Equality and Human Rights Screening

 This report includes published screenings from April to 10 July 2019.

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Policy & Screening Document /Policy Description

Date

Screening Outcome

Reason for Outcome

Videofluoroscopy Clinics in BHSCT

The purpose of this policy is to ensure that Trust wide Videofluoroscopy services:

-  Support the assessment and diagnosis of swallowing disorders in children and adults who may have dysphagia.

-  Meet professional standards and Trust policies

-  Are supported by evidence-based practice

-  Are delivered by a core team of SLT and Clinical Specialist/Advanced Practitioner Radiographers or Radiologists.

3/4/19

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. 

Employers Procedures for External Beam Radiotherapy and Sealed Source Brachytherapy

These employer’s procedures have been revised in line with IR(ME)R to ensure that the Belfast Health & Social Care Trust, hereafter referred to as the BHSCT, complies with the regulations.

The procedures outline the roles, responsibilities and entitlement of Referrers, Operators (including Medical Physics Experts), Practitioner’s involved in External Beam Radiotherapy and Sealed Source Brachytherapy. (These procedures should be read in conjunction with the current BHSCT Radiation Safety Policy.)

3/4/19

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. 

Named Nurse Policy

To provide clear guidance on the roles and responsibilities of Named Nurses within Mental Health and Learning Disability Inpatient Facilities in the Belfast Health and Social Care Trust and to ensure standardisation of practice in co-ordinating the delivery of individualised, person centred, comprehensive nursing care from the point of admission to discharge.

15/4/19

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. 

Haemodialysis when using Central Venous Catheters- Commencing and Discontinuing

The safe connection and disconnection to and from dialysis when using Central Venous Catheters to reduce serious risk of infection for the patient and also maintain catheter patency.

15/4/19

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. 

Decommissioning Policy Trust Owned and Leased Properties

This policy provides guidance on the Belfast Health and Social Care Trust’s procedures for relinquishing space and applies equally where the space is to be re-occupied by another group or department, used for a different purpose, or where buildings are to be located or demolished.

It directs the principles and practice for managing the decommissioning of facilities within which Belfast Health and Social Care Trust staff are resident. The use of the word “decommissioning” has been used to refer to any retraction, transfer, closure or change of use of any accommodation, buildings or premises used by Trust staff.

17/4/19

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. 

Intermittent auscultation

Purpose:

This guideline aims to provide guidance on Intermittent Auscultation. 

All healthcare professionals attending women in all care settings need to be skilled at performing intermittent auscultation, interpreting its findings, and taking appropriate action.

18/4/19

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. 

Promotion of Continence Policy  Adults

Purpose: To provide guidance for all staff involved in the assessment, treatment and/or management of patients/clients with continence issues using current evidence based guidelines.

19/4/19

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. 

Use and management of non invasive ventilation in adults for acute Type II respiratory failure in a hospital setting

Aim: To promote safe and effective NIV provision by means of a standardised guideline.

Outcomes:

To ensure:

-  That patients are correctly identified as requiring NIV

-  That patients requiring NIV are cared for by appropriately trained personnel

-  Appropriate, timely effective treatment in those requiring NIV in an attempt to reverse their acute respiratory acidosis

-  That patients who require NIV are treated in a designated area on each hospital site

-  That all nursing and medical personnel are aware of their responsibilities with regards treating patients with type II respiratory failure.

24/4/19

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. 

Referrals to Hospice Services

In order to comply with information governance, patient referrals must be sent to the relevant hospice services electronically. This information must be encrypted

Purpose:  To ensure staff fully understand the process for electronically referring patients Hospice Nursing Services and/or admission to specialist palliative care units.

Objectives:  To ensure staff understand who to refer to within hospice services, how to send that referral and the encryption required.

1/5/19

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. 

Assistance to Study Policy screening

Purpose of this policy is to establish a clear, uniform and comprehensive approach to applying for and approving applications for financial assistance to study, or for any other learning and development activity where there is a direct financial cost to the Trust.  This policy also deals with applications which require the individual to take leave in order to undertake learning and development activities.

The policy aims to provide a mechanism to support staff in the acquisition of knowledge, skills and competence required to provide modern, efficient and safe health and social care.

13/5/19

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. 

Non Paid Placement Activity Policy

This policy has been reviewed to ensure it is aligned to current Trust standard & guidelines.

The primary purpose of this policy is to set out clearly the range of placement opportunities that currently exist within the Trust and the specific arrangements required for each.

13/5/19

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. 

Work Experience Placement Policy

Purpose of this policy is to promote a clear, fair and uniform approach to accommodating student placement requests from schools, colleges or other educational bodies based in Northern Ireland that provide full time education or vocational training to Year 12 and above school/college students. 

The following should be read in conjunction with this policy;

-  Trust Equality and Support-related policies

-  General Health & Safety Policy – including Risk Assessment & Safety at Work

-  Trust Learning & Development Strategy

-  Supporting Belfast Strategy

13/5/19

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)

Purpose:

This protocol identifies HAPUs requiring an in depth review using a Significant Event Audit (SEA) and the processes to be put in place including roles and responsibilities and indicative time scales.

14/5/19

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. 

Generic Prescribing Policy

The purpose of the policy is to ensure a consistent approach to the use of medicine names ensuring recognition of the medicine name by patients, carers and healthcare professionals and optimising patient care. The policy has been in place in BHSCT from 2009 & has now been reviewed in line with new guidance.

The aim of this policy is to ensure that the generic names of medicines are used in the prescribing and ordering of medicines and in all relevant documentation and correspondence.

Exception to the use of the generic name of a medicine is where there is a demonstrable difference in clinical effect between each manufacturer's version of the formulation, making it important that the patient should always receive the same brand; in such cases, the brand name or the manufacturer name should be stated.

15/5/19

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. 

Dealing with discrepancies or concerns involving controlled drugs

This policy outlines the governance arrangements for the management and use of controlled drugs within BSHCT.

To ensure;

- Appropriate arrangements are in place for managing concerns about incidents involving improper management or use of controlled drugs

-  Appropriate action is taken to protect patients and/or the public in cases where concerns appear to be well-founded

-  Arrangements are in place for sharing of appropriate information with other responsible bodies via the Local intelligence Network

-  Staff are aware of their responsibilities in the reporting of discrepancies or concerns involving controlled drugs.

15/5/19

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. 

Procedure for the insertion and management of a Naso-jejunal Feeding Tube NJT in infants, performed by midwives/nurses in the Regional Neonatal Unit RNU, Royal Jubilee Maternity Services RJMS.

Purpose:

To provide clear guidance to nursing and midwifery staff who care for infants who require insertion of a NJT to enable early nutritional support

Objectives:

•    To improve patient care

•    To improve nutritional status

•    To reduce cost to health service by reducing the need for prolonged parenteral nutrition

This Policy applies to all nursing and midwifery staff who insert a NJT in an infant in RNU, RJMS & for all infants requiring this procedure.

15/5/19

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. 

Preparation for the insertion of a peripherally inserted central venous catheter (PICC) in the Regional Neonatal Unit (RNU), Royal Jubilee Maternity Service (RJMS)

Purpose of this policy is to ensure adequate preparation for the insertion of a PICC in NICU

Objectives:

•         To maintain optimum safety during the insertion of  a PICC

•         To minimise complications from a PICC insertion

•         To reduce central catheter associated bloodstream infections.

15/5/19

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. 

Preparation and procedure for flushing a percutaneous central venous catheter (CVC/PICC) with intravenous 0.9% Sodium Chloride / 5% Glucose to facilitate the administration of intravenous medication to a baby in Neonatal Intensive Care (NICU) by nurses and midwives

Purpose:

To provide clear guidance for nurses and midwives when flushing a percutaneous CVC with 0.9% sodium chloride / 5 % Glucose to facilitate the administration of intravenous medication to a baby.

15/5/19

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 admission of a baby to the Regional Neonatal Unit (RNU) Royal Jubilee Maternity Service (RJMS)

Purpose:

To provide clear guidance for nursing and midwifery staff who are involved in the admission of a baby to the neonatal unit, RJMS

Objectives:

This guideline is set out to assist with the efficient and safe admission of a baby into the neonatal unit.  

This policy applies to all nurses and midwives working in RNU, RJMS who are involved with the admission of a baby onto the unit.

15/5/19

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. 

Kangaroo Mother Care in the Regional Neonatal Unit (RNU)

Purpose of policy:

Kangaroo Mother Care (KMC) is the practice of holding a baby in an upright position, skin-to-skin, against the chest of a parent.  KMC significantly impacts the survival and positive outcomes of premature and very low birth weight babies.  KMC is especially important for babies’ brain development/protection, physiological stability, protection against nosocomial infection, optimal growth and reducing length of hospital stay.

It is recommended that KMC lasts a minimum of one hour initially, with longer durations linked to greater benefits. 

Objectives:

•         To provide nursing and midwifery staff with guidelines to follow when assessing if a baby is stable for transfer to kangaroo care.

•         To provide guidelines for the transfer of a baby from an incubator/cot into kangaroo care.

•       To provide a guideline for role of parents when providing kangaroo care.

15/5/19

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. 

Subcutaneous use of the T34 ambulatory syringe pump

Purpose:

Evidence based guidance to promote the safe administration of subcutaneous medicines via an ambulatory T34 syringe pump.

17/5/19

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. 

Health visiting infant feeding policy

The purpose of this policy is to ensure that all Health Visiting employees of BHSCT understand their role and responsibilities in supporting expectant and new mothers and their partners to feed and care for their baby in ways which support optimum health and well-being.

This policy applies to all Health Visiting employees working within BHSCT.

This policy is intended to provide guidance for all Belfast HSC Trust Health Visiting team members who care for women in both the antenatal and postnatal period.

23/5/19

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. 

Treatment of hypomagnesaemia in adults

This document is to provide a clinical guideline to support the management of hypomagnesaemia in hospital patients, and specifically the safe prescribing of IV magnesium sulphate.  Guidance on the required dose and rate of infusion, and conversion between different expressions of units, will be included.

This guidance does not apply to use of magnesium sulphate in treatment of asthma, arrhythmias, severe preeclampsia, eclampsia or neuroprotection of the foetus in the management of pre-term labour.

This policy applies to all staff caring for patients within Belfast Trust responsible for dental, nursing, medical or pharmaceutical care of patients who may receive intravenous magnesium sulphate within the scope defined in this document.

23/5/19

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. 

Cleansing of a babys skin prior to invasive procedures in the Neonatal Intensive Care Unit NICU, Royal Jubilee Maternity Service RJMS

Purpose:

To provide clear guidance to medical, nursing and midwifery staff involved in the cleansing of a baby’s skin prior to an invasive procedure.

Objectives:

To ensure safe practice, which is appropriate to the baby’s gestational and postnatal age, when cleansing a baby’s skin prior to an invasive procedure.

23/5/19

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. 

Administration of Total Parenteral Nutrition (T.P.N.) with Lipofundin® MCT/LCT 20% or SMOFlipid via a venous access device to babies in the neonatal unit

Purpose:

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

Objectives:

Safe administration of TPN with or without lipids to a baby in the neonatal unit.

To minimise possible complications.

30/5/19

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 and procedure for the routine cleaning of the humidity reservoir of a Giraffe Incubator /Omnibed by nurses, midwives, nursery nurses and auxiliary staff in the Regional Neonatal Unit (RNU) Royal Jubilee Maternity Service, (RJMS)

Purpose:

To provide a policy and procedure for nurses, midwives, nursery nurses and auxiliary staff working in the RNU, RJMS for cleaning the reservoir of a Giraffe incubator/Omnibed.

Objectives:

To ensure Infection prevention and control measures are adhered to.

30/5/19

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. 

Conflict Bullying & Harassment in the Workplace

Purpose:

The purpose of this policy and associated procedure are to provide all staff their rights and collective responsibility to create and maintain a safe, harmonious working environment, with clear guidance on how to handle conflict, bullying and harassment in accordance with best practice and relevant employment legislation.

30/5/19 Screened out with mitigation Screened out with mitigation

Routine cleaning of a bed space in RNU, RJMS

Purpose:

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

Objectives:

To minimise the transmission of microorganisms from the environment to the baby.

31/5/19

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. 

Food Hygiene Policy for non catering staff within all primary and secondary healthcare facilities.

This policy provides direction for the safe handling and delivery of all food and beverages to patients and service users and gives clear information to non-catering staff on their legislative responsibilities.

Intended Objectives of the Policy include:

-  To ensure safe handling of food and beverages at all times

-  To promote best practice in food safety

-  To assure the patients and service users that food is prepared in clean surroundings by properly trained and supervised staff

-  To ensure the highest standard of personal hygiene is maintained at all times

-  To ensure that food is protected from risk of contamination

-  To ensure that suitable protective clothing is worn when preparing food.

11/6/19

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. 

The prevention and management of patient, client, service users with identified choking risks.

The purpose of this policy is to develop a resilient system that supports early identification of children and adults who may have an increased risk of choking, and develop supports to help manage and reduce that risk.

11/6/19

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. 

Confidentiality and Information Sharing with Service Users and Carers – Good Practice Guide

This guidance aims to provide staff with a standardised framework of best practice to implement when decisions to share information need to be taken and to comply with the recommendations outlined in: 

-  The Report of the Inquiry Panel (McCleery) to the EHSSB 2006.

-  The Report of the Inquiry Panel (McCartan) to the EHSSB 2007.

-  The Report of the Inquiry Panel (O’Neill) to the W&EHSSBs 2007.

The guidance will also be read in conjunction with :

-  The Mental Health (Northern Ireland) Order 1986

-  Code of Practice on Protecting the Confidentiality of Service User Information (DHSSPSNI, 2012)

-  Policy on Data Protection and Protection of Personal Information.
12/6/19 Screened out with mitigation Screened out with mitigation

Procedure on the use of ligature cutters

The document will provide a clear and comprehensive framework for using ligature cutters for all staff to adhere too and detail specific storage, maintenance and training requirements for areas where ligature cutters are supplied and used. This document is intended to ensure a uniform and consistent usage of ligature cutters across the BHSCT.

13/6/19

Screened out with mitigation

Screened out with mitigation

Policy for the Treatment of Hyperkalaemia in Adults

The aim of this policy is to define how hyperkalaemia in adults should be treated and especially how to limit the potentially serious adverse effects that can be associated with this treatment.

13/6/19

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 investigation of suspected paediatric neurometabolic disease

The purpose of this guideline is to describe the clinical features which might suggest these diseases and their structured investigation, involving procedures of increasing complexity.

The objective of this policy is to streamline the assessment of children with suspected neurometabolic conditions and limit unnecessary, potentially invasive, investigations.  In doing so this policy refutes the concept of a ‘metabolic screen’ and other concepts involving a panel of non-directed tests.

18/6/19

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 on CS Spray Contamination

This procedure has been developed to provide staff with the safest methods of managing an CS spray contamination of people, environment or clothing and ensure compliance with Legislative requirements as defined in the Health & Safety at Work (NI) Order 1978, as amended the Management of Health and Safety at Work (NI) Regulations 2000 and Control of Substances Hazardous to Health Regulations (NI) 2003.

25/6/19

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. 

Manual Handling Policy & Procedural Arrangements

The aims and outcomes of this policy are:

-  To safeguard the health, safety and welfare of staff and service users.

-  To maintain and promote safe manual handling of both service users and inanimate loads.

-  To provide manual handling training to staff, appropriate to their role.

-  To ensure all staff are aware of the arrangements and responsibilities for the management of safe manual handling.

-  To ensure that the Belfast Trust compiles with the relevant Health and Safety legislation, approved codes of practice, associated guidelines and Controls Assurance Standards.

-  To ensure that resources are available and used appropriately.

-  To ensure the process of incident reporting and manual handling risk assessment is used for the establishment of safe systems of work.

-  To establish a network of Manual Handling Facilitators (Patient, Client, Load) so that manual handling risk assessments and problem solving skills are widely available throughout the Trust.

28/6/19

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 and procedure for the use of incubator humidification for babies in the Regional Neonatal Unit (RNU)

Purpose:

To provide clear guidance for nursing and midwifery staff caring for a preterm baby requiring incubator humidification

To reduce trans epidermal water loss, improve skin integrity and avoid temperature instability, dehydration and electrolyte imbalance

To ensure adequate incubator humidification is used for all appropriate babies in the RNU

Objectives:

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

28/6/19

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. 

Low Flow Oxygen Administration in the Regional Neonatal Unit (RNU) Royal Jubilee Maternity Service (RJMS)

Purpose:

To provide clear guidance for nursing and midwifery staff in the RNU,RJMS when preparing and administering low flow oxygen to a baby.

Objectives:

To ensure safe administration of low flow oxygen to babies to maintain adequate oxygen levels.

28/6/19

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 Health & Social Care Trust Community Learning Disability Financial Support Policy (Interim Policy)

The policy seeks to:

-  Protect Service Users from financial mistreatment and abuse

-  Protect Service Users’ financial interests

-  Provide direction and support to staff when managing service user finances.

-  Ensure there is good governance of financial management arrangements.

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

-  The interim policy applies to all situations in which service users in community Learning Disability services require support from Belfast Health & Social Care Trust staff with their finances.

28/6/19

Screened out with mitigation

Screened out with mitigation

Regional Grievance Screening

Regional Grievance Procedure – To provide an Employee or Group of Employees the opportunity to have their grievance considered quickly and effectively when a grievance is raised. It should where possible be resolved at the earliest opportunity and at the most appropriate level of management.

28/6/19

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. 

Social Media Policy

The policy aims to:

-  Provide guidance to staff on their personal responsibility as an employee of the Trust when using any social networking site

-  Help staff get the best out of the tools available while maintaining a safe professional environment and protecting themselves and the organisation’s reputation

-  Ensure staff are aware of all relevant legislation and standards relating to online information, including codes of practice from related professional bodies

-  Provide managers and individual employees with information to consider before participating in or developing any new social media application.

5/7/19

Screened out with mitigation

Screened out with mitigation

Monoclonal Gammopathy of undetermined significance / Asymptomatic myeloma nurse led telephone clinic policy

The purpose of this policy is to provide the aims and objectives of a Nurse-led Telephone follow up clinic, for patients diagnosed with MGUS/Asymptomatic Myeloma who require regular monitoring and who are deemed appropriate for Telephone/Bloods only review.

Objectives:

The objectives of this policy are to improve and maintain standards of clinical practice and quality of care patients receive by:

•   Providing evidence based guidance for establishing and maintaining a nurse led telephone clinic for the assessment of patients with MGUS/Asymptomatic Myeloma, promoting excellence in the care that is delivered.

•   Providing a framework from which individual practitioners can apply their own level of clinical expertise and competency

•   Promoting audit.

•   Provide standardised procedures for the review of patients with MGUS/Asymptomatic Myeloma by a Myeloma CNS.

9/7/19

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. 

Dress Code and Uniform Policy

The Dress Code and Uniform Policy is necessary in order to:-

-  Support mandatory Infection Prevention & Control compliance and Health & Safety legislation;

-  Ensure all staff are familiar with current evidence available on wearing of suitable dress or uniforms;

-  Convey a professional and efficient image of the Trust and the individual;

-  Give patients confidence;

-  Promote mobility, safety and comfort of the wearer;

-  Allow identification for security and communication purposes.

9/7/19

Screened out with mitigation

Screened out with mitigation

Policy for named wards and/or specified rooms for Intravenous (IV) Systemic Anti Cancer Therapy (SACT) administration.

Objectives:

To specify rooms/wards for IV SACT administration for malignant disease within the Belfast Health and Social Care Trust.

The intended outcomes are to improve patient safety by limiting IV SACT administration to areas where staff are competent in doing so and necessary equipment is available.

It is the responsibility of all clinical staff involved in the prescribing, handling and administration of IV SACT to familiarise themselves and adhere with this policy.

10/7/19

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. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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.