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 - v3 November 2020)

Managing Access and Exit Policy (OPS 014 v4 May 2020)

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

Managing and Supporting Employees Experiencing Domestic Abuse (HR 033 v4.1 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 (CG 002 v3.1 Dec 2020)

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 (DoLS) MHA (NPCS 003 v7 Sept 2020) - Review date extended

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 - Conveyance and Assistance Policy for the Admission of Patients Detained Under the Mental Health Act 1983 to Hospital (NCPS 002 V3 December 2020)

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

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 1983 – Authorisation of Leave (Detained Patients) Policy (NP 029 v4.1 Oct 2019)

Mental Health Act – Section 19 Policy – Transfer of Detained Patients to Another Hospital-Unit (NP 032 v1 June 2020)

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

Mental Health Act – Section 136 Policy and SOP for Places of Safety – v17 June 2020

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

Mobile Phone Policy (Service Users) (OPS 015 v2 May 2020)


Parenting Leave Policy (HR 010 V3 March 2021)

Password Policy (IMST 001 V2 June 2020)

PDR Policy (HR 049 V6 Sept 2020)

Personal Files Management Policy (V3.3 2016) - Third Extension to Review Date

Personal Relationships at Work Policy (HR 012 V3 April 2021)

Personal Search Policy (OPS 013 V3 April 2020)

Pest Control Policy (EST 001 V2 July 2020)

Physical Health Policy (NP 020 V6 April 2021)

Policy Framework (Formerly Policy on Policies) CG 006 V8 September 2020

Preceptorship Policy (NP 028 V3 2019)

Prescribing and Administration of Emergency Oxygen in Adults in Hospital Policy (September 2019)

PREVENT Strategy Policy (February 2016)

Promoting Attendance and Managing Sickness Absence Policy (HR 042 V6 Nov 2020)

Protection of Pay and Conditions of Service Policy (HR 011 V4 March 2021)


Safeguarding Adults and PREVENT Policy (NP 016 V1 2019) - Third Extension to Review Date

Safeguarding Children Policy (NP 017 V5 June 2019)

Seclusion Policy (NPCS 009 v6.1 May 2018)

Secondment Policy (HR 045 V2 May 2020)

Security Policy (FIN 008 v7 December 2018)

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

Self Administration of Medicines (SAM) - Local Policy (MD 018 v3 December 2019)

Service User Property and Money Policy (FIN 016 1.2 2019)

Sexual Safety Policy (CG 008 V1 November 2019)

Smoke Free Policy (MD 005 V3 March 2021)

Social Media Policy (CG 007 V4 April 2021)

Speaking up – Freedom To Speak Up Raising Concerns Whistleblowing Policy (HR 015 v5.1 October 2018)

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

Stress Management at Work Policy (HR 006 V5 March 2021)

Study and study leave policy (HR 007 October 2017)

Supervision Policy (Formerly Clinical Professional Supervision and Reflective Practice Policy) (NP 019 V3 May 2020)

Sustainable Development Management Plan (June 2015)

Sustainable Procurement Policy (FIN 009 v2 December 2018)