All Trust policies are listed below.  If you have any questions regarding our policies, or would like to access one for which there is no electronic version below, please e-mail

All policies on this page are deemed to be current until replaced irrespective of their individual review date.

Please note all policies relating to the Mental Health Act are now located under “M”.


Major and Critical Incidents Plan (OPS 004 v6 March 2019)

Management of Asbestos Policy (EST 006 v2 2019)

Managing Access and Exit Policy (v3 June 2016) - Second review date extension

Managing and Supporting Employees Experiencing Domestic Abuse (HR 033 v4 Sept 2019)

Managing Substance Misuse and Harmful Substance in Bed Based Services Policy (MD 020 v4 April 2020)

Mandatory Training Policy (October 2019)

Marsipan Protocol (for management of seriously ill people with anorexia nervosa) (September 2014)

Media Policy (December 2017)

Medical and Therapeutic Devices Policy (MD 021 v5 April 2020)

Medicines Optimisation Policy Risks and Processes (September 2019)

Mental Capacity Act – Deprivation of Liberty Safeguards Policy (November 2017)

Mental Health Act – Allocation of a Responsible Clinician Mental Health Act 1983 (NP 021 v5 2019)

Mental Health Act – Associate Mental Health Act Managers AMHAM (NPCS 012 v3 January 2019)

Mental Health Act – Code of Practice Equality and Human Rights Policy (NPCS 010 v2 July 2018)

Mental Health Act – Nominated Deputy: Section 5 (2) of the Mental Health Act 1983 (NPCS 011 v4 July 2018 amended November 2018)

Mental Health Act – The Role of the Second Professional Mental Health Act 1983 (NCPS 013 v4 Mar 2019)

Mental Health Act – SHSC Scheme of Delegation

Mental Health Act Section 23 – Hospital Managers Review of Detention or Community Treatment Order Under Section 23 Mental Health Act 1983 (NP 022 v4 2019)

Mental Health Act – Section 17 Authorisation of Leave Policy (NP 029 v4 Oct 2019)

Mental Health Act – Duty to Give Information Under Section 132, 132A and 133 Mental Health Act 1983 (NCPS 014 v4 Mar 2019)

Mental Health Act – Supervised Community Treatment Community Treatment Orders Guidance

Mobile Phones, Communication Devices and Internet Access for Service Users Policy (v1 Aug 2016) - Second review date extension