Quality Innovation and Improvement Policies

The quality related Strategies, Policies, Procedures and Guidance below are categorised by Trust Directorate so it is easier for you to find which document you are looking for.

To provide the Trust with assurances that the organisation is delivering a high quality and safe service to the public and its employees, the Quality Directorate is made up of the following eight key functions;

  • Quality Compliance
  • Patient Experience
  • Risk, Safety and Security
  • Clinical Quality
  • Clinical Safety
  • Informatics
  • Performance Improvement
  • Legal Services


Quality CompliancePatient ExperienceRisk, Safety & SecurityClinical QualityClinical SafetyInformatics

Quality Improvement Strategy

Complaints External Procedure Quality Improvement Strategy

Capacity to Consent Policy

Communicable Diseases Policy

Information Governance Strategy

Quality Impact Assessment - Approval & Review Procedure



Clinical Audit Policy

Infection Prevention Control Procedure

Information Governance Policy

Quality Account 2016/17

Medicine Management Policy

Latex Sensitivity Policy Information Sharing Agreement

Right Care
Strategy 2018


General Medicines Toolkit

Safeguarding Vulnerable Persons Policy  Patient Information Confidentiality Policy 
      Diagnosis of Death Procedure  Domestic Abuse Procedure Clinical Records Management Policy & Procedure 
      Healthcare Governance Alert & Guidance Review Procedure  Sudden Unexpected Death in Childhood Procedure Patient Report Forms: Quality Management Procedure
      Pilot Visiting GP Referral Services Procedure including BARDoC, Mastercall, Go To Doc and FCMS Operational Procedure  Linen Policy Data Quality Policy





Safeguarding Vulnerable Persons Procedure