Equality and Human Rights Screening

This report includes published screenings from 9 November 2017 to 31 December 2017.  

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Policy & Screening Document /Policy Description

Date Screening Outcome Reason for Outcome

Work Life balance flexible working policies and arrangements

 

To provide staff with a range of flexible working arrangements to enable them to balance both home and work commitments and improve their working lives. The Trust is committed to promoting equality and to attracting and retaining highly skilled and experienced staff and these policies will assist in meeting this objective.

 

21/11/17 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 Attendance Protocol

Developed in line with the Regional Framework this protocol has been amended to reflect best practice and updates in equality legislation. The protocol underlines importance of employer duty to support staff when they become ill and facilitates them in so far as possible to return safely to work as early as they can. It is imperative that an environment is wellbeing. It should be based on a culture of openness and accountability to allow mutual understanding and to facilitate appropriate interventions and where appropriate, resolution of absence related issues.

 

21/11/17 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.

Routine cleaning of a bed space in Regional Maternity Service RJMS

To ensure good practice, infection prevention and control methods are essential to provide a safe and clean environment for babies in the RNU, RJMS.

23/11/17 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 nurses and midwives caring for babies with an intravenous cannula in situ and the prevention and management of infiltration/extravasation injury in the Regional Neonatal Unit RNU, Royal Jubilee Maternity Service RJMS

To provide guidance for nurses and midwives caring for babies with an intravenous cannula in situ to prevent and identify any complications arising at an early stage.

 

23/11/17 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 and procedure for the use of incubator humidification for babies in the Regional Neonatal Unit RNU, Regional Jubilee Maternity Hospital RJMS.

The aim of the guideline and procedure is to ensure that nurses and midwives use environmental humidification for all appropriate babies in the RNU.

23/11/17 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 and procedures for taking routine swabs from a baby in the Regional Neonatal Unit (NU, Royal Jubilee Maternity Service RJMS

The purpose is to provide a policy for taking routine swabs from babies in the RNU, RJMS. To promote consistent, standardised practice when performing the procedure for taking routine swabs from babies in the RNU, RJMS.

23/11/17 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.

 

Administration of total parenteral nutrition TPN with/without Lipofundin or SMOF lipid via intravenous access

This guideline provides best practice for the safe administration of TPN with or without lipids to a baby in the neonatal unit.

- To provide optimum nutrition
- Safe administration of TPN as prescribed
- To minimise possible complications
- To prevent infection.

 

23/11/17 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.

Insertion of an Orogastric OGT or Nasogastric tube NGT by nurses midwives in the Regional Neonatal Unit RNU

 

To provide nursing and midwifery staff with guidelines to follow when inserting an OGT or NGT in a baby in the RNU. To ensure the correct placement of the OFT/NGT by accurate measurement and accurate pH testing. To aspirate mucus/stomach contents to ensure the safe delivery of an orogastric/nasogastric feed and / or the administration of medications to a baby in the RNU.

 

24/11/17 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 peri-operative management of children with cortisol deficiency or adrenal suppression admitted for elective surgery

The guidelines are to be used in the management of children with cortisol deficiency or adrenal suppression admitted for surgery. They outline the steps that should be taken in the pre-operative, intra-operative and post-operative management of these patients and the management of their steroid therapy.

 

27/11/17 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.

Core Child Protection Policy & Procedures

The aim of the Core Child Protection Policy and Procedures is to improve and standardise best practice in relation to the:
• The protection and safety of children and young people
The promotion of safe, timely and effective practice for all Trust staff.

5/12/17 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.

 

Adverse Incident Reporting & Management Policy

These policies provide the framework for reporting and managing all adverse incidents which affect service users, staff and visitors to its premises or have an impact on the Belfast Health and Social Care Trust (BHSCT), its reputation or its legal duty of care.

The purpose of these policies is to enable a robust and systematic approach to the management, reporting, grading and investigation of adverse incidents that will be consistently applied across the Trust.

 

6/12/17 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.

Disulfiram treatment for those with alcohol dependence

This guideline aims to ensure a consistent and safe approach to the preparation for commencement of and follow up of patients prescribed Disulfiram for alcohol dependence.

7/12/17 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.

 

Quality Policy Manual for Radiotherapy

The Quality Policy Manual details the Radiotherapy Department’s Quality Policy and the structure of the Quality Management System (QMS).

The Quality Manual has several purposes:

• a means to communicate the vision, values, policies and objectives of the organisation;
• a means of showing how the system has been designed;
• a means of showing linkages between processes;
• a means of showing who does what,
• a training aid;
• a means of demonstrating compliance with external standards and regulations e.g. (ISO 9001:2015) and IR(ME)R.

This policy is required to be implemented by the Radiotherapy Department (BHSCT). All entitled referrers, operators and practitioners working within the Radiotherapy Department BHSCT must make themselves familiar with this manual and follow it at all times.

 

12/12/17 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 Tuberculosis in BHSCT

This policy aims to give guidance to all healthcare workers for the safe management of patients with infectious tuberculosis thereby reducing the risk of transmission to other patients and staff within a hospital setting.

 

12/12/17 Screened out with mitigation Screened out with mitigation

Acute Care Pathway for primary intracerebral haemorrhage PICH

To ensure standardisation of care for patients admitted with primary intracerebral haemorrhage.

To ensure standardisation of care of patients with primary intracerebral haemorrhage on oral anticoagulants, including use of rapid reversal where appropriate.

To ensure standardisation of blood pressure management in patients with primary intracerebral haemorrhage.

 

18/12/17 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.

Examination of the newborn

To provide guidance for midwives undertaking the completion of the newborn assessment and examination.

19/12/17 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.

 

       

Archiveof 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.