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 email

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 V7 February 2022)

Management of Asbestos Policy (EST 006 - v3 November 2020)

Management of Contractors Policy (EST 005 V3 Oct 2022)

Management of Lifts Policy (EST 004 V2 Oct 2022)

Managing Access and Exit Policy 24 hour- bedded areas (OPS 14 V5 July 23)

Managing Allegations Against Staff Policy (NP 037 V2 May 2022)

Managing Conflicts of Interest in the NHS Policy (CG 001 v2 Oct 2020)

Managing and Supporting Employees Experiencing Domestic Abuse (HR 033 V4.1 September 2019) - Extension to review date August 2023

Managing Substance Misuse (MD 020 V4 April 2020) extension to July 23

Mandatory Training Policy (HR 036 V4 July 2022)

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

Media Policy (CG 002 v3.1 Dec 2020)

Medical and Therapeutic Devices Policy (MD 021 V5 April 2020) extension to review Dec 2023

Medicines Optimisation Policy (MD 013 V11 Feb 23)

Mental Capacity Act – Deprivation of Liberty Safeguards Policy (NPCS 003 V8 October 2021)

Mental Health Act – Allocation of a Responsible Clinician Policy (NP 021 V6 July 2022)

Mental Health Act – Associate Mental Health Act Managers (AMHAMs) Policy (NPCS 012 V3 July 2022)

Mental Health Act - Conveyance Policy (NPCS 002 V4 June 2021)

Mental Health Act - Equality and Human Rights Policy (NPCS v3 Nov 2020)

Mental Health Act – Nominated Deputy Section 5(2) MHA 1983 Policy (NPCS 011 V5 June 2021)

Mental Health Act – Role of the Second Professional Mental Health Act 1983 (NPCS 013 V5 March 2022)

Mental Health Act – SHSC Scheme of Delegation

Mental Health Act - Hospital Managers Review of Detention or Community Treatment Order Under Section 23 Mental Health Act 1983 Policy (NP 022 V5 August 2022)

Mental Health Act  – 1983 Section 17 Authorisation of Leave (Detained Patients) (NP 029 V5 Oct 2022)

Mental Health Act – Section 19 Policy – Transfer of Detained Patients to Another Hospital/Unit (NP 032 V1 June 2020) extension to review date August 23

Mental Health Act – Duty to Give Information Policy (NPCS 014 V5 July 2022)

Mental Health Act – Supervised Community Treatment Community Treatment Orders Guidance

Mental Health Act – Section 136 Policy and SOP for Places of Safety - Extension to review date Sept 2023

Missing Absent Without Leave and Missing Patients Policy Final Review Date OPS 002 V3 Feb 2019


Safe Supportive and Engagement Observation Policy (NPCS 001 V4 Oct 2022)

Safeguarding Adults Policy (NP 40 V4 July 2023)

Safeguarding Children Policy (NP 017 V6 April 2022)

Safeguarding Supervision Policy (HR 039 V2 April 2022)

Searching of Persons, their Property and Environments Policy (OPS 013 V5 December 2022

Seclusion and Segregation Policy (NPCS 009 V9.1 September 2022)

Secondment Policy (HR 045 V2 May 2020)

Security Policy (FIN 009 V8 August 2023)

Security: Aggression and Violence: protocol for tackling violence and anti-social behaviour within in-patient areas

Sexual Safety Policy (CG 008 V2 April 2022)

Smoke Free Policy (MD 005 V3 March 2021) - extension to review date Sept 23

Social Media Policy (CG 007 V4 April 2021)

Speaking Up - Freedom To Speak Up Raising Concerns (Whistleblowing) Policy ( HR 015 V6 April 23)

Staff Leaving The Trust Policy (HR 030 V2 October 2019)

Stress Management at Work Policy (HR 006 V6 December 2021)

Study Leave Policy (HR 007 V6 July 2022)

Supervision Policy (NP 019 V4 July 23)

Supporting Attendance Policy (HR 042 V8 March 2023)

Sustainable Development Management Plan (June 2015)

Sustainable Procurement Policy (FIN 009 V2 Dec 2018) - Extension to review date Jan 24