Clinical policies
Clinical general
- Admission, transfer and discharge manual
- Animals in healthcare settings policy
- Assessment and care of children and young people with mental health needs who are placed in an acute general hospital ward policy
- Assessment and screening of drug and alcohol issues in combination with a mental health diagnosis policy
- Assessment, care and treatment in mental health and learning disability services policy
- Blanket restrictions policy
- Blood transfusion policy
- Breastfeeding support groups known as breast start groups procedure
- Care and treatment of children under the age of 18 on adult acute mental health inpatient areas policy
- Care of the adult patient following death (last offices) procedure
- Care of the bariatric patient guidance
- Care programme approach (CPA) policy
- Chaperoning policy
- Children and young peoples mental health service for children and young people that are placed in tier 4 establishments procedure
- Children visiting inpatient and residential units within the trust policy
- Children with special educational needs and disability in Doncaster health contribution (SEND) policy
- Clinical audit policy
- Clinical risk assessment and management policy
- Consent to care and treatment policy
- Continence manual
- Controlled access and egress for inpatient wards policy
- Disengagement policy
- Disengaging with services (children or young people and CAMHS) policy
- Drug misuse on trust premises policy
- Dysphagia management policy
- Electro-convulsive therapy (ECT) clinical guidelines policy
- Electronic handover by medical staff procedure
- Eliminating mixed sex accommodation and maintaining privacy, dignity and respect policy
- Enteral tube feeding adults policy
- Forensic services manual
- Healthcare record keeping policy
- Infant feeding policy (Doncaster community)
- Infant feeding policy (joint or North Lincolnshire)
- Interpreters policy
- Learning from deaths policy the right thing to do
- Mobile devices, social media, the internet and digital content, appropriate and acceptable use
- Nutrition and hydration policy
- Patient falls manual (prevention and management)
- Patient identification policy
- Patients missing or absent without leave (AWOL) policy
- Patients trans equality policy
- Patients with a mental health problem and learning disability management policy
- Physical health policy
- Prevention of scalding and drowning policy
- Primary care mental health service policy
- Primary care mental health service procedure
- Requesting a change of lead clinician
- Requesting a second opinion policy
- Resuscitation manual
- Royal Marsden clinical procedure
- Searching of a person or their property policy
- Secluded or segregated policy
- Self harm in primary and specialist care services policy
- Supportive therapeutic observation policy
- Taser or irritant spray on inpatient guidelines
- Tendable procedure
- The move to personalised care standard operating procedure
- Totally implantable venous access device (TIVAD) or Port-a-Cath policy and procedure
- Transfer of deceased patients policy
- Transition children and young people’s mental health to adult mental health services and learning disability services
- Venepuncture with reducing restrictive interventions (RRI) for people who lack capacity to consent procedure
- Venous thromboembolism (VTE) policy
- Verification of expected death policy
- Very important person (VIP) visiting the trust policy
- Vision based patient monitoring system (VBPMS) (non-contact technology) policy
- Visiting patients on inpatient areas policy
- Wound care and tissue viability manual
- Wound care formulary (Doncaster)
Infection prevention and control
Mental Capacity Act
Mental health legislation
- Advance statements and advance decisions to refuse treatment policy
- Community treatment order policy
- Discharge of a patient by their nearest relative procedure
- Guardianship policy (Doncaster)
- Guardianship policy (North Lincolnshire)
- Guardianship policy (Rotherham)
- Hospital managers protocol
- Leave for inpatients policy and guidance including section 17
- Police assistance and conveyance for the admission of patients detained under Mental Health Act (1983) to hospital
- Receipt and scrutiny of detention papers Mental Health Act (1983) policy
- Responsible and approved clinician allocation, selection and training policy
- Section 117 aftercare policy (North Lincolnshire)
- Section 117 Mental Health Act (1983) policy
- Section 117 Mental Health Act (1983) policy (Rotherham and Doncaster)
- Section 132 informing detained patients of their legal rights procedure
- Section 132 Mental Health Act (1983) explaining to patients their legal rights procedure
- Section 135 Mental Health Act (1983) policy
- Section 136 Mental Health Act (1983) policy
- Section 19 transfer of patients detained under the Mental Health Act (1983) to another hospital or unit procedure
- Section 29 displacement of nearest relative policy (Doncaster)
- Section 29 displacement of nearest relative policy (North Lincolnshire)
- Section 29 displacement of nearest relative policy (Rotherham)
- Section 5(2) procedure
- Section 5(4) procedure
- Section 62 procedure for clinical staff
- Section 86 warrant, guidance and procedure (removal of alien patient)
- When a second opinion appointed doctor attends policy
Patient group direction (PGD)
- Atropine supply and administration by contraception and sexual health nurses
- Diphtheria, tetanus, acellular pertussis and inactivated poliomyelitis vaccine
- Heparin sodium to line lock a vascular access device administration
- Hepatitis A and B vaccine
- Hepatitis A vaccine UK Health Security Agency (UKHSA)
- Hepatitis B vaccine UK Health Security Agency (UKHSA)
- Human papillomavirus vaccine (HPV)
- Inactivated influenza vaccine
- Live attenuated influenza vaccine nasal spray suspension (LAIV)
- Measles, mumps and rubella (MMR) administration of vaccine
- Meningococcal (groups A, C, W and Y) administration of national routine vaccination programme
- REVAXIS low dose diphtheria, tetanus and inactivated poliomyelitis vaccine (Td/IPV)
- Sexual health azithromycin for the treatment of uncomplicated chlamydia trachomatis, uncomplicated mycoplasma genitalium and non-gonococcal and non-specific urethritis
- Sexual health ceftriaxone intramuscular injection for Neisseria gonorrhoeae infection
- Sexual health clotrimazole 1% cream for symptomatic relief of vulvovaginal candidiasis
- Sexual health clotrimazole 500mg pessary for treatment of vulvovaginal candidiasis
- Sexual health combined hormonal contraceptive transdermal patch
- Sexual health combined oral hormonal contraceptive (COC)
- Sexual health doxycycline for uncomplicated chlamydia trachomatis, epididymo-orchitis, uncomplicated mycoplasma genitalium and non-gonococcal and non-specific urethritis
- Sexual health etonogestrel (Nexplanon) 68mg subdermal implant for contraception
- Sexual health fluconazole 150mg capsule for vulvovaginal candidiasis
- Sexual Health imiquimod 5% weight by weight cream for the treatment of external anogenital warts
- Sexual health intramuscular medroxyprogesterone (DMPA) acetate injection
- Sexual health levonorgestrel 1500mcg tablets for emergency contraception
- Sexual health lidocaine 10mg/ml spray to facilitate intrauterine contraception (IUC) insertion or removal
- Sexual health lidocaine 2.5% plus prilocaine 2.5% cream (EMLA Cream 5%, Nulbia 5% cream) to facilitate intrauterine contraception (IUC) insertion or removal
- Sexual health lidocaine hydrochloride 1% injection to facilitate insertion and removal of subdermal etonogestrel implant
- Sexual health oral acyclovir for the treatment of genital herpes simplex virus (HSV) infections
- Sexual health oral metronidazole for bacterial vaginosis (BV) or Trichomonas vaginalis (TV)
- Sexual health podophyllotoxin 0.15% weight by weight cream or 0.5% weight per volume solution for the treatment of external anogenital warts
- Sexual health progestogen only contraceptive pill (POP)
- Sexual health progestogen-only intra-uterine device (IUD)
- Sexual health subcutaneous medroxyprogesterone acetate (SC-DMPA) injection
- Sexual health ulipristal acetate 30mg table for emergency contraception
- Sodium chloride 0.9% injection as a flush administration
- Template protocol for the insertion of copper intrauterine devices (Cu-IUDs)
Prescribing and medicines management
- Admin of injectable medications by healthcare assistants procedure
- Alcohol detoxification policy (Doncaster inpatients)
- Antidepressant medication management within children and young people’s mental health service procedure
- Clozapine clinic protocols
- Controlled drug prescribing (Aspire drug and alcohol service Doncaster) procedure
- Controlled drugs (care groups, community physical health services) procedure
- Controlled drugs (except St John’s Hospice and RDaSH physical health community services) procedure
- Controlled drugs (St Johns hospice) procedure
- COVID-19 testing machine Abbott ID now procedure
- Destruction of controlled drugs and unknown substances by pharmacy services staff procedure
- Glucometer Abbott FreeStyle Optium Neo H procedure
- Glucometer nova StatStrip Xpress 2 procedure
- High dose intra muscular vitamin supplements for patients undergoing alcohol detoxification procedure
- Influenza vaccine administered to staff working for the trust written instruction
- Lithium monitoring via nurse led clinic policy
- Management of medicines on Hazel, Hawthorn and Magnolia wards procedure
- Medicines reconciliation
- Non-medical prescribing policy
- Rapid tranquillisation policy
- Roche Cobas point of care device procedure
- Safe and secure handling of medicines in trust day care facilities (mental health services and learning disability day services) procedure
- Safe and secure handling of medicines manual
- Syringe driver administration of drugs via the CME medical T34 syringe driver procedure
- Transcription of medicines at New Beginnings procedure
Safeguarding
- Domestic abuse policy
- Female genital mutilation (FGM), identification, reporting and management
- Managing perplexing presentations and fabricated or induced illness in children procedure
- Multi agency risk assessment conference (MARAC) procedure
- Prevent policy
- Procedure for managing allegations against people in positions of trust (PiPoT)
- Safeguarding adults policy
- Safeguarding children policy
- Sexual safety policy