The framework upon which all our policies are built is supported by these five key pillars - our absolute commitments to be:

  • Safe
  • Caring
  • Effective
  • Responsive
  • Well led

Clinical Policies


Administration of Subcutaneous Fluids

Advance Statements and Decision Guidelines

Care after Death

Clinical Audit

Cardio Pulmonary Resuscitation (DNAR CPR)


Child Protection

Clinical Record Keeping Standards

Clinical Supervision

Clinical Consent

Day Therapy Operational

Deprivation of Liberty Safeguards 

Diabetes at end of life Clinical Care Recommendations

Fair Processing Notice

Guidelines for the use of Continuous Subcutaneous Infusion (Syringe Driver)

Hand Hygiene

Home Remedies

Infection Prevention

Inpatient Transfer and Discharge

Inpatient Unit Clinical Operational

Inpatient Unit Operational Management

Inpatient Unit and IPCS Business Continuity plan

Linen and Laundry Management

Management of Anaphylactic Reactions

Mental Capacity Act

Out Patient Transport


Patient Property

Preparation and Witnessing of Legal Documents

Pressure Sore

Prevention of Falls

Privacy and Dignity

Referral and Admission Procedure

Sharps and Splashes Injuries

Suicide (prevention of)

Verification of Death

Wound Care

Organisational Policies

Accessible Information and Translation

Adverse Weather

Animals in the Workplace

Business Continuity

Caldicott Function Plan


Clinical and Organisational Governance


Contractual Clauses and Third Party Agreements

Data Protection and Confidentiality

Data Quality Strategy

Domestic Abuse


Guidance on completing Equality Impact Assessment

Health and Safety Policy Statement

Health and Safety Policy

Incident Management and Reporting

IG Management Framework

Information Governance

Information Security Assurance and Risk Management

IG Strategy and Improvement Plan

Information Technology

Mandatory Training

Moving and Handling

New Projects Privacy and Data Protection

Operational Policy for WNHAH

Operational Policy for Family and Carer Support

Organisational Governance 

Pseudonymisation and Anonymisation of Data

Retention, Archiving and Destruction of all Hospice Records

Risk Management

Safeguarding Adults

Security and Management of Violence and Aggression

SH HS 10 Electrical Safety 


Statement of Purpose

Subject Access

Personnel Policies


Bullying and Harrassment


Code of Behaviour

Conflict of Interest


Duty of Candour (Being Open)

Equal Opportunities and Racial & Sexual Discrimination



Lone Worker

Mandatory Training

Prevention of Falls

Raising and Escalating Concerns in the Public Interest (Whistleblowing)

Recruitment and Selection

Revalidation for Nurses


Special Leave

Study Support