Corporate

pdf Access Control Policy : Electronic Information Assets (292 KB)

This policy highlights some of the risks treated by ‘Access Control’ as a key preventative control in the Trust’s IT Security Strategy.  The objective is to ensure that all users have authorised information access rights in accordance with the requirements of their role.  It applies to all individuals working on behalf of the Trust processing information on an electronic device regardless of location.

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

pdf EHRIA - Access Control (404 KB)

 

pdf Policy on a Page - Access to Health Records (584 KB)

pdf Access to Health Records Policy (814 KB)

This policy outlines the procedures for access to health records.

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

pdf EHRIA - Access to Health Records (471 KB)

 

pdf Statement from Chief Executive of SPFT Regarding Bribery (146 KB)

pdf Anti-Fraud & Bribery Policy (584 KB)

KEY POLICY ISSUES: 

  •          Defining Fraud and Bribery
  •          Responsibilities for Fraud and Bribery

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

pdf EHRIA - Anti-Fraud and Bribery (437 KB)

 

pdf Asbestos Policy (694 KB)

This Policy applies to the Estates and Facilities Department.

The policy aims to set out the process for the management of Asbestos on all properties owned, managed, leased, rented or shared by the Trust.

The Policy has been developed in accordance with Health & Safety Executive (HSE) guidance for the management of Asbestos.

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

pdf EHRIA - Asbestos (404 KB)

 

pdf Policy on a Page - Bomb & Terrorist Threat (281 KB)

pdf Bomb Threat Policy & Procedure (397 KB)

KEY POLICY ISSUES:

  • Vulnerability of NHS Premises
  • Types of Bombs/Threats
  • Notification of a Bomb Threat (Who and When)
  • Evacuation Procedures
  • Instructions and Procedures for Managers
  • Handling Media Enquiries

 

pdf Claims Policy (293 KB)

The purpose of this policy is to describe the process of handling claims,as well as setting out the roles and responsibilities of staff, so that all claims received by Sussex Partnership NHS Foundation Trust are handled fairly and in accordance with the relevant laws and protocols that exist; with due regard to the interests of the person making the claim.

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

pdf EHRIA - Claims (464 KB)

 

pdf Complaints Management Policy & Procedure (446 KB)

This policy has been developed to comply with (current legislation) Statutory Instrument 2009 no.309. The Local Authority, Social Services and NHS Complaints (England) Regulations 2009. It is also informed by; making experience count framework for responding to health and social care complaints DH (2009); DH Resource Pack: Supporting the Implementation of Patient Advice and Liaison Services (2002); and the Health Service Ombudsman publication Principles of good complaint handling (2008).

The purpose is to make it simple for people using services to make a complaint and to enable staff to manage them as effectively as possible; that is to  

  • Do everything possible to resolve problems to the satisfaction of the person making the complaint
  • Learn from what has happened and make improvements that can be demonstrated.
  • Comply with NHS complaints legislation and guidance

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

pdf EHRIA - Complaints (438 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

pdf Confidentiality Policy (400 KB)

This policy applies to all staff throughout the organisation. The key messages are:

  •  Staff Responsibilities for data protection
  •  Data Protection principles
  •  Caldicott & Confidentiality
  •  Transferring and sharing Information
  •  Information Sharing Agreements
  •  Security of paper and electronic data
  •  Staff Code of Confidentiality
  •  Levels of Access to electronic patient information
  •  Incident reporting

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

pdf EHRIA - Confidentiality (358 KB)

 

pdf Policy on a Page - Conflict of Interest (381 KB)

pdf Conflict of Interest Policy (624 KB)

Sussex Partnership NHS Foundation Trust (the ‘organisation’), and the people who work with and for us, collaborate closely with other organisations, delivering high
quality care for our patients. These partnerships have many benefits and should help ensure that public money is spent efficiently and wisely. But there is a risk that conflicts of interest may arise. Providing best value for taxpayers and ensuring that decisions are taken transparently and clearly, are both key principles in the NHS Constitution.

We are committed to maximising our resources for the benefit of the whole community. As an organisation and as individuals, we have a duty to ensure that all our dealings are conducted to the highest standards of integrity and that NHS monies are used wisely so that we are using our finite resources in the best interests of patients.

 

pdf Corporate Records Management Policy (629 KB)

This policy applies to all staff and the key issues are:

  • Records Management
  • Roles & responsibilities
  • Protective Markings
  • Retention & disposal schedule
  • Storage
  • Legal and Professional obligations

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

pdf EHRIA - Corporate Records (399 KB)

 

pdf Policy on a Page - Data Protection & Security (446 KB)

pdf Data Protection & Security Policy (388 KB)

This policy applies to all staff through

out the organisation. The key messages are:

  • Staff Responsibilities for data protection
  • Data Protection principles
  • Caldicott  & Confidentiality
  • Transferring and sharing Information
  • Security of paper and electronic data
  • Staff Code of Confidentiality
  • Levels of Access
  • Incident reporting

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

pdf EHRIA - Data Protection & Security (453 KB)

 

pdf Data Quality Policy (191 KB)

  • Data quality
  • Data quality standards
  • Identifying and correcting errors
  • Measurements of good data quality

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

pdf EHRIA - Data Quality (507 KB)

 

THIS POLICY IS CURRENTLY UNDER REVIEW 

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

pdf eSafety Policy (173 KB)

Technological advances have made an ever increasing range of electronic information and communication devises readily available. These include mobile phones, smart phones, cameras, gaming machines, tablets, and other computers. Use of these devices is often via the internet. People can enjoy and benefit from using these devices. This policy provides guidance for staff, and people using service provided by Sussex Partnership, to keep safe.

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

pdf EHRIA - eSafety (508 KB)

 

pdf Family and Friend Carers Confidentiality Policy (115 KB)

pdf Family and Friend Carers and Confidentiality Policy on a Page (85 KB)

pdf Appendix 1 - Letter from Samantha Allen (48 KB)

pdf Appendix 2 - Working with Families and Carers (104 KB)

Carers play an important role in many service users’ lives. Their knowledge and expertise represent an enormous resource for statutory sector mental health services. Sussex Partnership NHS Foundation Trust (the Trust) is committed to the key standards in the Carers Trust Triangle of Care model for carer inclusion and support and this involves a specific commitment to developing policy and practice protocols regarding confidentiality and sharing information.

Staff members often struggle to balance the needs of carers with the right to confidentiality of service users. This guidance gives general advice about sharing information – the ideal information sharing strategy however is one that is designed with and tailored to all the individuals involved in a specific situation– the service user, carer and staff.

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

pdf EHRIA - Carers & Confidentiality (401 KB)

 

pdf Freedom of Information Policy (211 KB)

The Freedom of Information (FOI) Act gives members of the public a general right to request access to all types of recorded information held by public authorities, promoting a culture of openness and accountability across the public sector.

As a requestor you are entitled to be told whether or not the Trust holds information and, if we do, to have it communicated to you, normally within 20 working days, in the format requested.

The Trust do not have to confirm or deny the existence of the information or provide it if 

  • an exemption applies
  • the request is vexatious or similar to a previous request
  • or if the cost of compliance exceeds an appropriate limit (this equates to 18 hours spent on locating and extracting the information)

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

pdf EHRIA - Freedom of Information (510 KB)

 

pdf Hazardous Materials (HAZMAT) & Chemical Biological Radiological Nuclear & Explosives (CBRNE) Policy (534 KB)

This plan applies to all hospital sites within the Trust. It describes the action that needs to be taken in order to manage a potential contamination incident, whether involving hazardous materials (HAZMAT) or an incident which may be construed as an attempt to perpetrate an act of terrorism, releasing chemical, biological, nuclear, radiological substances, or explosive devices (CBRNE).

pdf Policy on a Page - Health Records (587 KB)

pdf Health Records Policy (538 KB)

This policy provides guidance for all staff involved in handling integrated health and social care records on the standards for record keeping:

  • The Creation
  • Use
  • Movement
  • Storage
  • Archiving
  • Retrieval and secure destruction of health records

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

pdf EHRIA - Health Records (461 KB)

 

pdf Policy on a Page - Information Governance Assurance (598 KB)

pdf Information Governance Assurance Policy (612 KB)

This policy applies to all staff throughout the organisation. The key messages are:

  • Principles of Information Governance
  • Confidentiality and Legal Compliance
  • Information Security
  • Quality Assurance
  • Legal and Trust Related Policies and Guidance
  • Information Governance Management
  • Incident reporting

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

pdf EHRIA - Information Governance Assurance (436 KB)

 

THIS POLICY IS CURRENTLY UNDER REVIEW 

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

pdf Intellectual Property Policy (235 KB)

This policy outlines how to appropriately develop, exploit and disseminate any intellectual property that arises in the normal course of Trust employment.

It is relevant to all staff who generate Intellectual Property during the course of their employment, including those on temporary or honorary contracts and those seconded to or from another organisation.

 

THIS POLICY IS CURRENTLY UNDER REVIEW

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

pdf Investment Policy (476 KB)

  • Applies to all staff
  • Should be read when considering all capital projects and revenue investments
  • Sets out criteria for assessing and prioritiing investment
  • Link to Care Delivery Service Operating Plans
  • Does not apply to pensions, Heads On Trust Charity or other funds connected to the Trust
  • Includes guidance on significant transactions
  • Includes overview of the role of the Committee functions and structure for making investment decisions
  • Should be read in conjunction with the Trust Standing Financial Instructions but includes summary of financial delegation limits

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

pdf EHRIA - Investment (348 KB)

 

pdf Policy on a Page - IT & Information Security (608 KB)

pdf IT and Information Security Policy (238 KB)

This policy document is designed to limit the risk that confidential information is disclosed inappropriately, this particularly applies to person identifiable information.

This document is focused on IT security, specifically the use of internet, email, portable electronic, disposal, storage devices and the use of mobile phones. This policy document ensures against the inappropriate disclosure of confidential information.

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

pdf EHRIA - IT & Information Security (507 KB)

 

pdf Losses, Compensation & Special Payments Policy (470 KB)

The purpose of this policy is to define processes relating to losses and special payments and to ensure adequate controls over compensation.

Losses and special payments are items that Parliament would not have contemplated when it agreed funds for the health service or passed legislation. By their nature they are items that ideally should not arise. They are therefore subject to special control procedures compared with the generality of payments, and special notation in the accounts to draw them to the attention of Parliament. They are divided in to different categories, which govern the way each individual case is handled.

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

pdf EHRIA - Losses, Compensation & Special Payments (341 KB)

 

pdf Media Policy (565 KB)

This policy explains how and why we work with the media. By ‘media’ we mean newspapers, broadcast news outlets (i.e television and radio news), online publications and social media channels such as Twitter and Facebook.

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

pdf EHRIA - Media Policy (456 KB)

pdf Mobile Devices Policy (1007 KB)

This policy highlights the risks introduced through the use of mobile devices (both Trust-owned and personal devices (BYOD)) and the controls the Trust is putting in place to reduce them.  It applies to all individuals that use mobile devices and all locations they are used from.

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

pdf EHRIA - Mobile Devices (390 KB)

 

pdf Policy on a Page - NICE (261 KB)

pdf National Institute for Health & Clinical Guidance (NICE) Policy (188 KB)

Structure and process to support implementation and audit of practice of clinical guidance from nationally recognised bodies presenting best evidence.

How to achieve compliance with internal, professional and external regulation of best practice.

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

pdf EHRIA - National Institute for Health & Clinical Excellance (NICE) (435 KB)

 

pdf Policy on a Page - Prevent (501 KB)

pdf Prevent Policy (294 KB)

pdf Prevent Policy- Appendix 3 - NHS England Guidelines (651 KB)

Prevent forms one part of the Government's overall counter terrorism strategy, 'CONTEST', which is led by the Home Office.  Prevent aims to deter individuals from becoming terrorists or supporting terrorism.  The Prevent policy aims at front line staff and is designed to help make staff aware of their role in preventing vulnerable people being exploited for terrorist purposes.

The Prevent strategy recognises that NHS staff may come into contact with individuals (both children and adults) who are vulnerable to radicalisation.  Staff must have an awareness of the risk of radicalisation, identify those individuals who may be vulnerable and intervene to prevent them from supporting terrorism or becoming terrorists themselves.

All concerns relating to Prevent must be escalated as a matter of urgency to the Single Point of Contact for Prevent or to the Trustwide Safeguarding Team.

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

pdf EHRIA - Prevent Policy (432 KB)

 

pdf Procedural Documents Policy (925 KB)

KEY POLICY ISSUES:

  • How to develop new/reviewed Procedural Documents 
  • How to draft word/format for new/reviewed Procedural Documents
  • How to obtain details

 

pdf Quality Improvement Policy (735 KB)

This policy covers:

 National context of Quality Improvement

 Purpose, definition and scope of Quality Improvement

 Duties, roles and responsibilities for Quality Improvement

 Conduct of Quality Improvement

 Governance & Ethics in Quality Improvement

 Training & Development for Quality Improvement

 Monitoring Quality Improvement

 

 

document Policy on a Page - Registration Authority (598 KB)

pdf Registration Authority (Smartcards) Policy (Local) (371 KB)

The Registration Authority [RA] function for Sussex Partnership NHS Foundation Trust is currently managed by the South East Commissioning Support Unit (SECSU). 

Its role is to create and maintain users of NHS Clinical Records (NHS CRS) Systems, through the use of smartcards and is responsible in ensuring that the issuance and governance of Smartcards and Smartcard Access is in line with National policy and procedures. 

The roles and responsibilities of Registration Authorities are defined by NHS policy and the central “Registration Authority” is run by the Health and Social Care Information Centre (HSCIC).

The Trust is currently implementing a new clinical information system which has Patient Demographic Service (PDS) complaint functionality that is accessed using an NHS smartcard. This local RA policy has been produced to provide information covering accountability, governance and frameworks around the terms and conditions of use and sets out user roles and responsibilities. 

This policy is aligned with the HSCIC National RA policy, which is based on the original Department of Health [DH] Gateway document (reference number 6244) ‘Registration Authorities: Governance Arrangements For NHS Organisations’, the NHS Care Record Guarantee, the Data Protection Act 1998, and requirements contained in the HSCIC RA Process Guidance together with IG Toolkit requirements in relation to Registration Authorities.

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

pdf EHRIA - Registration Authority (420 KB)

 

pdf Policy on a Page - Research Policy (609 KB)

pdf Research Policy (416 KB)

KEY POLICY ISSUES:

Sets out the Trust’s policy for the conduct and management of research activity in the organisation.  The policy is applicable to all Trust employees and to non-employees who conduct research involving Trust premises or staff.

  • The promotion of good research practice in the Trust
  • To enhance the ethical and scientific quality of research
  • To safeguard the rights and interests of patients
  • To prevent poor, wasteful and unnecessary research
  • To prevent adverse incidents in research.

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

pdf EHRIA - Research Policy (433 KB)

 

pdf Policy on a Page - Security Policy (286 KB)

pdf Security Policy (349 KB)

KEY POLICY ISSUES:

The Trust is committed to developing and maintaining a culture which recognises both the importance of security and that security is the responsibility of all staff and that the protection of personal safety and property of patients, staff and visitors while within the Trust’s premises is important

This policy aims to outline:

  • Security is everyone’s responsibility
  • A secure environment assists in providing high quality clinical care
  • Security of the Trust’s assets from damage, theft and fraud is paramount
  • The process for determining the Lockdown of Trust properties

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

pdf EHRIA - Security Policy (452 KB)

 

pdf Service User & Carer Payment Policy (519 KB)

This policy has been developed in accordance with national guidance – Reward and Recognition: The principles and practice of service user payment and reimbursement in health and social care. (Department of Health - August 2006) and amended following consultation with service user and carer organisations.

This policy sets out a standardised approach to the payment of service user and carer ‘consultants’.  The policy provides details of rates of payment based on the type of activity the service user/carer consultant is engaged in.

The policy recognises that there may be variations in the employment status of individual service user/carer consultants, or of groups of service user/carer consultants in different areas and this is taken into account.

The policy also describes the processes by which payments will be made via the Partnership Trust payroll.

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

pdf EHRIA - Service User & Carer Payment (674 KB)

 

THIS POLICY IS CURRENTLY UNDER REVIEW

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

pdf Smoke Free Policy (911 KB)

Key Policy Issues:-

  • To provide a clear and consistent message that smoking and passive smoking kills and causes disease, and as such will no longer be permitted in Trust buildings
  • Compliance with Department of Health Guidance and legislation.  From 1 July 2008 smoking will be against the law in any enclosed or substantially enclosed part of any mental health establishment
  • Staff, visitors and contractors are not permitted to smoke on any Trust premises
  • Service users will be allowed to smoke in designated outside areas only
  • The provision of a healthy working environment and improving the health of service users, staff, visitors and contractors
  • Protecting non-smokers from the danger to their health of exposure to second hand smoke
  • Provide an environment conducive to giving up smoking and ensure that service users and staff who want to give up smoking receive the necessary support
  • The policy will reduce the risk of fires being started by smoking

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

pdf EHRIA - Smoke Free (559 KB)

 

pdf Policy on a Page - Standing Financial Instructions (454 KB)

pdf Standing Financial Instructions Policy (861 KB)

pdf Standing Financial Instructions - Appendix 1 - Scheme of Delegation - Mar 2019 (153 KB)

pdf Standing Financial Instructions - Appendix 2 - Delegated Financial Limits Committees 2019/20 (187 KB)

pdf Standing Financial Instructions - Appendix 3 - Delegated Financial Limits 2018-19 (54 KB)

KEY POLICY ISSUES:

-       These Standing Financial Instructions detail the financial responsibilities, policies and procedures adopted by the Trust.

-       The Standing Financial Instructions identify the financial responsibilities which apply to everyone working for the trust.

-        It is recommended that the following policies be read in conjunction to this policy:

o   The Standards of Business Conduct and Conflicts of Interest Policy

o   Raising matters of concern (Whistleblowing) Policy

o   Disciplinary Policy and Procedure

o   Anti-Fraud and Anti-Bribery Policy

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

pdf EHRIA - Standing Financial Instructions (445 KB)

 

pdf Treasury Management Policy (252 KB)

KEY POLICY ISSUES:

  • Objectives of treasury management
  • Attitude to risk
  • Responsibilities for treasury management
  • Bank relationships and cash management
  • Reporting and performance management & controls

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

pdf EHRIA - Treasury Management (428 KB)

 

pdf Volunteer Policy (464 KB)

pdf Volunteer Policy on a Page (552 KB)

This policy and procedure have been drawn up to provide a clear Framework for the Volunteer Service within Sussex Partnership NHS Foundation Trust. It should be read in conjunction with the Guidance for managers on volunteering available on the Trust website.

There are also links between the development of the Volunteer Service and the work being undertaken within the Trust on community engagement, service user and carer participation, service user employment, peer support and developing a recovery approach within all our services.

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

pdf EHRIA - Volunteer Policy (630 KB)