/missing.

If you like to see the Equality & Human Rights Impact Analsysis (EHRIA), please click on the link.

pdf EHRIA - Photographs in Medication Administration (514 KB)

 

pdf Policy on a Page - Physical Health Assessment & Monitoring (557 KB)

pdf Physical Health Assessment & Monitoring Policy (331 KB)

All patients, of all ages and all care groups, admitted to in-patient wards must have a thorough physical assessment and examination. 

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Physical Health Assessment & Monitoring (547 KB)

 

pdf PMVA - Prevention & Management of Violence & Aggression (Formerly Restrictive Physical Interventions) (490 KB)

THIS POLICY IS CURRENTLY UNDER REVIEW WITH THE POLICY AUTHOR

WHILST THE POLICY IS UNDER REVIEW, THE CONTENT HAS BEEN CONFIRMED AS REMAINING CURRENT PRACTICE

This policy reflects current national guidance relating to the de escalation and management and prevention of violence and aggression including restrictive physical interventions for people with learning disability and autistic spectrum disorder, in health, education and social care settings. The policy sets out Sussex Partnership NHS Foundation Trust’s (the Trust) approach to minimising the risks to staff, service users and carers that could potentially arise through violent or aggressive behaviour. The policy provides guidance and summarises the actions that staff are required to take in order to maintain a safe working area, their own and others safety and what to do if they find themselves in a potentially violent situation. This policy applies across all Trust care groups and services.

 

pdf Rapid Tranquillization Policy (Including the use of oral PRN medication) (693 KB)

This policy sets out when to consider using rapid tranquillisation and the process to follow, including record keeping, monitoring and training.

 

pdf Policy on a Page - Resuscitation & Analphylaxis Policy (485 KB)

pdf Resuscitation and Anaphylaxis Policy (835 KB)

All clinical staff must be conversant with emergency procedures in their place of work, including how to access emergency care following a respiratory or cardiac arrest. Staff must attend training as set out in this policy.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Resuscitation & Analphylaxis (714 KB)

 

pdf Policy on a Page - Safeguarding Adults (552 KB)

pdf Safeguarding Adults Policy (750 KB)

Recognising when adults are at risk of harm or neglect by other and unable to protect themselves. Undertaking steps, to prevent, investigate  and reduce levels of risk. Concerns must be reported.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Safeguarding Adults (465 KB)

 

pdf Policy on a Page - Safeguarding Children (307 KB)

pdf Safeguarding Children Policy (544 KB)

Everyone has an individual responsibility to safeguard and promote the welfare of children. All staff have training on how to report concerns.

 

pdf Policy on a Page - Searching Patients & Their Property (320 KB)

pdf Searching Patients and Their Property Policy & Procedure (366 KB)

The intention is to create a safe therapeutic environment.  Hospital staff need to be aware of whether they have a legal right to search a patient.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Searching Patients & Their Property (531 KB)

 

All people who use Trust services are entitled to be respected, valued and worked with in a way that it is sensitive to the needs of each individual. This policy aims to provide staff with information and good practice required to achieve this aim for people using our services who are trans..

pdf Policy on a Page - Therapeutic Engagement & Observation (396 KB)

pdf Therapeutic Engagement & Observation Policy (1.15 MB)

This is one of the most important policies and procedures for our wards. The careful and continuous assessment of clinical risk, reflected in an up to date care plan and supported by the right level of observation keeps our patients safe. Based on national guidance, it has been written by nurses in practice, and tested with colleagues across the Trust.  We welcome your feedback. If you would like to contribute to this continuous improvement programme, you will be warmly welcomed, please contact the Nursing Directorate.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link below

pdf EHRIA - Therapeutic Engagement & Observation (378 KB)

 

Transfer of Service Users Requiring Care Within a Local General Hospital Policy

When Sussex Partnership Trust in-patients require treatment in a general hospital patients can expect both groups of staff to work together. The general hospital has overall responsibility while Sussex Partnership staff have responsibility for specialist mental health, substance misuse or learning disability needs.

If you would like to see the Equality & Human Rights Impact Analysis (EHRIA), please click on the link.

pdf EHRIA - Transfer of Service Users (535 KB)