We keep colleagues aware of relevant policy changes through this section of CHFT Weekly. Policies should be read via the policies and documents library on the intranet - please don't save them on your own computer as they may go out-of-date and you may miss important changes or points of note.

In the past few weeks there have been a number of policy reviews that the Board have agreed. Those with minor amends are not listed below as there is minimal impact on colleagues:

 

Policy for the prescription and administration of emergency oxygen in adults - click here or search oxygen in the policies and documents library

Full review undertaken and updated as per newer British Thoracic Society (BTS) guidance and after introduction of EPR. Sections amended:

  • 2 (Aim)
  • 3 (Prescribing, administering and monitoring oxygen and emergency situations)
  • 8.3 (Oxygen tubing and oxygen wall outlets)
  • 9 (Transfer and transportation of patients receiving oxygen)
  • 13 (Summary oxygen administration protocol and weaning protocol)
  • 15 (Implementation)
  • 18 (References)
  •  Appendices A-I

 

Records Management Policy - click here or search records in the policies and documents library

Added to the policy:

  • Digital media: destruction of digital information
  • Revised records retention Including Care Records and an IICSA Records Risk Assessment  Best Practice Example from NHS England
  • The main standards setting bodies for health and care in England
  • The EPR HIM Tracking SOP
  • Updated clinical audit action plan and Clinical Audit Project Summary (Report Template)
  • Times scales for returning of mini-packs for scanning

Policy updated to include changes in processes/regulations due to:

  • The implementation of EPR.
  • Changes to regulations under the introduction of the Records Management Code of Practice for Health and Social Care 2016
  • The Independent Inquiry into Child Sexual Abuse (IICSA)
  • The Data Protection Act 1998 being superseded by the General Data Protection Regulations in May 2018 (GDPR)
  • The Clinical Records Group has been replaced by the EPR change group - will jointly cover some of the governance and recommendations described as the responsibility of the clinical records
  • group.

Removed from the policy:

  • The Health Records interactive tool (due to the discontinuation of PAS)
  • The casenote compliance audit has been removed due to EPR and also sections of this audit are no longer applicable
  • The retention of casenotes audit and the disposal of records audit has been put on hold until further notice due to the Independent Inquiry into Child Sexual Abuse (IICSA)
  • The Clinical Records Audit Standards (CRAS) put on hold, due to the implementation of EPR and the need for the audit tools to be completely revised
  • The Audit protocol