Equality and Human Rights Screening

 

This report includes published screenings from 11 July - 30 September 2019.

If you wish to download a hard copy of the screening outcome report please click here.

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Policy & Screening Document /Policy Description

Date

Screening Outcome

Reason for Outcome

Belfast Health & Social Care Trust Policy on Lone Working

This policy is designed to provide Managers and Staff with clear guidelines on their responsibilities to recognise where staff may be lone workers and to ensure that staff are aware of the risks associated with lone working and to manage the risk associated with lone working activities.

11/7/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories. 

Alert Notice Policy – (Review)

To have in place an Alert Notice system by which a NHS Employer can make other NHS Bodies aware and be made aware of a Healthcare Professional whose performance and/or conduct could place Patients, Clients or Staff at risk.

16/7/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories. 

Guidelines for the Management of Chronic Kidney Disease (CKD) in Adults

The guidelines provide brief guidance on investigation, monitoring and management of chronic kidney disease (CKD) in adults.

The guidelines include:

Practical Points for Use of Estimated GFR and Albuminuria (ACR) in Assessing CKD.

17/7/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories. 

Guidance for the management of systemic anti-cancer treatment SACT hypersensitivity reactions

The policy provides guidance for those treating patients with SACT. It outlines the recognition and acute management of HR associated with SACT. It also provides guidance for staff if patients take a hypersensitivity reaction, and outlines what prophylactic measures may be taken to reduce risk of further HR.

18/7/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories. 

Transfer of medically unwell patients from Withers Unit, Musgrave Park Hospital

This policy is required to clarify the process involved when transferring sick patients from MPH to another site. It refers to patients in the Orthopaedic Unit, Musgrave Park Hospital. It does not apply to other units on the MPH site such as inpatients in Meadowlands.

This policy has 2 key objectives:

-  To ensure patient safety

-  To ensure all transfers occur in a timely manner

The policy will be communicated at induction and during relevant transfers.  The policy is to be disseminated to all the acute inpatient services within Belfast Trust.

25/7/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories. 

Management of accidental dural puncture during epidural insertion

This is policy has been updated in line with protocol.

This guideline’s purpose is to help anaesthetic, obstetric and midwifery staff who manage a patient in labour following a dural puncture.

The scope of this guideline will include management points for clinical staff in delivery suite and the post-natal ward.

29/7/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories. 

Dexmedetomidine premedication in children aged 1-18years, undergoing General Anaesthesia in the Belfast Health and Social Care Trust.

Purpose of policy:

• To provide an alternative anxiolytic for patients with a history of poor response or paradoxical reaction to midazolam.

• To provide guidance to staff in the BHSCT on safe prescribing and administration of dexmedetomidine as premedication.

This policy will apply to all anaesthetic and nursing staff in BHSCT using dexmedetomidine as a premedication for anxious children aged 1- 18 years prior to anaesthesia.

Initial use will be limited to Royal Belfast Hospital for Sick Children (RBHSC), with outcomes audited within one year.

30/7/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories. 

Operational Policy and Procedural Arrangements relating to Direct Payments

This policy aims to provide clear guidance to staff on the implementation of Direct Payments, for those Users and Carers assessed as being eligible for services.

The key objectives of the policy are:

-  To enhance service user choice with regard to their care needs, allowing individuals more choice and control in determining how their assessed need is met and outcomes achieved

-  To promote the uptake of Direct Payments as an alternative to direct service provision for service users

-  To ensure consistency in the use and application of Direct Payments.

-  To provide clear guidance for all staff.

-  To ensure correct documentation is completed and protocols are followed.

30/7/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Transfusion of Blood Components prescribed by a medical officer and administered by a qualified midwife/nurse to a baby in Regional Neonatal Unit RNU, Royal Jubilee Maternity Service RJMS.

Purpose:

To identify and define safe practices for each step of the process in the administration of blood components to neonates according to national guidelines.

Objectives:

• To maintain optimum safety throughout the process.

• To minimise the risks to babies/neonates and practitioners involved in the transfusion process.

Policy is required for all nurses and midwives who check and administer blood components in babies/neonates in the neonatal intensive care unit.

30/7/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Exchange Transfusion Procedure for babies in the Regional Neonatal Unit. (RNU) Royal Jubilee Maternity Hospital (RJMS)

This policy has been revised in line with protocol.

Purpose:

To provide clear guidance to medical, nursing and midwifery staff when performing an exchange transfusion to babies.

Objectives:

To reverse or counteract the symptoms of jaundice, blood disorders or toxins.

Maintain optimum safety throughout the procedure.

To minimise the risks and the potential complications to the baby.

31/7/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Management of Medical Scales

This policy aims to standardise best practice and is applicable to any staff member who uses medical scales.

This policy applies to all medical scales used in conjunction with patients under the care of the Trust including community and patient home environments.

31/7/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Caring for and safeguarding children and young people who attend adult services for admission, care or treatment

Specific aims and outcomes of the policy include:

-  To provide a framework which guides staff in the decision making process regarding the safe care of a child or young person whilst they receive services in an adult setting.

-  To ensure the child or young person’s needs are paramount and central to decisions about admission and management.

-  To enable staff to recognise and respond appropriately to the child’s and young person’s needs.

-  To inform and reassure families of the process by which decisions are considered, made and reviewed.

-  To ensure staff are aware of how to appropriately raise concerns of risk of harm toward children and young people.

2/8/19

Screened out with mitigation

Screened out with mitigation

20 week anomaly scan protocols

Objectives:

To ensure that all staff are working under one set of protocols, thus ensuring all 20 week anomaly scans are carried out at the optimum level and that the growth and structural wellbeing of the fetus is carefully examined.  The policy states which fetal structures that must be identified as part of a 20 week scan. The action to be taken in the event of a suspicious or definite abnormality is also described. The policy relating to fetal measurements for dates and baseline growth are also covered.

2/8/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Medicines Procurement and Purchasing for Safety Policy

Safe and cost effective procurement in line with legislation, policy and best practice.

5/8/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Effective communication and handover using SBAR within maternity services

Policy Objectives:

To embed the SBAR tool in practice as a systematic and effective model of communication and handover of care within the maternity service.

To provide a guide to the multidisciplinary team of professionals caring for women within the maternity service on effective communication and handover

Increase focus on patient safety when communicating information and handing over care by improving situational awareness and conveyance of vital information

6/8/19

Screened out with policy amendment

 

Reopening of ten houses at Abbey Gardens by Belfast Trust for patients resettling from Muckamore Abbey Hospital (MAH) to Cherry Hill

Belfast Trust proposes to re-open 10 houses that it owns in Abbey Gardens (Numbers 1,2,7,8,9,10,11,12,13 and 14) to facilitate the resettlement of service users currently in MAH.  Abbey Gardens is located approximately 420 yards from MAH. 

It is hoped that residents will have started to move into their new homes by June 2019.  The process however will be phased and managed to allow the new residents to become accustomised to their new homes and new way of living.  The aim of the proposal is to resettle nine service users from MAH to Abbey Gardens (Cherry Hill).  Living in the community (resettlement) will be facilitated through a Supported Living model of care.  The model means that a person lives independently in the local community with appropriate high quality social care support.  The Trust intends to use the tenth house as Staff Office Accommodation.

7/8/19

Screened out with mitigation

Screened out with mitigation

Management of Lower Bowel Dysfunction, including Digital Rectal Examination (DRE) and Digital Rectal Removal of Faeces (DRF) in Adult Patients

To guide and support healthcare professionals in the appropriate assessment and management of patients with bowel disorders and who require DRE/DRF.

To ensure that the patient who requires DRE/DRF receives appropriate bowel management in a safe and dignified manner.

To ensure that the procedure is performed by healthcare professionals competent in the performance of DRE/DRF.

To ensure safety of patients and staff through appropriate risk assessment.

8/8/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Patients’ Finances and Private Property – Policy for Adult Inpatients within Mental Health and Learning Disability Hospitals

The policy aims to:

Establish clear guidance for staff in relation to the handling of patients’ finances and private property;

Protect patients from financial mistreatment and abuse

Protect patients financial interests

Provide direction and support to staff when managing patients finances.

Ensure there is good governance of financial management arrangements.

Ensure that the requirements relating to patients finances under the Mental Health (N.I.) Order 1986 are met.

9/8/19

Screened out with mitigation

Screened out with mitigation

Levels of Supervision/Observations within Learning Disability Inpatient Services Policy

The policy aims to provide staff working within a Learning Disability inpatient facility with a structured and standardised framework for delivering care to patients across inpatient facilities within the Trust.  This will ensure a consistent approach in defining appropriate levels of supervision and observation of patients.  It also provides a framework of regarding the levels of supervision/observation and the decision making process to implement or adjust same. The policy is aimed at promoting and maintaining a caring and safe environmental for patients admitted into any Learning Disability inpatient facilities in Belfast Trust.

9/8/19

Screened out with mitigation

Screened out with mitigation

Policy for HSC patients who wish to pay for additional treatment Oncology & Haematology services at BCH site

The intended aims of the policy are to:

Facilitate an effective process for the management of Oncology and Haematology patients who wish to pay for additional treatment

Support staff by making them fully aware of their roles/responsibilities in relation to the policy

The objectives of this policy are to:

Ensure that HSC principles are upheld, namely:

- that the HSC provides a comprehensive service, available to all

- that access to HSC services is based on clinical need, not ability to pay

Safeguard against:

- the HSC subsidising private care with public funding

- patients being charged for their publicly funded care

This policy is applicable to any HSC adult oncology or haematology patient who wishes to pay for additional treatment. 

9/8/19

Screened out with mitigation

Screened out with mitigation

Management of the third stage of labour following vaginal birth.  Guideline for Obstetricians and Midwives.

The purpose of this policy is to ensure the management of third stage of labour is in keeping with best practice.

This policy will be widely circulated amongst; Labour Ward Forum, Midwifery and Nursing Forum, Adverse Labour Event Review Team (ALERT), Supervisors of Midwives and all key workers within BHSCT Maternity and Neonatal Service.

12/8/19

Screened out with policy amendment

 

Protocol For The Recruitment And Employment Of Staff Under The Requirements Of The Safeguarding Vulnerable Groups.

Protocol outlines key responsibilities of the BHSCT in relation to the implementation arrangements of the SVGO 2007 (as amended by the Protection of Freedoms Act 2012) as it relates to all permanent, temporary, locum and agency staff, volunteers, students on placement and those staff engaged under external contract as sub-contractors.

The revised Protocol will be communicated across the Trust.  There will be no changes in working patterns or changes to how services will be delivered.

12/8/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Broviac Central Venous Catheter (CVC):   Accessing and flushing for administration of medications or IV fluids, and heparin or antibiotic locking by nurses and midwives.

Purpose:

To ensure best evidence based care in relation to management of a Broviac CVC.

Objectives:

To prevent infection

To maintain a patent line

To minimise possible complications

To prevent damage to the device.

This policy applies to all nurses, midwives, nursery nurses and health care assistants working in the RNU, RJMS are personally responsible for being aware of infection control policies and procedures.  This Guideline will be widely circulated amongst all key workers.

13/8/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Memorandum of understanding (MoU) between Beaumont Hospital/Dublin (BH) and Belfast Health and Social Care Trust (BHSCT) and the Health Service Executive (HSE – funding only) for the provision of living donor exchange kidney transplant service (plus data sharing agreement).

Aims and Objectives:

The MoU aims to ensure that the required key elements, commitments and responsibilities of all parties are defined and in place so as to ensure the provision of an exchange kidney transplantation service in the Belfast City Hospital in accordance with best practice and the relevant EU Directives and Regulations. The data sharing agreement (approved by the BHSCT Information Governance Manager) aims to ensure the secure, correct and lawful processing of the shared data agreed to by the parties.

14/8/19

Screened out with mitigation

Screened out with mitigation

Guidance for Medicines (SAM) Scheme in Chestnut Grove

This guidance has been developed to support the NI Medicines Optimisation Quality Framework Quality Standards for Medicines which specifies … ‘people are helped to remain independent and self-manage their medicines where possible’

The main purpose of SAM is to allow clients in Chestnut Grove to:

-  Be as independent as possible
-  Participate in their own care thereby increasing their responsibility and autonomy
-  Make decisions about their treatment in partnership with their Carer, Medical & Community Rebab Staff (CRS) and Pharmacy Staff.

-  Improve their understanding of what their medicines are for and how to use them appropriately
-  Identify and resolve medicines-related problems with the support of healthcare staff
-  Improve trust between themselves and healthcare staff.

19/8/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Partial Exchange Transfusion for Polycythaemia in babies in the Regional Neonatal Unit (RNU) Royal Jubilee Maternity Hospital (RJMS)

Purpose:

To provide clear guidance to medical, nursing and midwifery staff when     performing a partial exchange transfusion.

Objectives:

To reduce potential complications of polycythaemia and hyperviscosity.

To maintain optimum safety of the infant throughout the procedure.

To minimise the risks and the potential complications to the baby.

19/8/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Management of breast cancer patients on self directed aftercare pathway

The policy is intended to outline the guidelines used to manage patients with breast cancer who have been put on to a self-directed aftercare (SDA) pathway.

The self-directed aftercare pathway offers eligible patients supported self-management with open access back to breast care services if needed.  SDA is offered to patients with curative intent based on the key criteria of the patient’s ability to self-manage. This is intended to improve patients after treatment experience and provide patients with better education and information on how to self-manage and with rapid access for review if needed. It is also intended to reduce inefficiencies  in hospital follow up.

27/8/19

Screened out with mitigation

Screened out with mitigation

BHSCT Adult Safeguarding Policy & Procedures 2019

This policy is guidance for staff in relation to the Trust Adult Safeguarding Policy.  The Policy has been revised and extended to reflect the new Regional Policy which considers safeguarding responsibilities as a continuum from prevention through to protection as opposed to simply protection.

27/8/19

Screened out with mitigation

Screened out with mitigation

Guideline for the treatment of Torus (Buckle) Fractures of the wrist with removable splints in children over 2 years old.

Purpose:

To provide a guideline for the management of torus / buckle fractures of the distal radius and ulna with removable splints in children aged 2 – 14 years of age in the Belfast Trust.

Objectives:

To improve the management of distal radius and ulna torus / buckle fractures in line with new evidence.

To improve the functional outcome of buckle / torus fractures of the wrist in children.

To reduce the cost of treatment of buckle / torus fractures.

To reduce unnecessary fracture clinic appointments.

To improve parent / patient satisfaction in their management.

4/9/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Regional Transformation Proposal 2018/19:  Enhancement to Home Based Intermediate Care

This proposal is about an enhancement to a therapeutic frontline home based intermediate care team, responding rapidly and with a focus on recovery, independence and patient experience. 

Fundamentally the service will need to meet the aims of intermediate care as defined in the NAIC 2017 definitions (and reflected in Circular HSS (EPCC) 2/2007 – Intermediate care

4/9/19

Screened out with mitigation

Screened out with mitigation

Neurosciences Blood Patch Protocol

This guideline is to ensure good practice in the management of patients within Neurosciences Department who require an epidural blood patch.  This includes:

-  Recognising that inadvertent dural puncture has occurred

-  Patient information and follow up

-  Treatment of dural puncture headache

This protocol is to support Medical Staff and patients regarding the procedure.  It will be given to medical staff on commencement of post and given to patients who will be receiving treatment.

There will be no impact on work patterns or service delivery.

5/9/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Re-organisation of BHSCT RMPS Radiation Protection and Radiological Sciences & Imaging services

This proposal relates to the re-configuration of the delivery of BHSCT Radiation Protection (RPS) and Radiological Sciences & Imaging (RSI) services, located on the Forster Green Hospital (FGH) site. These services are primality concerned with the use of ionising and non-ionising radiations within the HSC sector.

The main element of the proposal is concerned with the re-organisation/merger of BHSCT RMPS RSI and RP Services.

5/9/19

Screened out with mitigation

Screened out with mitigation

Protocol for post procedural antiplatelet therapy in endovascular interventions in peripheral arterial disease (DB 1069)

The purpose of this policy is to provide clarity regarding the prescription of antiplatelet therapy post endovascular interventions in patients with peripheral arterial disease (PAD).  It applies to all PAD patients treated in Belfast HSCT.  The policy provides relevant prescribing advice for; Vascular Surgeons, Radiologists, Junior Doctors, Nurses and Pharmacists.

Objectives:  To reduce the risk of ischaemic events post infrainguinal endovascular interventions and to reduce the risk of bleeding events post infrainguinal endovascular interventions.

9/9/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Medicines Code Policy

Purpose:

The Medicines Code defines the policies and procedures to be followed within BHSCT for prescribing, administering, dispensing, monitoring, ordering, storage and transport of medicines and staff roles and responsibilities in relation to them. It also describes acceptable standards for all aspects of medicines management for hospital sites in BHSCT.

Objective:

To describe the requirements for the safe and secure handling of medicines in BHSCT.

9/9/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Belfast Trust Kardex with New Antithrombotic Page

New medicines Kardex with added antithrombotic page. Aim is to reduce prescribing errors with antithrombotic agents. Will be communicated to staff via hub and live training sessions.

9/9/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Guideline for bathing a baby in the Regional Neonatal Unit (RNU), Royal Jubilee Maternity Service (RJMS)

Purpose:

To provide a policy and clear guidelines to nurses, midwives, nursery nurses and auxiliary staff on bathing a baby in the RNU, RJMS

Objectives:

To ensure clear guidelines are in place should a baby require to be bathed in the RNU. This procedure has been revised in line with new guidance.

13/9/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Policy for the choice, care and cleaning of toys in the Royal Belfast Hospital for Sick Children.

This policy highlights the key issues which must be considered in the choice and care of toys and clarifies the regimen which must be adhered to in relation to effective cleaning.

The key purposes of the policy are as follows:

To ensure children are kept safe from harm.

To ensure that all staff working in areas where toys are kept for public use or who use toys in their day to day work are aware of the correct procedures for their selection, handling and cleaning to minimise risk.

18/9/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Verification of Death in Community Adults

This policy has been reviewed in line with new Department of Health departmental guidance surrounding death (17 January 2019).

The main benefit of having a policy for verifying of death is that when a patient dies this is managed in a timely, sensitive and caring manner respecting the dignity of the patient, relatives and carers.  The timely removal of the remains is respectful to the deceased and sensitive to others in the area.

18/9/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Homechoice Claria TM peritoneal dialysis procedures

The purpose is to give clear guidelines on how to use Homechoice Claria TM dialysis machine and use the Claria machine to perform peritoneal dialysis.

The objectives are to ensure patient safety by ensuring all steps are taken as recommended by Baxter who produces the Claria TM machine.

This revised policy has been updated in line with new guidance and the changes are highlighted and include the updated setup of the Homechoice Claria machine and inclusion of the Physioneal APD bag usage.

18/9/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Fasting for Adults and Children Undergoing Elective or Emergency Procedures

Purpose:   To provide evidence based guidelines for the management of pre-operative fasting before general anaesthesia or intravenous sedation.

Objectives:

To promote implementation of standardised fasting guidance for adults and children who are to undergo surgical or other procedures under general or regional anaesthesia or intravenous sedation, in keeping with an international evidence base.

To avoid unnecessary prolonged fasting and nutritional deprivation of patients prior to and following surgical or other procedures.

To provide standardised fasting recommendations for patients scheduled for elective procedures, whether they are of low or high risk of aspiration of gastric contents.

To facilitate identification of patients with an increased risk of aspiration of gastric contents.

To recommend alternative measures to minimise the risk of perioperative aspiration pneumonitis in patients undergoing emergency procedures.

19/9/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Belfast HSCT Protocol for Investigating Healthcare Acquired Pressure Ulcers (HAPU)

This policy outlines the responsibilities of staff regarding the prevention and management of pressure damage.   It applies to all patient groups including infants, children, young people and adults.

Objectives:

To ensure early identification of patients ‘at risk’ of developing pressure damage

To guide staff in the provision of safe, standardised, evidence based pressure ulcer preventive care and management.

20/9/19

Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Out of hours care for patients with congenital bleeding disorders under the care of the Royal Belfast Hospital for Sick Children

This policy is to ensure a consistent approach for the safe management of patient’s 0-16years in Northern Ireland with haemophilia and related conditions and gives guidance for their safe and timely assessment and treatment.

The objectives of this guideline are to improve and maintain standards of clinical practice and quality of care service users receive.

25/9/19

Ongoing screening

The Trust has decided to subject this proposal to ongoing screening to ensure that the impact is not more adverse than originally anticipated and that the mitigation is appropriate to minimise any negative impact.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Archive of screening outcome reports:

Screenings Sept - Dec 2011

Screenings Jan-Mar 2012

Screenings April-June 2012

Screenings July-Sept 2012

Screenings Oct-Dec 2012

Screenings Jan-Mar 2013

Screenings April-June 2013

Screenings July-Sept 2013

Screenings Oct-Dec 2013

Screenings Jan-Mar 2014

Screenings April-June 2014

Screenings July - September 2014

Screenings Oct - Dec 2014

Screenings Jan - Mar 2015

Screnings April - June 2015

Screenings July - Sept 2015

Screenings Oct - Dec 2015

Screenings Jan - March 2016

Screenings April - June 2016

Screenings July - September 2016

Screenings Oct - December 2016

Screenings Jan - March 2017

Screenings April - June 2017

Screenings July - 8 Nov 2017.

Screenings 9 Nov 2017 - Dec 2017

Screenings  Jan - March 2018.

Screenings April - June 2018

Screenings July - September 2018.

Screenings October - December 2018 .

Screenings January - March 2019.

Screenings April - 10 July 2019.