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Worcestershire Key Documents

Full List of Key Documents


Compliants and PALS policy and procedure

Policy for managing the requirements of the Health and Social care act 2008 (Regulated activities) Regulations 2010 and the Care Quality Commission (CQC) (Registration) Regulations 2009

Care pathway for patient controlled analgesia KTC

Cardiac rehabilitation policy

Guideline for the treatment of chronic heart failure caused by left ventricular systolic dysfunction

Managing children with airway obstruction/inhaled foreign body - protocol

Guideline and Nursing care plan for post operative cell salvage Blood Transfusion in patients undergoing Total knee and Hip Arthroplasty using the Stryker Auto Transfusion System

Care of pin site guideline

Guideline for the use of continuous blood glucose monitoring system (CGMS Medtronic)

Critically ill children presenting to MIU

Guideline for conscious sedation practice in adult endoscopy

Concecssionary car parking tickets policy

Car parking policy

Countywide Emergency surgery triage clinic  

Control of substances hazardous to health

Control of contracters policy

Clinical record keeping policy

Consultant Medical Staff covering resident junior doctor shifts  

Conduct, capability, Ill health and appeals policies and procedures for Medical and Dental staff

Carers policy

Consultants clinical excellence Awards policy

Claims handling and policy and procedure

Cleaning policy

Cleaning, decontamination and validation of flexible endoscopes

Central venous access devices (CVAD) guideline for insertion and management

Clostridium Difficile infection (CDI) and prevention and spread

Creutzfeldt-jakob disease (CJD) and variant CJD (vCJD) - minimising the risk of transmission

Clinical Coding policy and procedure

Care of the skin

Confirmation of expected death in adults for registered nurses

Care of skin in relation to Tissue Viability

Chaperone policy

Contrast echocardiography utilising nurse led introduction of 0.9% Sodium Chloride for diagnosis of PFO

Management of constipation in adults

Guideline for the prevention and management of chemotherapy induced nausea and vomiting CINV in the patient being treated for malignent disease

Cancer patients who do not wish to pay privately for chemotherapy drugs not covered by the NHS

Carer's diary

Cellulitis Flowchart

Chest drain flushing in adult patients  

Chronic obstructive pulmonary disease

Consent to examinationor treatment

Code of conduct for employees in respect of confidentiality 

Corporate records management policy and procedure

Corporate records management policy and procedure appendix 12 records and retention disposal

Clinical Diagnostic tests

Critical Care Key Documents 

Neonatal Key Documents Information Page

Clinical Audit Policy

Paediatric perioperative and recovery unit guidelines

Guideline for pre-operative preparation of elderly hip fracture

Paediatric resuscitation, stabilisation, retreival and transfer

Post percutaneous coronary intervention (PCI) Clinic Guideline

Privacy and dignity policy

Pneumatic tube policy 

Procurement Policy

Private patients administration policy

Prevention of innoculation incidents policy

Procedure for managing incremental pay progression  

Personal development review (PDR) policy

- Appendix 1 PDR 1

-Appendix 2 PDR 2

-Appendix 3 PDR 3

Performance management policy

Pest control policy

Protocol for the management of extended spectrum beta-lactamase (ESBL) producing organisms, and also vancomycin (glycopeptide) resistant enterococci (VRE) protocol for their management and prevention of spread

Pseudonymisation policy 

Pressure ulcer management and prevention  

Promoting rest and sleep at night

Preceptorship policy for Nurses, Midwives, Allied health professionals and health care scientists

Patient Transfer policy

Promotion of continence and management of incontinence in adults

Patient slips, trips and falls policy

Percutaneous endoscopic gastrostomy guideline - Adults

Prenatal diagnosis of vasa previa

Therapy intervention post fasciectomy for the correct of dupuytren's disease 

Pre and post operative occupational therapy regime for total shoulder replacement, shoulder resurfacing and Hemi shoulder replacement

Point of care testing policy

Prevention and control of Blood borne virus (BBV) infections in the Haemodialysis unit  

Guideline for the prescribing, monitoring and administration of Oxygen in Adults

Guideline for the procedure of pleurodesis with talc slurry

Pleural effusion

Management of pneumonia acquired in the community

Insertion of a chest drain

Patient accomodation pathway


Pre-Op Assessment Key Document page

Paediatric Key Document page

Promotion of continence and management of incontinence in adults

Responsibility of the consultant anaesthetist on call 

Guideline for the management of patients with regular narrow complex tachyarrythmia

Recognition and treatment of alcohol abuse in acute hospital settings

Releasing removed body parts (human tissue) to the patient

Risk assessment procedure

Management of Natural and rubber latex allergy

Retirement gift policy 

Registration with Professional regualtory bodies policy

Recruitment and selection policy

- Appendix 1 - Recruitment and selection procedure

-Appendix 2 - Recruitment and selection guidance

-Appendix 3 - Vacancy review checklist

-Appendix 4 - Guidance on creating a job description and template job description

-Appendix 5 - Guidance on person specifications and template person specification/interview assessment form

-Appendix 6 - Advertisement request template

-Appendix 7 - Invitation to interview template

-Appendix 8 - Letter requesting a reference

-Appendix 8a - Excutive director reference

-Appendix 9 - Guidance on interview arrangements and techniques

-Appendix 10 - Conditional offer letter

-Appendix 11 - Pre employment checks

-Appendix 12 - Unconditional offer letter

-Appendix 13 - New starter checklist

-Appendix 13a - New starter checklist director and equivalent

-Appendix 14 - Departmental induction checklist

-Appendix 15 - Right to work in the UK checklist

-Appendix 16 - DBS decision tree

-Appendix 17 - Guidance to assist managers in the disclosure and barring process

-Appendix 18 - Trust disclosure and barring service declaration

-Appendix 19 - Information for applicants

-Appendix 20 - Workplace health questionnaire

-Appendix 21 - Night workers health assessement form

-Appendix 22 -  Fit and proper persons

-Appendix 23 - Fit and proper person declaration

Guideline for the management of re-feeding syndrome

Routine 20 week scan

Therapy intervention with repair extensor-tendon zone V-VII 

Therapy intervention for radial nerve lesions

Radiotherapy Skin reactions

Renal education and support for patients in LCC guideline (nursing)  

Renal clinic:CKD and low clearance guidelines worcester

Care pathway renal biopsy ultrasound

Research governance policy

Risk Management strategy 

Restrictive interventions for adult patients

Resuscitation Key Documents Page 

Reducing Venous Thromboembolism (VTE) Risk in Adult Patients

Radiology Key Documents Page

Standards of business conduct - Incorporating Hospitality, Gifts and sponsorship

Policy for the secondment to professional training for Nurses, Midwives and Allied health professionals

Management of servere Anaesthetic toxity

Care pathway for spinal Anaesthetic

Speech and Language Therapy Functional Assessment of Voice and swallowing using Flexible Nasendoscopy - Policy

Guidelines on the use of St Mark's solution in patients with a short bowel

Guidelines for medicines management following bariatric surgery

Parenteral nutrition guidelines

Safe operation and working on pressure systems (Excludes MPGS)

Safekeeping of patients property and valuables policy 

Staff expenses policy

Syringe pumps guideline

Guideline for the management of suspected Neurtopenic sepsis induced by cytotoxic therapy  

Management of adult patients with sickle cell disease

Security strategy

Security policy

Slips, trips and falls policy for staff, visitors and contractors 

Sickness, abscence, Health and wellbeing policy

Supporting Staff involved in traumatic/stressful incidents, complaints and claims (all staff)

Smoke free environment policy

Substance misuse policy

Starting salaries procedure

Study and Professional (external duties) leave policy for consultants and SAS medical and dental staff

Study leave policy for non-medical staff

Stress at work policy

Severe acute respiratory syndrome (SARS) avian influenza and other severe viral respiratory infections

Seasonal clinical management: Quick reference guide for staff - 2017/2018

Safe haven policy

Safe prescribing, handling and administration of chemotherapy drugs 

Supporting people with disabilities when accessing acute hospital services

Sensory stimulation guideline

Appendix 1 - The Wessex Head Injury Matrix (WHIM)

Appendix 2 - Sensory Intervention response table

Guideline for the utilisation of scalp cooling devices for patients at risk of chemotherapy induced alopecia

SUDIC - Investigation of sudden and unexpected deaths in children under 18 years

Suspected pulmonary embolism  

Subject access request policy

Safeguarding Key Documents page 

Sepsis Key Documents Page


Page last updated: 16 August 2018